Pap Test

Cervical Smear

Test Overview

A Pap test is done to look for changes in the cells of the cervix . During a Pap test, a small sample of cells from the surface of the cervix is collected by your health professional. The sample is then spread on a slide (Pap smear) or mixed in a liquid fixative (liquid-based cytology) and sent to a lab for examination under a microscope. The cells are examined for abnormalities that may indicate abnormal cell changes, such as dysplasia or cervical cancer.

It is important to have your first Pap test about the time you start having sex or by age 18. You may be able to stop having regular Pap tests after you are 65 to 70 years of age, if you have had 3 normal Pap tests in a row, you do not have a high risk of cervical cancer, and you have not had any new sex partners over the last 3 years. If you do not have a uterus, you don't need a Pap test as long as cervical dysplasia or cervical cancer was not the reason your uterus was removed. You may need more frequent Pap tests if you have had an abnormal Pap test in the past. Talk with your health professional about how often you should have Pap tests.

A high-risk type of the human papillomavirus (HPV) is the cause of most cases of cervical cancer. In women older than 30, an HPV test may be done at the same time as a Pap test. A vaccine (Gardasil) is available to prevent infection with the types of HPV that are most likely to cause cervical cancer.

If your Pap test shows an abnormal result, see:

What follow-up will I need if my Pap test shows minor cell changes?

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Author:	Maria G. Essig, MS, ELS Ralph Poore	Last Updated: November 23, 2007
Medical Review:	Joy Melnikow, MD, MPH - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology Anne C. Poinier, MD - Internal Medicine
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