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Pap Smear

The Papanicolaou test (also called Pap smear, Pap test, cervical smear, or smear test) was invented by Georgios Nikolaou Papanikolaou. He was a Greek pioneer in cytopathology and early cancer detection. The PAP test is a screening test to detect possible pre-cancerous and cancerous cells of the endo-cervical canal. A plastic a speculum is used to open the vaginal canal, and an applicator is used to very gently collect cells from the end of the cervix. Special stains are added to the specimen, which is sent to a lab for processing. Cervical cancers are typically caused by sexually transmitted human papillomaviruses (HPV) which most females contract soon after first becoming sexually active. The American Congress of Obstetricians and Gynecologists (ACOG) and other experts recommend starting screening at age 21 (or between ages 20 to 60, and definitely while sexually active. The test is not painful, though it can be temporarily uncomfortable.

460 Questions

What are normal results for a pelvic exam?

The external and internal genitalia will be free of any lesions, abnormal discharge with no abnormal masses or tenderness upon palpation. The Pap smear will be normal.

You are unable to have a pap smear what else can be done to detect cervical cancer?

You can do HPV genotyping to know high risk and low risk type of HPV.

Can a pap smear detect CIN?

A pap smear can detect conditions that may be CIN. Further testing is required for definitive diagnosis of CIN.

How long do you have to wait for a second normal pap smear to obtain medical insurance?

Since the Affordable Care Act ("Obamacare") there are no longer "preexisting condition" restrictions allowed on health insurance. A history of an abnormal pap smear should not affect your ability to get insurance. If it is, contact your state's Department of Insurance for information.

Family physician pap smears?

Family physicians routinely do pap smears. It is a normal part of family practice.

When you get a smear test and it come's back inadequate?

When a pap result comes back inadequate, your health care provider will recommend retesting on a schedule that makes sense given your health history. Occasionally, in postmenopausal women, treatment with estrogen may be recommended prior to retesting.

You had a pap smear monday and today you started spotting should you be worried?

No, there is nothing to worry about. Most doctors are gentle while others aren't so it could just be a little irritation causing the bleeding. Also if you had your pap smear close to your period this could bring on spotting. NEVER get a pap smear done while you are close to having your period because you can have a positive reading re cancer cells and it will certainly throw a scare into the female patient, but this DOES NOT mean it's cancer. You could go back for another pap smear a week after your period and all is fine.

Can you bill for a pap smear when the patient returns after the physical exam?

You can bill for the visit, but unless you're doing the cytology there's nothing to bill for the pap smear itself.

Who invented the pap smear?

Dr. George Nicholas Papanicolou

Do you always test positive for HPV once you have a clear pap?

No, your body will normally clear HPV from your cervix over time. Most of us get HPV soon after becoming sexually active, but our immune system takes care of the infection before it causes any problems.

Can a pap smear test determine pregnancy?

aqNo, a pap smear is used to determine cancerous cells and other abnormalities in the soft tissue. To determine pregnancy you will need either a urine test or to be more accurate a blood test.

What could it mean if you start bleeding during a pap smear in early pregnancy?

The hormonal changes of pregnancy make the cervical tissue more delicate. Spotting after a pap smear is common in pregnancy. Contact your health care provider for advice if the spotting lasts more than a day or two.

What type of infection pap smear use for?

Pap smears are used to detect cancer and precancerous changes on the cervix. They are not used to detect infection.

Can the court order a pap smear?

It's hard to imagine a situation in which a court-ordered pap smear makes sense. If a woman is imprisoned, the state may have an interest in getting a pap smear in light of its responsibility for her health care.

What does it mean if the doctor says you have to come back in order to hear your pap smear results?

There are many kinds of abnormal pap smears. The point of the pap smear is the detection of abnormal, precancerous cells on the cervix. Occasionally, other abnormalities are found. If you're worried about your pap smear result, ask your health care provider for more information about your specific case. Some abnormalities require only routine followup in three to five years; others require other types of testing done within months of the smear. Some health care providers want to talk about any kind of abnormality face-to-face, and others will only talk about very serious problems in such a discussion. If you're worried, and your appointment isn't in the next couple of days, ask your health care provider to give you some information over the phone.

Will ovarian cysts make your pap smear test come back abnormal?

No, a pap smear only tests the lining of the uterus, cysts come and go most of the time on their own. Especially during a woman's childbearing years.

Can a pap smear cause a false pregnancy test?

A pap does not affect the accuracy of a pregnancy test.

No endocevical cells present on a pap smear?

No endocervical cells on a pap smear means that the pap was not completely adequate. This result can occur if the opening of the cervical canal is very narrow. It does not typically indicate a problem, but may require repeat testing soon.

How can chlamydia show up in lab work but not in pap?

Chlamydia shows up in a chlamydia test. It doesn't show up in pap smears or other lab work. These other tests are not meant to find chlamydia.

Std testing was done on my 19 year old daughters pap smear sample without her consent No std's were found. Was it legal for the doctor to do this?

It's not the current standard of practice in 2013 to do Pap smears on 19 year olds. In contrast, testing for chlamydia is the standard of practice. It is common practice to let patients know what tests will be collected during the visit. It is not illegal to fail to notify patients of this testing.

What term is the growth of abnormal cells in the cervix that can be detected by a Pap smear?

Can be anything from an std, cervical cancer or merely you could have had torn tissue from "earlier activities" ... No need to freak, but usually a doctor will then conduct a colposcopy to examine the tissue and find out why the cells were abnormal