Abnormal Papsmear / Pap Test

What Is a PAP Test?

A Pap test (sometimes called a “Pap smear”) is a test that doctors use to check the cervix for early signs of cancer. The cervix is the part of a woman’s body where the uterus and the vagina meet. It is the bottom part of the uterus.

What Should I Do to Prepare for a PAP Test?

You do not need to do anything special to prepare for a Pap test. Women sometimes hear that they should not have sex or put anything in their vagina for 2 days before a Pap test, but it turns out that recommendation is not necessary. Pap tests work fine even in women who have had sex recently or who have used vaginal lubricants or creams.

Do not worry if you have your period on the day of the test. The test can still be done even if you are bleeding. If your bleeding is very heavy, you might want to call your doctor or nurse to see if you need to reschedule.

How Often Should a Woman Have a PAP Test?

That depends on how old she is and what the results of her past Pap tests have been:

• Women age 21 to 29 should have a Pap test every 3 years.
• Women age 30 and older can have a Pap test every 3 years or a Pap test and HPV test every 5 years.
• Women age 65 and older should stop having Pap tests if they meet all of these requirements:
• They have never smoked.
• They do not have a new sex partner since their last Pap test.
• They had Pap tests done regularly until they turned 65.
• They had 3 normal Pap tests in a row.
• They had no abnormal Pap tests in the past 10 years.

A woman might also get a Pap test if she has certain symptoms, such as vaginal bleeding.

Do I Need to Get PAP Tests If I Had a Hysterectomy?

If you had surgery called a “hysterectomy” to remove your uterus, ask your doctor if you need to keep having Pap tests. If you no longer have a cervix, and if you did not have cervical cancer before your hysterectomy, you most likely do not need to have Pap testing after surgery.

Do I Need to Get PAP Tests if I Had the HPV Vaccine?

Yes. You still need to get Pap tests if you got the HPV vaccine. HPV stands for “human papillomavirus”. It is the virus that causes cervical cancer. Getting the HPV vaccine reduces your chances of getting cervical cancer. But it does not completely protect you. You still need to be checked for cancer.

What if I Have an Abnormal PAP Test?

First, you should know that abnormal Pap tests are common. They are just an initial test, and most women with an abnormal Pap test do not have cancer. If your Pap test has cells that look “abnormal”, your doctor or nurse can follow up with another test to find out for sure what is going on.

Depending on your age and the result of your Pap test, your doctor or nurse might order an HPV test done on the sample that he or she collected for the Pap test. The HPV test checks for infection with a type of HPV virus that can cause cancer.

Other Steps

Your doctor might also suggest that you have another follow-up Pap test or a test called a colposcopy. These are explained:

• Another Pap test at 6 to 12 months – Sometimes a Pap test shows cells that could be either normal or abnormal. If you wait a few months and have another Pap test, you could find that the cells are back to normal. You might also need an HPV test at the same time.
• A colposcopy – For this test, the doctor or nurse looks at your cervix using a device that looks like a microscope. It allows the doctor or nurse to see the cervix in fine detail. During this test, the doctor or nurse might also take tiny samples of tissue from the cervix. This is called a “biopsy.” Tissue from the biopsy can go to the lab and be checked for anything abnormal.