Doctor insights on:
Can A Pap Smear Detect Endometriosis
DX PID in Er. Had US and Pap. Pap normal, negative for std/sti. Confused about other possible causes, or was this incorrect dx? No hx endometriosis
Possibly Wrong DX: I find that ERs over diagnose women who present with pelvic pain and/or vaginal discharge with PID. It would help to have more information, including symptoms you had. I assume they Rxd antibiotics, and your US was normal. They likely tested you for GC/Chlamydia, which are the most common causes of PID, but not the only pathogens that can cause it. If no better see gyn specialist. Take Care. ...Read more
I have normal cervix after pap test, I've endometriosis. Now normal left ovary, Rt. Ovary contain 100mm cyst Very afrid, may I have cancer? Next week MRI
Can endometriosis detected with hormones (estradiol, progesterone, fsh, lh) test and a pap test? If its normal, is ther still a chance of endo?
This is the third time I have started my menstrual cycle in one month, I am passing blood clots what can I do? I was told I have endometriosis, for the past two years I have been getting abnormal paps. I have been in and out of the ER for pelvic pain and
Need evaluation: By definition this is abnormal bleeding (not true menstrual cycles).Endometriosis can cause abnl menses, but depending on your age, weight, other causes may be contributing. Hx of irregular/skipping periods can result in build up of lining in uterus then heavy/irreg bleeding; thyroid problms, polyps, precancerous changes or cancer (of cvx or ut), ovarian cysts, fibroids can cause. Need to see gyn dr. ...Read more
Surg only way to diag endometriosis? Since Csection pain in hip during pms, bad cramps ultrasounds labs pap were fine dr not concerned hormone changes?
Of the cervix: That is the purpose of a pap. ...Read more
No: The pap smear tests for abnormal cells in the cervix. Sometimes we see cells that shed from the endometrium or fallopian tubes that exit through the cervix, but ovarian cells or tissues are not normally present. Ovarian cysts are usually diagnosed by ultrasound or seen by your doctor and removed for diagnosis during a laparoscopy. ...Read more
What diseases can a pap smear detect? I've heard that a pap can be used as a means for early detection of cervical cancer. Are there any other diseases that it can find?
Yes: Pap smear can defind cervical cancer including squamous carcinoma and adenocarcinoma, and cell changes which could be precancer changes (follow up is important). Pap smear can reveal trichomonas vaginalis, herpes virus changes, fungal organisms-candida, can reveal normal and atypical endometrial cells. Metastasis to the cervix could be seen on pap. ...Read more
How soon can a pap smear detect a std? I had sex with a new partner, 3 days later I went for a pap smear, it came back positive for mild HPV with no symptoms, if this guy were to have given me a different STD such as chlamydia, would it appear so soon on
Depends: An std may show up on a pap result, but the pap is not intended to be a screen for std's. If there is concern for std exposure, then specific tests are warranted. ...Read more
Can a pap smear detect the most common std's like chlamydia, genital herpes, HIV infection, gonorrhea, syphilis, trichomoniasis and hepatitis b?
No: It is a test to check for changes in cervical tissue. There are other tests for stds. ...Read more
Screen for cancer: Named for its discoverer george papanicolaou, cells from the cervix of the uterus are smeared onto a glass slide, stained, and examined under the microscope for cancer or precancer ("dysplasia"; "intraepithelial lesion"). This enables detection of the vast majority of cervical cancers -- once the greatest cancer killer of young women -- while still easy to cure. ...Read more
Could be very.: The pap smear is a way to find cervical cancer before it becomes serious. Cervical cancer is a sexually transmitted disease and young women are at highest risk of the disease. If you have had abnormal paps, infection with the hpv virus or multiple sex partners you may be at risk for cervical cancer and should have discussion about appropriate screening with your doctor. ...Read more
Life saving for some: The current recommendations can vary depending on age, however it appropriate for a women age 21 to 65 to have pap smears every three years as long as they are normal. After a hysterectomy and/or after age 65 a women with a history of normal paps does not ever need another pap. Every women should still have an annual exam. ...Read more
Yes: Pap smear is uncomfortable because it is not in a very comfortable area. However, there are definitely ways to decrease the discomfort. The pain is caused by the speculum and pressure from the stretching as it opens the area for a pap smear to be done. If the speculum is properly warmed and not too large and if more time is given to slowly open the speculum, the discomfort is less. ...Read more
Abnormal or insuff?: The most common reason for a patient to be called back is that the pap is abnormal or atypical. In this case either a colposcopy may be done or the pap may be repeated a few months later to see if it is still abnormal. Another reason to be called back is that there were insufficient cells in the sample and another one needs to be sent. ...Read more
Needs follow-up: There are various grades of abnormalities on pap smear. Generally an abnormal smear means that some of the cells are at risk of becoming cancerous. It is important to follow-up an abnormal pap smear with repeat testing and/or additional tests, such as colposcopy and/or biopsy. ...Read more
PAP smear: Definition of abnormal pap smear is too broad. It depends on the type of the abnormality detected. In any case any abnormal pap smear should be taken seriously and the obgyn should be contacted immediately. ...Read more
Depends: age, nl pap: According to the american college of ob/gyne, pap smears should begin at age 21, then every 2 yrs ages 21-29. Women 30 and older, if 3 normal yearly paps, can have pap every 3 years. Hiv+ women need pap twice in first year after diagnosis and then yearly. An abnormal result will change how often a pap is recommended. Notify doctor sooner if discharge, bleeding (esp after sex), or pain. ...Read more