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What Is The Use Of PAP Smears


A Pap smear or a Pap test is a test that is used to examine any changes in the cells collected from the cervix, which can cause cancer in women. The cervix is the lower narrow end of the uterus or womb. Cervical cancer is the abnormal growth of cells in this area of the body. The main aim of this test is to detect precancerous cell growth and cure it.

All women who are or who have been sexually active, or who have reached the age of 18, should have a Pap smear done regularly. It is a woman’s best tool to detect pre-cancerous conditions and hidden tiny tumors. If detected early, cervical cancer can be treated and cured completely. Doctors and other specifically trained health care professionals, such as physician assistants, nurses and midwives, can perform a Pap test.

This test is simple, swift, and painless. As a woman is lying down the doctor inserts a speculum into her vagina to widen it, and takes a sample of cells from the cervix with a small cervical brush. This smear of cells is then placed on a glass slide and preserved, to be sent to the laboratory for testing.

General Guidelines to Taking a Pap Smears

At the moment general guidelines recommend women to have a Pap smear once every 3 years, beginning roughly 3 years after a woman becomes sexually active, but no later than age 21. Experts used to recommend a Pap test every year, but now it has been revised to 3 years after the start of sexual activity to avoid over-treatment of common temporary vaginal changes. It is safe to wait 3 years to this test as this form of cancer, as it is known to develop very slowly. Cervical cancer is extremely rare in women under the age of 25.

Women aged 65 and over who have had at least three normal Pap tests with no abnormalities in the last 10 years can decide, after talking with their doctor to stop having Pap smears. Women who have had a hysterectomy also do not need a Pap test, unless the surgery was done to treat cancer.

A Pap smear needs to be done when a woman is not menstruating. The best time is 10 to 20 days after the last menstrual period. Two days before a Pap smear, women should avoid douching or using vaginal medicines or spermicidal foams, as these may wash away or hide abnormal cell growth. Human papillomavirus (HPV) infection is the primary risk factor for cervical cancer, and can be detected by a Pap test.

Symptoms Of Cervical Cancer

Most precancerous conditions of the cervix seldom cause any symptoms. A Pap smear is the best way to detect if there is a problem. If a woman does have cervical cancer, symptoms include;

  • Abnormal bleeding - Bleeding may start and stop between regular menstrual periods, or may occur after sexual intercourse or douching. &
  • Abnormal vaginal discharge

Pain is not an early warning sign of cervical cancer. Keep in mind that these symptoms are not sure signs of cancer; but if they persist longer than 2 weeks contact your doctor.

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