Monday, July 19, 2010

Pap Smear


Have u done the Pap smear test?Its a test to prevent servix cancer.If it is detect early , chances of death risks might decrease(tho mati buleh banyak cara selain cancer).Its no2 woman killer aside breast cancer.

Now what is pap smear ??(source from medline plus encylopedia)
URL of this page:

A Pap smear is an examination under the microscope of cells scraped from the tip of the cervixcervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina.

How the Test is Performed
The Pap smear is done as part of a gynecological exam. You will lie on a table and place your feet in stirrups to position your pelvis for examination. The health care provider will insert an instrument (speculum) into your vaginavagina and open it slightly to see inside the vaginal canal.
The health care provider will take a sample of cells from the outside and just inside the opening of the cervix (cervical canal) by gently scraping the outside of the cervix with a wooden or plastic spatula, then inserting a small brush that looks like a pipe cleaner into the canal.
The cells are placed on a glass slide, or put in a bottle containing a preservative, and then sent to the lab for examination.

How to Prepare for the Test
Tell your health care provider if you:

  • Are taking any medications or birth control pills

  • Have had an abnormal Pap smear

  • Might be pregnant

  • Within 24 hours of the test, avoid:

  • Douching

  • Having intercourse

  • Taking a tub bath

  • Using tampons
    Avoid scheduling your Pap smear while you have your period (are menstruating), because blood and cells from the uterus may affect the accuracy of the Pap smear. Empty your bladder just before the test.

How the Test Will Feel
You may have some discomfort, similar to menstrual cramps, and a feeling of pressure during the procedure. You may bleed a little bit after the test.

Why the Test is Performed
The Pap smear can detect cancerouscancerous or precancerous conditions of the cervix. Most invasive cancers of the cervix can be detected early if women have Pap tests and pelvic examinations.
Screening should start within 3 years after first having vaginal intercourse or by age 21. After the first test:
Woman should have a Pap smear ever 2 years to check for cervical cancer.
If you are over age 30 or your Pap smears have been negative for 3 times in a row, your doctor may tell you that you only need a Pap smear every 3 years.
If you or your sexual partner have other new partners, then you should have a Pap smear every 2 years.
After age 65-70, most women can stop having Pap smears as long as they have had three negative tests within the past 10 years.
If you have a new sexual partner after age 65, you should begin having Pap smear screening again.
Women who have had a total hysterectomy (uterus and cervix removed) and have not had any previous history of cervical dysplasia (abnormal cells), cervical cancer, or any other kind of pelvic cancer, may not need to have Pap smears.

Normal Results
A normal value is negative, meaning there are no abnormal cells present.
Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean
The current system divides the abnormal results into these main areas:
ASCUS or AGUS (atypical cells of uncertain significance): These changes may be due to infection with HPV but may also mean there are precancerous changes present.
LSIL (low-grade dysplasia) or HSIL (high-grade dysplasia): This means precancer changes are likely to be present; the risk of cancer is greater if the result is HSIL.
Carcinoma in situ (CIS): This usually means the abnormal changes are likely to progress to cancer.
Atypical squamous cells (ASC–H): This means abnormal changes have been found and may be HSIL.
Atypical glandular cells (AGC): Cell changes are seen that suggest precancer of the upper part of the cervical canal or inside the uterus.
When a Pap smear shows abnormalities, further testing or follow-up is needed. The next step depends on the results of the Pap smear, your previous history of Pap smears, and risk factors you may have for cervical cancer.
This may include:
Colposcopy-directed biopsyColposcopy-directed biopsy
An HPV test to check for the presence of the HPV virus types most likely to cause cancer
For minor cell changes, doctors usually recommend having a repeat Pap smear in 3-6 months.

There are no risks involved.

The Pap smear test is not 100% accurate. Cervical cancer may be missed in a small number of cases. Fortunately, cervical cancer develops very slowly in most women and follow-up Pap smears should identify worrisome changes in time for treatment.
The following drugs may affect Pap smears:Colchicine

  • Compounds in cigarettes

  • Estrogen

  • Podophyllin

  • Progestins

  • Silver nitrate

Alternative Names
Papanicolaou test

The gynae usually suggest to do the test 6 months after giving birth.Now i need to consider to perform this test as Azryl going to hit 6 months old soon. :).
Better go for early prevention before its too late to do anything


Aan Andes said...

I did masa Zahra 4 months. And doc ada cakap actually ada vaccine utk avoid cervical cancer ni but still thinking of getting it. Is it really necessary? almost 1k jugak the price.

linziana said...

hi aan dah buat dah?wo super see ma problem is that time pregnant tu kite mcm redha je kena seluk kan ..tapi bila dah normal nih mcm memalu gak.hehehehe.I didnt know that there is a vaccine to prevent it.I dun think is necessary as that test only required to do every three years.unless we change our partner then need to restart the process all over again.

yaya+frdz+auf said...

mee too.... malu la plak. hohoho. and macam ngeri jerk seluk2 nih....

linziana said...

erm..yaya buleh je buat kalu ngan gynae pompuan..kurangla segan nyer.hehehe.yaya dah buat?

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Anonymous said...

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