Pap Smear & HPV

INDICATION:

Pap smear, or Pap test, is a screening method for cervical cancer. It involves collecting cells from the cervix to detect abnormalities or precancerous changes. The primary indication is to identify and prevent cervical cancer in its early stages.

HPV PCR (polymerase chain reaction) is used to detect the presence of human papillomavirus (HPV) DNA. The main indication is to identify specific HPV genotypes associated with cervical cancer and assess the risk of developing the disease.

PREPARATION:

Pap Smear and HVS Exam: Step-by-Step Procedure

1. Patient Preparation:

Explain the procedure to the patient and address any concerns.

Ensure the patient is in a comfortable position on the examination table.

2. Gather Materials:

Put on gloves and assemble the necessary supplies, including a speculum, a spatula or a cytology brush.

3. Visual Inspection:

Perform a visual inspection of the external genitalia to identify any abnormalities.

4. Speculum Insertion:

Gently insert a lubricated speculum into the vagina to visualize the cervix.

5. Pap Smear Collection:

Use a spatula or cytology brush to collect cells from the cervix.

Ensure thorough sampling from the transformation zone.

6. Speculum Removal:

Carefully remove the speculum to avoid discomfort for the patient.

7. Sample Preservation:

Place collected samples in appropriate fixatives or transport media for preservation.

8. Documentation:

Record patient information, collection date, and any relevant details.

9. Laboratory Submission:

Send the samples to the laboratory promptly for analysis.

Post-Pap Smear and HPV Procedure Patient Instructions:

Mild Discomfort is Normal:

Expect mild discomfort or spotting, which is normal. Contact your healthcare provider if you experience severe pain or persistent bleeding.

Resume Regular Activities:

Resume normal activities unless advised otherwise by your healthcare provider.

Wait for Results:

Patiently wait for your test results. Contact your healthcare provider if you don’t receive results within the expected timeframe.

Abnormal Pap Smear and HPV Result: Indication and Recommendations

Discuss Results with Healthcare Provider:

Arrange a prompt discussion with your healthcare provider to interpret the results and plan the next steps.

Possible Need for Colposcopy:

A positive HPV result may warrant further investigation, such as a colposcopy, to examine the cervix more closely for abnormalities.

Follow Provider’s Recommendations:

Adhere to your healthcare provider’s recommendations for additional testing or interventions based on the specific findings.

Pap Smear and HPV Testing Frequency:

Pap Smear:

• Every 3 years for individuals aged 21-29.
• Every 5 years with HPV testing for individuals aged 30-65.
• HPV Testing Alone:
• Every 5 years for individuals aged 30-65.

Related Treatments

Frequently Asked Questions