8 doctors weighed in:

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

8 doctors weighed in
Dr. Maritza Baez
Family Medicine
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Maritza Baez
Dr. Maritza Baez
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1 comment
Dr. Katherine Sutherland
If your hysterectomy was done for cervical cancer or uterine cancer, you may be advised to continue pap smears of the remaining vaginal cuff.
Dr. Scott Kramer
Gynecology
1 doctor agrees

In brief: It Depends

The american colloge of ob/gyns recommends women who retain their cervix after hysterectomy, or those who don't but have a history of severe pre-cancer of the cervix, should continue to have pap smears.

In brief: It Depends

The american colloge of ob/gyns recommends women who retain their cervix after hysterectomy, or those who don't but have a history of severe pre-cancer of the cervix, should continue to have pap smears.
Dr. Scott Kramer
Dr. Scott Kramer
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Dr. Barbara Toppin
Obstetrics & Gynecology
1 doctor agrees

In brief: Perhaps

It depends on why it was done.
If the hysterectomy was performed for fibroids , endometriosis or other benign problems, you may not need a pap. If it was done for cervical cancer or a severe or high grade precancer a vaginal pap is commonly done as the vagina may also be at risk of developing a lesion.

In brief: Perhaps

It depends on why it was done.
If the hysterectomy was performed for fibroids , endometriosis or other benign problems, you may not need a pap. If it was done for cervical cancer or a severe or high grade precancer a vaginal pap is commonly done as the vagina may also be at risk of developing a lesion.
Dr. Barbara Toppin
Dr. Barbara Toppin
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David Miller
Family Medicine
1 doctor agrees

In brief: It depends

If you indeed a) had a full hysterectomy, e.
g., had your cervix removed, b) have no history of prior cin, and c) and there is no histologic evidence for CIN in the hysterectomy specimen, then you don't need a pap smear. However, so long as you have a cervix, or if you have had previous CIN on a pap test and/or colposcopy then you need a pap smear.

In brief: It depends

If you indeed a) had a full hysterectomy, e.
g., had your cervix removed, b) have no history of prior cin, and c) and there is no histologic evidence for CIN in the hysterectomy specimen, then you don't need a pap smear. However, so long as you have a cervix, or if you have had previous CIN on a pap test and/or colposcopy then you need a pap smear.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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