Cervical Cancer Screening

A Pap test is a test that looks for changes in the cells of the cervix. During the test, your doctor collects a small sample of cells from the cervix, the lower part of your uterus. The cells are sent to a lab and tested to see if they contain certain changes that could turn into cervical cancer.

Before the test

You may want to empty your bladder before the exam.

You will need to take off your clothes below the waist and drape a paper or cloth covering around your waist. You will then lie on your back on an exam table with your feet and legs supported by footrests.

During the test

The doctor will place a speculum into your vagina. It opens the vagina a little bit. This allows the inside of the vagina and the cervix to be examined.

Your doctor will collect several samples of cells from your cervix using a cotton swab, a brush, or a small spatula. Cells are collected from the visible part of the cervix as well as from its opening. If you don't have a cervix, cells from the vagina are collected if a Pap test is needed. The cells are smeared on a slide or mixed in a liquid fixative and sent to a lab to be looked at under a microscope.

Try to schedule the test when you're not having your period, since blood can interfere with the results of the test.If your bleeding is light, you may still be able to have a Pap test.

Do not use douches, tampons, vaginal medicines, sprays, or powders for at least 24 hours before your test.

Some doctors recommend that you avoid sex for 24 hours before a Pap test.

If you've had problems with pelvic exams in the past or have any concerns about having the test, tell your doctor.

You may feel some pressure or mild discomfort when the speculum is placed in your vagina. You may also feel some pressure when the sample of cervical cells is being collected. 

There is very little chance of a problem from having a Pap test. You may have a small amount of vaginal bleeding after this test. And you may want to use a pad or panty liner to protect your clothes from any spotting.

Normal

The sample contained enough cells, and no abnormal cells were found. Normal Pap test results don't completely rule out the presence of abnormal cells (dysplasia) or cervical cancer.

Unclear

It could mean that there weren't enough cells to test. You may need to be retested sooner.

Abnormal

The sample had abnormal cells. It means that you have changes on your cervix that will either go away on their own, or that could, over time, lead to cervical cancer. Your doctor will let you know what comes next.