Pap Smear FAQ

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When do I need to start getting Pap smears? 

  • 21 years – Cervical cancer screening should begin at age 21 years.  This is based on the very low incidence of cancer and a potential for adverse effects associated with follow up of these young women.  (HPV and dysplasia tend to regress spontaneously in adolescents.
    • Women aged 21-29 should have a pap smear every 1-2 years.  Annual gynecologic visits in these women may still be appropriate even if a pap smear is not performed at the visit.
    • Women aged 30 and above may be screened every 3 years if they have had 3 consecutively normal pap smears. Co testing with a combination pap cytology and an HPV DNA test is appropriate screening test for women aged 30 or older.
    • Women with the following risk factors may need more frequent screening
      • With HIV
      • Who are immune suppressed individuals
      • Women exposed to DES in utero
      • Women previously treated for CIN2, CIN3 or cervical cancer.

 

What is the difference between a Pap smear and a Well Woman’s Exam?

The Well Women’s Exam is done to check your overall physical health and the pap smear screens for cervical cancer.  A pap smear is often done as part of a Well Woman’s Exam.

 

Does it hurt?

The pelvic exam part of your gynecologic exam should only take a few minutes. Some parts of the exam may be uncomfortable, but it shouldn’t be painful. If it hurts, be sure to tell your health care provider, who may be able to adjust things to help you be more comfortable. This exam is for you, so don’t be afraid to speak up. You’ll feel less tense during your exam if you breathe slowly and deeply with your mouth open, let your stomach muscle go soft, relax your shoulders, relax the muscles between your legs, ask your health care provider to describe what is happening, and you may  bring your personal music player to help you relax. 

 

What is a Pap smear?

Link to visual of Pap collection

 

How much does it cost?

? include range of price or link to cost of services page., maybe mention insurance coverage.

 

Would sexually transmitted infection tests or a pregnancy test be included in a Pap smear exam?

A Pap Smear test screens for the effects of HPV (Human Papilloma Virus) in cervical cells. Screening for sexually transmitted infections (STIs) or pregnancy is not always done, however yearly Chlamydia screening is recommended for sexually active women aged 16-24. Pregnancy tests can also be done on urine specimens at your request.

 

Are there any side effects from a Pap smear?

Some people may experience mild cramping and spotting for a few hours after the exam.

 

How long does it take to get a Pap smear?

It usually takes approximately 15 minutes to collect the sample.

 

How do I prepare myself for an exam?

  • Plan ahead. You should schedule the exam when you are not on your period.
  • Do not use any vaginal product (such as creams, lubricants or douches) or have intercourse for 1-2 days prior to the test
  • Make a list of any questions you may have
  • Bring a friend if that would make you more comfortable.  Anti-anxiety medications may be available if requested prior to the appointment. 
  • You are encouraged to empty your bladder prior to the pelvic exam.

 

Who would be collecting my Pap smear?

Trained medical providers in Women’s Health Clinic or Primary Care Clinics would be available to provide care.  Discuss with the appointment schedulers whether you have a preference of male or female provider.

 

For more information, see the pap smear video.