No, it does not need to be removed for a Pap smear. The annual gyn exam and testing can be done with the Nuva Ring in place.
Not that I know of. I have had a pap smear done with it in. It may just be the practitioner's preference. If so, then she/he can probably remove and place it back immediately after the exam. But I would leave it in and inform my practitioner.
If you have never had a pap smear before or if it is close to the time you are due for your annual exam, most doctors get the pap smear while you are in the office and being examined. If you have recently had a pap test done and it was normal, I would question the doctor about the reason s/he feels there is a need.
I assume you mean Pap smear you need a pap smear 3 years AFTER you start having sex or 21 years old, whichever is first. In the UK they wait until 25 years old. OR if you have a bunch of partners or are immunosuppressed you need the pap smear sooner the pap smear is to check for cervical cancer. Cervical cancer used to be the # 1 cause of death of women, they we got pap smears and you need to get a pap smear every year once you hit the threshold above. because of pap smears, we catch cervical cancer early and treat it before most women die.
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