Taking a Pap smear test is the first step to protect oneself from cervical cancer. It is a very simple test that allows cervical cells to be examined under microscope. Since it is not a diagnostic test, it is essential to get it done regularly. Pap smear is a highly effective screening tool for cervical cancer. The Pap smear procedure helps you to know about the cervical cancer.

Who should get tested?

It is recommended that one should take Pap smear test within 3 years of becoming sexually active or by the age of 21 which ever comes first. There after pap smears should be a part of your annual check ups. Women who are in the age bracket of 65 - 70 and who have had no abnormal Pap smear in the last 10 years may discontinue regular tests after consulting with gynaecologist.

A few measures should be kept in your mind before you go for a pap smear to ensure accuracy in the results:

• Avoid scheduling the tests during your menstrual cycle as it is difficult to separate mucus and menstrual fluid from cervical cells.
• Avoid sexual intercourse prior to 24 – 48 hours.
• Avoid douching or using vaginal inserts.
• Avoid using vaginal foams, jellies or spermicides.
• Avoid using tampons.

Procedure

The Pap smear procedure is very much simple - A lubricated speculum (is a small medical Instrument for examining body cavities) is inserted into the vagina. Using a small mascara-like brush or swab, the gynaecologist very gently rubs of the cervix to take sample cells from the cervix. The sample is then placed in a tube with a special preservative or a slide and then sent to a lab for testing. Most women have no sensation when this is done, while some of them experience mild uneasiness. There is however no pain involved in the Pap smear procedure. 

Follow-up to the test

If you have an abnormal Pap smear it is very much important to follow up with your gynaecologist and take a colposcopy (medical procedure performed to examine the cervix more closely) and recommended treatment.

Source: Fortis Flt Lt Rajan Dhall Hospital

Pic: Clix