Requirements for pap smear and colposcopy
The cervical cytology or Pap smear is the collection of cells from the cervix to determine the presence or absence of abnormal cells and thus identify early changes in the development of cancer.
Your doctor will indicate if you are a candidate. In principle, all women who have had sexual intercourse, are in menopause or have had a hysterectomy (removal of the womb for any reason), should have this test at the intervals determined by the doctor, usually annually, but can be intensified according to some factors. Remember that the absence of symptoms does not guarantee that there is no disease in the cervix.
The health care provider will ask you to lie down on a table and gently insert an instrument called a speculum into your vagina. With this instrument, the cervix can be viewed and a sample taken from the appropriate site. Although most women do not experience discomfort, this procedure can be a little uncomfortable if you are very tense.
Things not to do before the Pap test
Once your doctor has these results in his or her possession, he or she will be able to tell you if you require treatment for incontinence. Treatment can range from pelvic floor exercises (Kegel exercises), placement of a sling or sub-urethral mesh or even an artificial urinary sphincter.
– Haylen BT, de Ridder D, Freeman RM, et al; International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. doi: 10.1002/nau.20798.
– Malik RD, Cohn JA, Fedunok PA, Chung DE, Bales GT. Assessing variability of the 24-hour pad weight test in men with post-prostatectomy incontinence. Int Braz J Urol. 2016 Mar-Apr;42(2):327-33. doi: 10.1590/S1677-5538.IBJU.2014.0506.
You lie on a table and place your legs in stirrups. Your health care provider carefully places an instrument called a speculum into your vagina to open it slightly. This allows the provider to look inside the vagina and cervix. Cells are gently scraped from the cervix area. The sample is sent to a laboratory for testing. Preparing for the test
Tell your provider about all medications you are taking. Some birth control pills that contain estrogen or progestin may affect the test results.Also, tell your provider if:Within 24 hours before the test, do NOT do the following:Try not to schedule the Pap test while you are having your period (menstruating). Blood can make the test results less accurate. If you are having unexpected bleeding, do not cancel your test. Your provider will determine if you can still have the Pap test.Empty your bladder just before the test.How the test will feel
What diseases does the Pap smear detect?
What happens during a Pap test? A Pap test is usually done during a pelvic exam. During this exam, you lie on a table and the doctor examines the vulva, vagina, cervix, rectum and pelvis for abnormalities. For the Pap test, the doctor uses a plastic or metal instrument called a speculum to open the vagina and look at the cervix. He or she then uses a soft brush or plastic spatula to collect cells from the cervix.
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