The Pap smear

What is a Pap smear?

A Pap smear is a way of examining cells collected from the cervix (the lower end of the womb). A sample of cells is taken with a wooden spatula or small brush. The cells are then prepared on a glass slide for examination under a microscope. In this way, abnormal changes in the cells, which may arise from cervical cancer or pre-cancer, can be detected.

Sample
The sample is sent for examination to determine whether the cells are normal or abnormal.

Why is the Pap smear important?

The purpose of the Pap smear is to help detect abnormal cervical cells even before they develop into cancer. Treatment can then be given early. It is well established that cervical cancer incidence and death rate can be reduced with regular Pap smear screening performed every three years.

Do abnormal results mean cancer?

One in 10 Pap smear results are abnormal, but it is rarely due to cancer. An abnormal result usually means that changes have been found in the cells of the cervix. If treatment is required, the doctor will refer the woman for an examination called colposcopy to confirm the results of her Pap smear and prescribe the next best course of action.

Who should have a Pap smear?

All women are at risk of getting cervical cancer. A woman’s risk increases if she:

  • has ever had sex and/or is sexually active
  • smokes
  • has had several sexual partners
  • has had sexually transmitted infections like genital warts or genital herpes

Therefore, all women who have ever had sex should have a Pap smear done by the age of 25 years. They should repeat their Pap smear every three years. They can be discharged from screening at age 65 if the smear taken at 65 years is negative and the previous smears were negative.

However, if the woman experiences any of the following symptoms before her next screening, she should consult her doctor immediately:

  • vaginal bleeding after sexual intercourse
  • irregular bleeding between menstrual periods or after menopause
  • foul-smelling vaginal discharge.

Where can I go for a Pap smear?

A Pap smear can be done at the following locations:

  • your family clinic
  • your neighbourhood polyclinic
  • your gynaecologist

For more information, call 1800-223 1313.