{"id":9013,"date":"2019-11-26T09:16:31","date_gmt":"2019-11-26T14:16:31","guid":{"rendered":"https:\/\/www.getmaple.ca\/?p=9013"},"modified":"2025-01-15T14:27:49","modified_gmt":"2025-01-15T19:27:49","slug":"pap-smear-purpose-procedure-results-frequency-maple","status":"publish","type":"post","link":"https:\/\/www.getmaple.ca\/blog\/pap-smear-purpose-procedure-results-frequency-maple\/","title":{"rendered":"Why you should never skip your Pap"},"content":{"rendered":"

The proverb \u201can ounce of prevention is worth a pound of cure\u201d could easily have been written about Pap smears. While it may not be the most comfortable of procedures, the Pap smear is definitely worth it: cases of cervical cancer fell by <\/span>70 percent<\/span><\/a> in the US in the decades after it was introduced. Here\u2019s everything you need to know about the dreaded and celebrated Pap smear.<\/span><\/p>\n

What is a Pap smear and what does it test for?<\/h2>\n

If you are over 21, chances are your doctor has booked you for your <\/span>first Pap test.<\/span> A Pap smear is part of a vaginal exam that screens for abnormalities in your cervical cells. It\u2019s not a diagnostic test, though. While it can indicate whether cells are normal or abnormal, <\/span>a Pap smear can\u2019t detect HPV<\/span> or <\/span>cancer<\/span>. If the results come back abnormal, doctors will order further testing to narrow down the cause of the abnormality.\u00a0 In Canada, the <\/span>cost<\/span> of <\/span>Pap smear tests<\/span> are covered under your provincial health insurance coverage.<\/span><\/p>\n

How is a Pap smear done?<\/h2>\n

The <\/span>Pap smear procedure<\/span> has ‘two <\/span>steps<\/span>: a visual check and a cervical swab using a speculum. To begin, your doctor will have you remove your clothes and put on an oh-so-flattering backless medical gown. They\u2019ll get you to lie on your back on the examination table, spread your legs and stick your feet into the stirrups at the bottom of the table.<\/span><\/p>\n

The doctor will begin with a visual examination of your vulva and the outer part of your vagina. They will then insert a speculum (a duckbill shaped instrument) into your vagina and use it to dilate (open) your vagina to see your cervix. Then, your doctor will insert a swab to remove some cervical cells to send for testing. Your doctor may also do a manual examination, to feel for any abnormalities in your reproductive organs.<\/span><\/p>\n

Although some women experience spotting or light <\/span>bleeding after<\/span> a <\/span>Pap<\/span>, the procedure shouldn\u2019t be painful. If you have pain, heavy bleeding, or spotting that lasts for more than a few days, it\u2019s a good idea to contact your doctor as it might be indicative of another problem. An unfortunate exception to this is <\/span>after menopause<\/span> when <\/span>painful Pap smear<\/span>s become more common. This is due to a <\/span>decline in estrogen levels<\/span><\/a> which can cause dryness and extreme sensitivity in the vagina and cervix.<\/span><\/p>\n

How often should you get a Pap smear?<\/h2>\n

Most <\/span>provincial guidelines<\/span><\/a> in Canada stipulate that if you\u2019re sexually active, you should get your first <\/span>Pap smear<\/span> at <\/span>age<\/span> 21, and continue to receive them every three years until age 70. These guidelines change, however, if you have had cervical cancer or an abnormal Pap. In these cases, you\u2019ll need more frequent screening until you have a few clear tests under your belt.\u00a0<\/span><\/p>\n

While <\/span>Pap smears screen<\/span> for <\/span>cancer<\/span>, abnormal cellular changes, and HPV, your doctor\u2019s visual inspection can sometimes spot other STIs such as herpes \u2014 but only if you have a visible outbreak. Many STDs, however, aren\u2019t readily diagnosable with a pap. And since STD checks aren\u2019t done routinely, if you think you may have an STD or may have been exposed, you should speak to your doctor about being tested.<\/span><\/p>\n

When to have a Pap smear<\/h2>\n

While <\/span>you can get a Pap smear during your period<\/span>, blood, tissue, and other foreign substances can obscure your doctor\u2019s view so you may want to reschedule if you have a particularly heavy flow. It\u2019s also best to abstain from both sex and douching (which is bad for <\/span>vaginal health<\/span><\/a> anyway), for 24 hours before your examination.\u00a0 If you have a vaginal infection (like a yeast infection), wait until you\u2019ve finished treatment before booking your Pap.<\/span><\/p>\n

Pap smears during pregnancy<\/h2>\n

You can get<\/span> both <\/span>a Pap smear and<\/span> a colposcopy (a form of closer examination – more on this later) <\/span>while pregnant<\/span> \u2014 both are completely safe and will not affect the health of your baby. And <\/span>a Pap smear when pregnant won\u2019t<\/span> hurt more<\/span>. You are also able to undergo a biopsy if your doctor deems it necessary, although this can increase your risk for bleeding.<\/span><\/p>\n

What can cause an abnormal Pap smear besides HPV?<\/h2>\n

While it\u2019s entirely normal to freak out when your <\/span>Pap smear test results <\/span>come back \u201cabnormal,\u201d keep in mind that this could mean a variety of things. An <\/span>abnormal pap smear<\/span> can mean <\/span>HPV<\/span> or (less likely) cervical cancer, but it could also be the result of a different infection. Chlamydia, gonorrhea, and even yeast infections can cause a <\/span>slightly abnormal pap smear<\/span>. Your doctor will recommend the best course of action based on the results of your test. This can range from scheduling another Pap in three to six months, to getting a colposcopy. But unless your doctor explicitly tells you they are concerned, please don\u2019t panic and think this means you have <\/span>cervical cancer<\/span>. <\/span>Abnormal pap smears are<\/span> quite <\/span>common<\/span> \u2014 about <\/span>eight percent<\/span><\/a> of tests come back abnormal. Even normal physiological changes, such as menopause, can cause test results to return abnormal.<\/span><\/p>\n

What\u2019s a colposcopy?<\/h2>\n

Your doctor will sometimes refer you for a <\/span>colposcopy<\/span> when your P<\/span>ap smear<\/span> returns <\/span>abnormal<\/span>. Similar to a Pap, a colposcopy involves a close examination of the cervix using a magnifying glass-type device called a colposcope. It allows your doctor to more thoroughly inspect your cervix and may involve a biopsy.\u00a0<\/span><\/p>\n

It\u2019s completely normal to feel anxious before a Pap smear. Especially if you haven\u2019t had one before or if you have a history of trauma. But Pap smears are an integral part of preventative medicine. And better screening means earlier intervention, which increases your chances of surviving something like cervical cancer. So while it can be tempting to avoid, don\u2019t put off getting your Pap test. It could literally save your life.<\/span><\/p>\n

The information presented here is for educational purposes and is not meant to replace the advice from your medical professional.<\/i><\/i><\/p>\n

When using virtual care, all medical treatment is at the sole discretion of the provider. Virtual care is not meant for medical emergencies, and your provider will determine if your case is appropriate for virtual care. If you are experiencing an emergency like chest pain or difficulties breathing, for example, please call 911 or go to your nearest emergency room.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"

Uncomfortable, sure. But pap smears are essential preventative care for women. Learn how these tests are done and how they can predict abnormalities, leading to earlier cancer diagnoses and better patient outcomes.<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[7377],"tags":[],"acf":{"image":{"ID":9462,"id":9462,"title":"MAP101_Maple_Blog_smear_v3","filename":"MAP101_Maple_Blog_smear_v3.jpg","filesize":188432,"url":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3.jpg","link":"https:\/\/www.getmaple.ca\/blog\/pap-smear-purpose-procedure-results-frequency-maple\/map101_maple_blog_smear_v3\/","alt":"test tubes lined up.","author":"7","description":"","caption":"","name":"map101_maple_blog_smear_v3","status":"inherit","uploaded_to":9013,"date":"2019-11-20 22:01:53","modified":"2019-11-20 22:02:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.getmaple.ca\/wp-includes\/images\/media\/default.png","width":2880,"height":1180,"sizes":{"thumbnail":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-300x123.jpg","medium-width":300,"medium-height":123,"medium_large":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-768x315.jpg","medium_large-width":768,"medium_large-height":315,"large":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1024x420.jpg","large-width":1024,"large-height":420,"1536x1536":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3.jpg","1536x1536-width":1536,"1536x1536-height":629,"2048x2048":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3.jpg","2048x2048-width":2048,"2048x2048-height":839,"square1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1200x1180.jpg","square1200-width":1200,"square1200-height":1180,"square600":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-600x600.jpg","square600-width":600,"square600-height":600,"square300":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-300x300.jpg","square300-width":300,"square300-height":300,"square200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-200x200.jpg","square200-width":200,"square200-height":200,"square100":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-100x100.jpg","square100-width":100,"square100-height":100,"feature1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1200x600.jpg","feature1200-width":1200,"feature1200-height":600,"feature1100":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1100x500.jpg","feature1100-width":1100,"feature1100-height":500,"feature800":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-800x400.jpg","feature800-width":800,"feature800-height":400,"feature400":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-400x200.jpg","feature400-width":400,"feature400-height":200,"facebook1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1200x630.jpg","facebook1200-width":1200,"facebook1200-height":630,"medium_retina":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-1200x492.jpg","medium_retina-width":1200,"medium_retina-height":492,"large_retina":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2019\/10\/MAP101_Maple_Blog_smear_v3-2360x967.jpg","large_retina-width":2360,"large_retina-height":967}},"intro_text":"","meta_description":"","add_promotional_banner":false,"add_call_to_action":true,"show_age_gate":false,"call_to_action_text":"Get better, faster.","call_to_action_button_text":"Register","call_to_action_link":"[mpl-register-link]"},"yoast_head":"\nWhy you should never skip your Pap | Maple<\/title>\n<meta name=\"description\" content=\"Cervical cancer rates plummeted after the introduction of the Pap smear procedure. 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