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Doctor insights on: Is A Pap Smear Necessary After A Hysterectomy

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Dr. Maritza Baez Dr. Baez
Family Medicine
13 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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I had hysterectomy done. Do I still need a pap smear done yearly?

I had hysterectomy done. Do I still need a pap smear done yearly?

No: A pap test looks for cervical cancer. If you had a full hysterectomy, it means you don't have a cervix and therefore can't get cervical cancer and you don't need a pap test. You will however need a pelvic exam, becuase that checks our pelvis and ovaries, which you will still have after a hysterectomy.

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Dr. Ed Friedlander
933 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


Dr. Linda Knedler Dr. Knedler
Family Medicine
32 years in practice
The Wright State University Boonshoft School of Medicine
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Will I still need a pap smear after complete hysterectomy?

Not if no cervix.: Sometimes when they do a hysterectomy, they will remove all internal organs, but leave the cervix. If you still have a cervix, then you will need a pap. Find out from your surgeon if you still have a cervix.

Dr. Brian Enggano Dr. Enggano
Obstetrics & Gynecology
8 years in practice
East Tennessee State University James H. Quillen College of Medicine
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After you've had a total hysterectomy do you still need to get a yearly pap smear done?

Depends: You only need to continue pap tests if the reason for your hysterectomy was cancer or precancerous lesions (i.e. Cin). Otherwise, if for fibroids, endometriosis, or heavy bleeding, you will no longer need pap tests if your cervix was removed with your uterus.

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Dr. Kevin Wu Dr. Wu
Internal Medicine
10 years in practice
UC San Diego School of Medicine
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Is hysterectomy the best solution if someone aged 44 finds a few glandular cells with nuclear atypia in the pap smear report?

Is hysterectomy the best solution if someone aged 44 finds a few glandular cells with nuclear atypia in the pap smear report?

2nd opinion: I think it can be followed prospectively. Hysterectomy is really only recommended if there is cervical neoplasia in situ.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
5

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My cervix is completely closed my dr surgically couldn't open without problems pap smear showed endremetrial cells recommend total hysterectomy?

My cervix is completely closed my dr surgically couldn't open without problems pap smear showed endremetrial cells recommend total hysterectomy?

Inconsistent info: If the cervix is completely closed, as you say, then pap smear should not show endometrial cells. You may wish to see a gynecologist or a different gynecologist.

Dr. Nonyelu Anyichie Dr. Anyichie
Obstetrics & Gynecology
20 years in practice
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School
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Why does a gyn do a pap smear when a person had a total hysterectomy (cervix & ovaries also) I had one done & the results are abnormal sil?

Papsmears, hysterec: After a partial hysterectomy when the uterus is removed ; the neck of the uterus (cervix) remains u will need to continue pap smears. After a total hysterectomy when both the uterus and cervix are removed for a cancerous or precancerous condition, regular pap smears remain important. U can stop having pap smears, after a total hysterectomy for non cancerous condition. If u have lgsil, follow up.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Diagnosed w/ HPV 28 yrs ago & treated for genital warts, had complete hysterectomy in 2005 but abnormal Pap smears in 2009 should I have pap smear?

Diagnosed w/ HPV 28 yrs ago & treated for genital warts, had complete hysterectomy in 2005 but abnormal Pap smears in 2009 should I have pap smear?

CONFUSING INFO: There are many strains of HPV and the 2 most seen in genital warts are not the same as those associated with cancer.If you had a standard hysterectomy, they may have left a cuff of cervix behind.Cervical tissue is what is assessed by a standard pap. If you had an abnormal pap in 20098, you are overdue for a followup study. You should have a sit down with your doc and sort out what your risks are

Dr. Dennis Higginbotham Dr. Higginbotham
Obstetrics & Gynecology
26 years in practice
University of Kansas School of Medicine
8
Dr. Tarik Hadid Dr. Hadid
Internal Medicine - Hematology & Oncology
14 years in practice
University of Khartoum Faculty of Medicine
9
Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
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I had cervical cancer 8 years ago they did a hystrectomy. Do I still need a Pap smear yearly?

I had cervical cancer 8 years ago they did a hystrectomy. Do I still need a Pap smear yearly?

Gynecologist: You need periodic PAP smear to ward against cancer of the vagina. You may not need it every year and should discuss it with your gynecologist.

Dr. Gebrehana Zebro (formerly Woldegiorgis) Dr. Zebro (formerly Woldegiorgis)
Internal Medicine
28 years in practice
Addis Ababa University Gondar College of Medical Sciences
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Had a complete hysterectomy done in 2009. Been getting pap smears done yearly, never had any abnormal paps in the past. Do I need to continue to do so?

Had a complete hysterectomy done in 2009. Been getting pap smears done yearly, never had any abnormal paps in the past. Do I need to continue to do so?

The purpose: Of pap smear is to detect early stage of cervical cancer. If you have cervix even though the uterus is out, you need pap smear. If the total hysterectomy means including the cervix, there is not need for pap smear anymore.

Dr. Scott Kramer Dr. Kramer
Gynecology
32 years in practice
UC Davis School of Medicine
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Is there a need for pap smears if supracervical hysterectomy done?

Is there a need for pap smears if supracervical hysterectomy done?

Yes since cervix: If you have a cervix then there is risk of cervical cancer. While this risk declines with age there are new recommendations for how often you should have a pap, and for women over 30 an additional test on same sample for hi risk hpv (human papillomavirus) that causes most cervical cancers. Here's link: http://www. Womenshealthfremont. Com/newsdesk/news/longer-intervals-recommended-for-pap-smears.

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Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
13
Dr. Yonatan Mahller Dr. Mahller
Obstetrics & Gynecology
8 years in practice
University of Cincinnati College of Medicine
14
Dr. Leslie Miller Dr. Miller
Obstetrics & Gynecology
27 years in practice
University of Washington School of Medicine
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Had complete hysterectomy, was told can get cancer in the lining of vagina, so therefore pap smears should continue after hysterectomy but every year?

Had complete hysterectomy, was told can get cancer in the lining of vagina, so therefore pap smears should continue after hysterectomy but every year?

Hysterectomy and pap: If the hysterectomy was because of cancer or there was cancer or precancer of your cervix then there is a real risk the reasons for the cancer can also be present for the vagina hence testing the vagina and looking at the vulva is recommended. It might not have to be every year, depends on your particular diagnosis, adding an hpv test might allow fewer pap tests but the vulva can get cancer too.

Dr. Martin Linder Dr. Linder
Family Medicine
39 years in practice
UC San Diego School of Medicine
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Why would women need to have pap tests after a hysterectomy?

They don't: The cervix is removed during hysterectomy so there is nothing to sample for a pap smear. They still require periodic exams because they still can get ovarian and vaginal cancers.

Dr. Joseph Woods Dr. Woods
Pathology
24 years in practice
State University of New York Upstate Medical University
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Does a woman that has had a hysterectomy need a pap test? Lost my cobra

Does a woman that has had a hysterectomy need a pap test? Lost my cobra

It depends.: This depends on what you got the hysterectomy for, and whether or not it includes the cervix. Usually it is taken with the uterus, etc., but there may be times it is not. Also if hysterectomy was done for cancer, etc. Follow-up is definitely needed. It would be wise to get checked anyway since you might have/develop endometriosis from abdominal seeding, etc. Go see your doctor to be sure.

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Dr. Thomas Rayson Dr. Rayson
Pathology
25 years in practice
University of South Carolina School of Medicine
18

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I had a partial hysterectomy I have ovaries do I need a pap?

I had a partial hysterectomy I have ovaries do I need a pap?

Yes: Even though you've had a partial hysterectomy you can still be infected with human papilloma virus which can cause mild moderate or severe cervical dysplasia or vaginal vulvar dysplasia all these can be found on a pap smear.

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Dr. Katherine Sutherland Dr. Sutherland
Gynecology
39 years in practice
Stanford University School of Medicine
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Do I still need to have paps after a hysterectomy?

Do I still need to have paps after a hysterectomy?

Depends: If the hysterectomy was done for cervical cancer or precancer, you should continue to have regular pap smears and pelvic exams. If the surgery was done for endometrial or ovarian cancer, you definitely need regular pelvic exams and some doctors perform paps in those circumstances. If the surgery was done for benign causes, you need general annual exams for preventative health care.

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Dr. Paige Gutheil Dr. Gutheil
Family Medicine
15 years in practice
Ohio University College of Osteopathic Medicine
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I had a hysterectomy. Do I need pap tests?

I had a hysterectomy. Do I need pap tests?

Need a visit: After a hysterectomy, you may not need a pap smear technically, although some argue that there is a small risk of having cervical type cells that remain after hysterectomy which would benefit from screening. I think you absolutely should maintain a routine of regular check ups because we check other things at those exams-external area, vagina, rectum and ovaries if they remain!

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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


Dr. Jeff Livingston
1,871 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more