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Women’s Health Services

 
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  Pap Smear PMS  
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WHAT IS A PAP SMEAR?

 

The Pap smear tests for abnormal or “atypical” cells in your cervix (the opening to the uterus or womb).  Abnormal cells could signify “precancer” or early stage cancer.  A specially trained health care professional collects a sample of cells form the cervix and sends them to a lab for examination by a pathologist.  The Pap smear is a “screening” test, not a diagnosis

A Pap smear is not the same as a pelvic exam.  During the pelvic exam, a specially trained health care professional looks at and feels the other organs around your cervix to make sure their shape and size is normal.  A Pap smear is usually part of a pelvic exam. If you're not sure whether your pelvic exam includes a Pap smear, ask your health care professional.

PREPARING FOR YOUR PAP SMEAR:

·         Do Not schedule your Pap smear during, or within several days following your period.   If done too soon following your period, it may cause more cells to appear “abnormal”.  Try to schedule it 10 to 20 days following your period. 

·         Do Not use vaginal creams, foams, gels, douches or tampons 48 hours (two days) before your Pap smear.  These products could cause an “abnormal” result.

·         Do Not have sex 48 hours (two days) before your Pap smear.  Sex can irritate the skin of the cervix or cause discharge (fluids) that can lead to an “abnormal” result.

The ABNORMAL” PAP SMEAR

An "abnormal” Pap smear simply means some cells look different than normal cells.   There are many possible causes of an “Abnormal Pap Smear.”

·         Human papillomavirus (HPV)* causes cell changes that are true abnormal Pap smears.

·         Mild infection, irritation from yeast or tampons, or trauma from sexual intercourse also cause cell changes, but these changes often go away on their own or can be easily treated.

·         The person reading the Pap smear may see some normal cells as “abnormal” or “atypical”. (This is not a true abnormal Pap smear, but it will require you to have the test repeated).

*WHAT IS HPV?

HPV is a very common virus passed from the skin of one person to another during sex.  There are many DNA types of HPV.  Some types cause genital warts-bumps on the skin around the penis, vagina or anus which can be seen and felt.  These are rarely dangerous and can be treated topically.  A few DNA types of HPV can slowly lead to cancer of the cervix if they are not caught early and treated.   Most women who have HPV do not develop cancer, but some do.   Cervical cancer can be prevented if the abnormal cell changes that can lead to cervical cancer are found and treated early.  This is why getting a Pap smear once a year is so important to your health.   HPV can be managed.

·         If your pap smear is abnormal, the lab will automatically perform an HPV-DNA test to check for high risk type.  Your student account will also be charged for this test, in addition to the charge for the pap smear. 

      

 What if I have an ABNORMAL PAP SMEAR??

It is very important that you return to discuss the results with one of our providers so we can inform you of the appropriate recommendations based on the test results.  You may need referral to a specialist for Colposcopy (viewing and examining the cervix  using a special lens which magnifies the cervix); and / or Biopsy  (taking a sample of tissue from the cervix for special laboratory studies).  This will give a DIAGNOSIS.

Take control of your health!

Whether the plan is for a follow-up Pap smear, an HPV test, a colposcopy or a biopsy:

  1. Keep your appointment.   
  2. Make sure you understand the next step and why your health care provider chose it.  
  3. Don't be afraid to ask questions.  Write down your questions and make a note of your next appointment.
  4. Get a Pap smear and STD screen once a year (unless your health care provider tells you otherwise)

 

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