Doctor insights on:
Need Pelvic Exams Pap Smears After Total Hysterectomy
Sherri had a hysterectomy at 32, cervix removed, had ovaries. Abnormal pap at 36, been clear since. Does she need annual pelvic exams? If so what test
Physical exam involving examination of the outside of the female genitalia (vulva), the inside (vagina) , as well as an examination of the cervix, uterus, tubes, ovaries, and tissue around the uterus (parametria). A bimanual exam then involves 2 fingers in the vagina with the other hand on the abdomen. A rectovaginal exam is one finger inthe vagina, one finger in the rectum with ...Read more
Yes: All women need yearly pelvic exams to monitor for problems that arent necessarily related to pap smears. Pap smears are no longer needed if the hysterectomy was performed for benign indications and there is no prior history of moderate or severe precancerous changes. ...Read moreSee 1 more doctor answer
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?
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. ...Read moreSee 2 more doctor answers
61/ female who had partial hysterectomy for fibroid tumor about 10 years ago. Does she still need to get regular pap smears?
Pap smears and HPV always came back normal. Had a complete hysterectomy in 2009 due to fibroid tumor. Do i still need to have paps done yearly?
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. ...Read more
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 ...Read more
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
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. ...Read moreSee 1 more doctor answer
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