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

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.

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.

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.

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

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.

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.

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

Possible: If the pathology was not normal, increased and more frequent follow-up may be warranted. If all the pathology was normal, you probably do not need more than an annual exam.

Yes: Yes it is possible but vaginal cancer is extremely rare and Pap smear is not recommended after hysterectomy unless you have symptoms..

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.

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.

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.

Probably: If by partial you mean that cervix was not removed, then she defnitely needs pap smears.

No: After total hysterectomy (removing uterus and cervix) a patient only needs to continue pap smears if they had a previous abnormal pap smear due to hpv.

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.

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.

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.

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.

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.

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!