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Doctor insights on: Exam Pap Smear

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Dr. Ed Friedlander
941 Doctors shared insights

Pap Smear (Definition)

A pap smear (cervical smear) is a text looking at the cells from the canal and outside of the cervix to see if any abnormalities (especially ...Read more


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I'm considering going for my first pelvic exam & Pap smear. I'm 21, a virgin, & concerned about pain. Will the speculum hurt or tear my hymen?

I'm considering going for my first pelvic exam & Pap smear. I'm 21, a virgin, & concerned about pain. Will the speculum hurt or tear my hymen?

Not to worry.: Women and girls may be judged by their happiness, their friendliness, and many other wonderful traits, but not by the condition of their hymens. It makes absolutely no difference whether a person has a big hymen, little hymen, broken hymen, unbroken hymen, etc... One need not worry about hymens when seeing her doctor, as it cannot matter in a free, modern, equitable society. ...Read more

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I need a female gynecologist. There's been no exams, pap smear, or mammogram in 10-15 Yrs. My family dr says I had a UTI. I think the antibiotic GAV?

I need a female gynecologist. There's been no exams, pap smear, or mammogram in 10-15 Yrs. My family dr says I had a UTI. I think the antibiotic GAV?

Asking your doc...: ... is the best bet to clear your current concern/confusion since s/he knows more about your pertinent clinical profile than anyone online. How to put all related things for good care together correctly? Refer to and follow instructions described in articles listed in http://www. Formefirst. Com/onDealSickness. Html & in http://www. Formefirst. Com/onUTI. Html. More? Welcome to contact me. ...Read more

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If I go to the doctor, when do they have to do a pelvic exam/pap smear/mammogram?

If I go to the doctor, when do they have to do a pelvic exam/pap smear/mammogram?

Yearly mammogram: It is recommended that women over 40 get a yearly mammogram with a clinical breast examination. As far as the frequency of pelvic exam and pap smear it would be best to check with your primary health care provider or gynecologist. Perhaps another expert on HealthTap can answer that for you. ...Read more

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Why do you spot blood or get brownish spotting after a pelvic exam/pap smear? Only notice on toilet paper after urination.

Why do you spot blood or get brownish spotting after a pelvic exam/pap smear? Only notice on toilet paper after urination.

Maybe just ok...: Give at least one week to pass by and I would not worry as long as getting better and better day by day.

If any doubt, see and talk with professionals with a proper urinalysis to clear and address your personal concern.

Meanwhile practice healthy lifestyle and avoid any forms of overindulgence and obsession.

Best wish... ...Read more

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I was dxed with a UTI on 12/23. I have a ob/gyn appt 12/30 for a pelvic exam/pap smear. Would the UTI effect this? Should I reschedule?

I was dxed with a UTI on 12/23. I have a ob/gyn appt 12/30 for a pelvic exam/pap smear. Would the UTI effect this? Should I reschedule?

No problem: If you have a UTI now and are being treated, the infection should be gone by the time of your exam 12/30. Having just had a UTI will not interfere with an exam. ...Read more

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What do they test for during an obgyn pelvic exam? Pap smear and then they swab for something? Do they check for non-std infections?

What do they test for during an obgyn pelvic exam? Pap smear and then they swab for something? Do they check for non-std infections?

Some: The pap smear with ancillary testing is quite useful, not only in evaluating for cancerous and precancerous lesions, but there are also a variety of infections (both sexually and non-sexually transmitted) that can be identified in the pap smear (hpv, trich, herpes, bacterial vaginosis, candida, gonorrhea and chlamydia). However, not all infections can be seen in a pap smear. ...Read more

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On and off lower left pelvic pain for a year now. What can be the cause? Numerous ultrasounds, pelvic exams, pap smears & 1 CTscan. Becoming depressed

On and off lower left pelvic pain for a year now. What can be the cause? Numerous ultrasounds, pelvic exams, pap smears & 1 CTscan. Becoming depressed

Could you have: Spasm of muscles in area, leading to pain. This would not necessarily be seen on testing. Have you ever tried a muscle relaxer from your Dr? It might help. ...Read more

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Is it dangerous to be bleeding heavily (heavier than any period) following a first time annual exam? No Pap smear was done, and it's been over 24 hour

Is it dangerous to be bleeding heavily (heavier than any period) following a first time annual exam? No Pap smear was done, and it's been over 24 hour

Likely unrelated: You annual examination and heavier period are probably unrelated. If it becomes a recurring issue, you should consult your doctor. You may take oral iron and multivitamin supplement to prevent iron deficiency and anemia.
Unrelated to your question; take HPV vaccination, practice safe sex. ...Read more

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Will a pelvic exam and pap smear detect pcos and/or endometriosis?

Will a pelvic exam and pap smear detect pcos and/or endometriosis?

No: Not really. The pelvic exam can rule out any masses or major abnormalities. Pcos is diagnosed based on clinical findings and abnormalities in blood work (hormonal). Endometriosis is diagnosed by laparoscopy. ...Read more

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Is it ok to start using depo before a pelvic exam or Pap smear? And what should one do to prevent bone loss on depo?

Is it ok to start using depo before a pelvic exam or Pap smear? And what should one do to prevent bone loss on depo?

Yes: Yes. Depo Provera (medroxyprogesterone) will not affect your pelvic exam or Pap smear. Bone density that is lost while taking Depo is likely to be recovered naturally once Depo is stopped. Your risk of fracture as you age will be similar to that of someone who never took Depo. That said, you can help prevent bone loss by exercising and getting adequate calcium. ...Read more

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Poistcoital bleeding, no std, pelvic exam and pap smear are normal only bacterial vaginosis, I don't bleed on second rounds, what is the cause?

Poistcoital bleeding, no std, pelvic exam and pap smear are normal only bacterial vaginosis, I don't bleed on second rounds, what is the cause?

Cervicitis?: Postcoital bleeding often means cervicitis, which often goes along with BV. Gonorrhea, chlamydia, and trichomonas are common causes, but most cervicitis has unknown causes. Ask your doctor if you have cervicitis; about the newer DNA test for trich (the older microscope exam and culture miss many cases); and maybe trying antibiotics. Anyway, keep working on it; the answer shouldn't be difficult. ...Read more

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I have had a great deal of tension in my pelvic floor for years. My pelvic exams and pap smears are normal. What might cause this ongoing discomfort?

I have had a great deal of tension in my pelvic floor for years. My pelvic exams and pap smears are normal. What might cause this ongoing discomfort?

Muscle imbalance: Not uncommon:pelvic floor muscle imbalance; +/- paradoxical spasm/contraction when relaxation should occur, vice versa. Can be rel. Extl (vaginismus), or intl. Can be assoc w/ dropped bladder and/or rectum commonly associated with pregnancy, pelvic surgery, e.g. Hysterectomy, internal hernias, ; some can be assoc with history of abuse. May be related to bowel issues. Physical and radiol/sono tests. ...Read more

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What are the differences between a pelvic exam and a pap smear?

What are the differences between a pelvic exam and a pap smear?

Pap vs Pelvic Exam: For a pap, the doctor places a speculum in the vagina and uses a small soft brush to sample some cervical cells. The cells are sent to a lab to check for cervical cancer.
A pelvic exam includes a bimanual exam where the provider places a finger in the vagina and uses her other hand on the abdomen. By doing this, the doc/np is able to tell the size of uterus and ovaries. ...Read more

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When should you have a pelvic exam and a pap smear test?

At age 21: Current guidelines recommend the first pap smear at age 21. Pap smears are to be taken every other year until age 30 and then every 3 years thereafter if you have 3 normals in a row and no abnormals for the previous 10 years. Pelvic exams should begin when you are sexually active to monitor for infections, or if you are having problems with menstrual cycles, etc. ...Read more

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How to know if I need a pelvic exam or a pap smear to get birth control?

How to know if I need a pelvic exam or a pap smear to get birth control?

Expect to: Most recommend pelvic exams by 21 or within two years of starting sexual activity. Birth control requests would fall in this category. Any sexual activity requires surveillance for evidence of cervical dysplasia or std's. Your primary care provider may refer you for specific consultations when necessary. ...Read more

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I spot between EVERY period. Pelvic exam, ultrasound, MRI, pap smear, blood work all normal. Can this just be normal for me? Can I stop it somehow?

I spot between EVERY period. Pelvic exam, ultrasound, MRI, pap smear, blood work all normal. Can this just be normal for me? Can I stop it somehow?

Ovulatory bleeding: Some women have bleeding with ovulation (that is the process that releases egg from the ovary). Have you tried birth control pills. They may help
best wishes
Dr M ...Read more

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How long does a pap smear exam take?

2 minutes: A pap smear is a test used to screen women for cervical cancer. A practitioner will visualize the cervix by inserting a speculum into the vagina, then will use a little brush to take a sampling of cells from in/around the cervix. The entire procedure only takes about 2 minutes. Results can sometimes take several weeks, however. It is not painful, just a little crampy. ...Read more

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Can std's like HIV be picked up in a pap smear exam?

No: Pap test is not designed to test for hiv. Some stds, e.g., herpes infection may show up in pap, but one needs specific tests for each type of stds. ...Read more

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Is it possible to be 5 months pregnant and have a negative blood test, negative urine test, and have a pap smear exam and obgyn not notice?

Is it possible to be 5 months pregnant and have a negative blood test, negative urine test, and have a pap smear exam and obgyn not notice?

If u are pregnant: Test will be +! other conditions like fibroids or ovarian cysts can sometimes grow to be as large as a 5 month pregnancy or if u have not had a period for 5 months then u need a workup also please discuss with your gyn. ...Read more

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I did my regular pap smear exam and doctor asked me to do swab test which revealed in Gram stain that I have few puss cells and buddying yeast is seen?

I did my regular pap smear exam and doctor asked me to do swab test which revealed in Gram stain that I have few puss cells and buddying yeast is seen?

Budding yeast: Since you have vaginal discharge and based on your report of budding yeast on the gram stain, you have vaginal candidiasis also known as a yeast infection. This is a fairly common condition and it is not an STD. It can be treated fairly easily, and I would ask your doctor for his recommendation/treatment. ...Read more

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SEVERE back pain from last nights pelvic/Pap smear exam. I'm 44, same obgyn since 20 can't take ibuprofen due to over use from all my yrs pained period?

Back pain: It is not clear what you are asking here. I am not sure how a pap smear could have caused severe back pain. If your back pain is severe then this will need to be evaluated. The cause needs to be determined and then a plan of care can be created. ...Read more

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Postcoital bleeding over a yr and becoming more frequent, pelvic exam, STD tests, and pap smear all normal, only have bacterial vaginosis, wats wrong?

Postcoital bleeding over a yr and becoming more frequent, pelvic exam, STD tests, and pap smear all normal, only have bacterial vaginosis, wats wrong?

Cervicitis?: Spotting after sex often means inflammation of the cervix (cervicitis) or cervical ectopy, a common condition on birth control pills or other hormone contraception. It can be gonorrhea or chlamydia, but these would show up on standard STD tests. Sometimes a uterine problem. Keep working with your doctor; it should be possible to find an explanation and perhaps treatment, e.g. cervical cautery. ...Read more

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Is it normal to be nervous to have a pap smear done for the first time? I'm a virgin and someone told me that during the exam it can break your hymen?

Is it normal to be nervous to have a pap smear done for the first time? I'm a virgin and someone told me that during the exam it can break your hymen?

No need to get a pap: If u r 17 and a virgin there is no reason for u to get a pap done. U have wait until u r 21. Also if u r a virgin, u just need to let the dr know so they can use a smaller speculum. As for the nervousness, all women r nervous about it. It might be necessary but it is by no means natural ...Read more

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Can you please explain why a pap smear is performed on your first trimester exam?

Can you please explain why a pap smear is performed on your first trimester exam?

To make sure it is n: Normal because if it is not, and if it is highly abnormal u may need a leep cone while pregnant which is high risk and u would want to do that early and if ithe pap is not that bad you would just need a colposcopy and no further treatment except u need closer monitoring lke another pap at 3-6 months and a pap at your 6 weeks check instread of a yr from your 1st trimester pap if it is normal. ...Read more

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I made an appointment2have pap smear&talked2doc ahead of time (triggers my rape)&still didn't go n.It's been 6.5yrs since last exam&i don't know what2do?

I made an appointment2have pap smear&talked2doc ahead of time (triggers my rape)&still didn't go n.It's been 6.5yrs since last exam&i don't know what2do?

Difficult situation: You're doing the right thing talking ahead of time. Work with a therapist if you haven't already. Getting past the trigger will be difficult but make sure you don't neglect your own health. Self care is very important in any type of posttraumatic stress recovery. When you go, have a support person with you and find an empathic doctor. Your friends will know one. ...Read more

Cervical Smear (Definition)

A cervical smear or pap smear is a text looking at cells from the outside and canal of the cervi to see if ...Read more


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