Should I Have A Pap Smear?

Posted on | January 12, 2010 | No Comments

Margaret Lewin MD,
Medical Director of Cinergy Health

Guest Correspondent

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 The “pap smear” (Papanicolaou test) is used to screen for cervical cancer as part of the gynecological examination.  It can reveal early, pre-malignant changes to the cervix.  It is done by gently scraping the cervix with a wooden or plastic spatula and then by inserting a very small brush into the opening of the cervix.  The cells thus obtained are then evaluated by a commercial laboratory.  For maximum accuracy, your provider should be submitting a liquid-based preparation (not the old-fashioned smear submitted on glass slides).  The same cells can be evaluated for the presence of HPV. 

Lately, when and how often to screen has become controversial.  Consensus among the various guideline commissions is still pending, but it is likely that recommendations will be as follows:  (TO CONTINUE …)

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