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Pap Smear: Frequently Asked Questions

What is a Pap smear?

A Pap smear is a test done during a pelvic exam to check for unusual changes in the cells of the cervix. The cervix is the lower part of the uterus that opens into the vagina. Abnormal cells can develop into cancer if not detected and treated. There are no signs or symptoms related to early cervical cancer so a yearly pelvic exam of the female sex organs and a Pap smear are essential. Cervical cancer is preventable and curable if detected early. ...
A Pap smear is a quick and simple test in which a number of cells are collected from your cervix and sent to a laboratory where they are tested for changes. No drugs or anaesthetics are required and a doctor, nurse or health worker can easily do it. It only takes a few minutes and is the best protection against cervical cancer.
A Pap smear is a very common test procedure named after the pathologist George Papanicolaou (1883 – 1962) and developed in the 1940s in which sample cells from a woman’s cervix are screened for abnormalities, most often for cervical cancer or sexually transmitted diseases.
A Pap smear is a quick and simple test in which a number of cells are collected from the cervix and sent to a laboratory where they are tested for changes. No medications or anaesthetics are required and a doctor or women’s health nurse can easily do it.
A Pap smear is a screening test for cancer of the cervix. The procedure is usually not painful, although there may be some discomfort when the cervix is touched to collect the sample. The Pap smear is one of the tests that may be done during your annual well woman exam. Chlamydia and gonorrhea tests may be done also.

How is the Pap Smear read?

The Pap smear is evaluated by a cytotechnologist, and, if abnormal, by a pathologist. It will be reported to you as: Normal/Negative - No abnormal cells were detected. Atypical - Atypical cells are not completely normal, but also do not meet criteria to be called abnormal. Abnormal - The Pap smear report shows cells which are mild, moderate, or severely abnormal. A Pap smear in this category usually requires further evaluation. Your health care provider may recommend a colposcopy. ...

How reliable is the Pap smear?

Early detection and treatment can prevent up to 80-90% of cancer developing. However, like other screening tests, it is not perfect. It may not always detect early cell changes that could lead to cancer. Should you experience any symptoms such as abnormal bleeding, please consult your doctor immediately.

How is a Pap smear done?

It is a simple test and only takes a few minutes. You will be asked to lie on your back. The doctor will insert a small instrument called a speculum into your vagina to get a clear view of your cervix. The doctor will then use a special brush to collect some cells from your cervix. The cells will be transferred onto a glass slide which will be sent to the laboratory for tests.

How is a Pap smear performed?

When a Pap smear is performed, an instrument called a speculum is gently inserted into the vagina. It is used to hold the walls of the vagina apart to allow the cervix (neck of the womb) to be clearly seen. A small spatula or brush is then inserted to collect cells from the cervix. These cells are then transferred to a glass slide and sent to a laboratory for testing. Your results should be available within a week.

What happens if Pap smear results are abnormal?

The doctor will perform a second Pap screening. If the results of this procedure are also abnormal, the doctor will perform diagnostic procedures to identify the condition.

Who should have a Pap smear?

Every girl or woman who is at least 18 years old and who is or has been sexually active should have regular Pap smears.

What causes an abnormal Pap smear?

Various factors may result in abnormal Pap smear results. Generally, these factors are not signs of a problem in your cervix. You can have an abnormal Pap smear because: The sample does not show the cells clearly You have a mild infection that can be easily treated or will go away on its own You have HPV (Human Papilloma Virus) infection. HPV is a very common virus. It is passed from the skin on one person to another during sexual contact. More than 100 different types of HPV exist today, most of which cause no trouble. ...

Should I have a Pap smear?

If you are over 18 and have ever had sex, you should have regular Pap smears, even if you no longer have sex. This includes male to female, and female to female sex. There is no need to have Pap smears earlier than 18, even if you start having sex earlier. At age 70 your doctor may advise that it’s safe to stop having Pap smears if you have had two normal Pap smears within the last five years.

How much does a Pap smear cost?

Two costs are involved – the doctor’s consultation fee and the Pap smear pathology test. Some doctors, clinics and health centres ‘bulk bill’ and if so, there are no out of pocket expenses for women. If a fee is charged, the cost to you will be the difference between the Medicare rebate and the doctor’s and laboratory fees. In some cases you may be required to pay the full cost for the consultation and laboratory fee and then claim the rebate from Medicare. Ask what the cost will be when you make an appointment.

What does a Pap smear feel like?

A speculum is inserted into the vagina to allow the person taking your Pap smear to see the area of the cervix where they need to sample the cells. The cells are sampled by rotating a sampling spatula or brush over the cervix. You may feel some dull pressure while this is being done. If it is too uncomfortable or hurts, tell your doctor, nurse or health worker straight away. Sometimes having a Pap smear can feel a little embarrassing. Remember, for the person taking your smear, this is just part of their everyday work.

How is an abnormal pap smear evaluated?

colposcopy is required to evaluate an abnormal pap smear. A HPV DNA test may also be required to further test the pap smear that showed the abnormal cells.

When do I need a pap smear?

It is recommended you have a pap smear every year (more often if you are high risk). Your first pap smear should occur at age of first sexual contact or age 21y, whichever comes first.

Does the Pap smear detect ovarian cancer?

The Pap smear evaluates cervical cancer and NOT ovarian cancer. This is a commonly misunderstood perception. There is currently no screening test for ovarian cancer which is why knowledge of symptoms is your best detection method. It is also key that women continue to see their physicians for their annual pelvic exams. The risk of ovarian cancer increases with age and even though a woman is post-menopausal, it is still critical to have these exams.

CAN THE PAP SMEAR BE IMPROVED?

The conventional Pap smear is a good test for detecting most cases of cervical cancer . In fact, in the last 50 years, it has helped reduce the number of cervical cancer deaths from 35,000 a year to less than 5,000 today. But, like any procedure that has been around for so long, there are certain aspects of the test that today's technology can improve upon.

What happens after a positive Pap smear?

Your gynecologist may perform a colposcopy, which is a procedure that examines the surface of the cervix. A biopsy may then be taken to determine the amount of dysplasia and the depth of cervical involvement. Other procedures include an endocervical curretage (called a D & C) or a cone biopsy which are performed to rule out invasive cervical cancer

How much is a pap smear?

– but this would be in addition to the office visit.

What is PAP smear and when and how often is it indicated ?

A speculum examination is done and a scraping taken from the cervix of uterus using a wooden spatula. This is a painless out patient procedure and does not need any anaesthesia. The scrapings from the cervix is smeared on to a glass slide and sent to the pathologist to study. Since the cause of this cancer has its origin in sexual activity, screening should be started from the time sexual activity commences. ...

How often should a girl or woman have a Pap smear?

She should have an annual Pap smear unless her doctor advises her to be tested more or less frequently.

Do I really need a Pap smear?

All women who have ever had sexual contact should commence having Pap smears between the ages of 18 - 20, or within two years after first sexual contact, whichever is later. This includes male to female and female to female contact.

Why do I need a pap smear?

The pap smear is a way of detecting abnormal cell changes in the cervix. These changes can indicate infections, the presence of sexually transmitted diseases, and, most importantly, cervical cancer. The test should be conducted annually upon age 18 or within six months after becoming sexually active. A pap smear is a simple procedure performed during your annual exam. Cells are taken from several areas of the cervix and is an excellent screening test for certain Gyn conditions. ...

What should I do to prepare for my pap smear?

Schedule your appointment during the mid-cycle of your menstrual periods. Refrain from sexual intercourse and douching for 24 hours before your appointment. Know the first day of your last menstrual period. Inform your clinician if you are taking any hormones or have had any abnormal pap smears in the past. Inform your clinician if you have experienced any abnormal bleeding.

What happens if I have an abnormal Pap smear?

It’s difficult to determine you have a serious health problem from just one abnormal Pap result. Depending on the pathology of your Pap smear, Dr. Mace-Motta will generally ask that you come back in three to six months for a repeat Pap smear. She may also schedule you for a colposcopy, an in-office procedure that allows Dr. Mace-Motta to visually see abnormal lesions or suspicious tissue upon examination. A biopsy is usually done at this time. In many cases your follow-up Pap smear will be normal. ...

How often should I get a pap smear?

If in your past you have had "normal" pap smear results, an annual pap smear should be adequate. If your results were "abnormal", you will need to consult your physician.

Where can I go to have a Pap smear?

You can make an appointment for a Pap smear at a general practitioner, community or women's health centre, family planning clinic, sexual health clinic or Aboriginal Medical Service. When you call you can advise the health service that the purpose of your appointment is to have a Pap smear. It may help to find a practitioner who does Pap smears frequently, and it is fine to ask about this at the time of making an appointment. ...

What does it mean if I had an abnormal Pap smear?

Pap smear is a screening test for cervical cancer. When I Pap smear is collected during a routine exam, cells are collected from the cervix using a plastic spatula and brush. The Pap smear is then sent to a pathologist to determine if the cells appear normal or abnormal. If the Pap smear is abnormal, the pathologist attempts to determine the type of lesion in noted from the few sales that are collected on the slide. ...
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