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Pap Smear - Preparation and Procedure

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Sex before a pap test can give abnormal test results. This article explains whether sex is advisable before a pap test and how to prepare for a pap test.

Written by

Dr. Asha. C

Medically reviewed by

Dr. Richa Agarwal

Published At November 1, 2022
Reviewed AtNovember 1, 2022

What Is a Pap Smear?

A Pap smear or pap test is a screening test for cervical cancer in women. A Pap smear involves collecting cells from the cervix, which is the opening of the uterus, to check for precancerous or cancerous cells on the cervix. It does not screen for any other gynecologic cancer like ovarian cancer. This is a routine test done in the doctor’s office, and it is generally painless, but some people may experience mild discomfort. Because the pap smear is used for checking the cells of the cervix and is sensitive to any inflammation or abnormalities, the doctors recommend not having sex before a Pap smear. This can reduce the risk of an abnormal result due to discharge or inflammation of the vagina related to sexual activity.

Why Is a Pap Test Performed?

The doctors perform Pap smears as part of a pelvic examination.

The test is used to check for the following:

  • Cervical cancer.

  • Human papillomavirus (HPV) is a sexually transmitted disease that increases the risk of cervical cancer.

  • Potentially precancerous cells in the cervix.

Is It Advisable to Have Sex Before a Pap Smear?

Sex right before a Pap smear is strictly not advisable. Because sex can sometimes irritate and inflame the skin of the cervix and vaginal tissue, which can cause discharge that can give an abnormal test result or mask the findings. It is recommended to inform the doctor if the person undergoing a pap test has had sex before the test. The doctors may still proceed with a pap smear, and that information may be considered in the following steps if there is an abnormal result. And if all other pap tests have been standard and there is no concern about the cervix, then the doctor may not reschedule the test. And if there are concerns for some reason, the doctor might want to do a follow-up Pap smear and reschedule the appointment when the patient has not had sex before the exam.

Is It Advisable To Have Protected Sex Before the Pap Smear?

Using birth control foams, jellies, or creams, including spermicide, before a Pap test is not recommended. These are not recommended because they can hide any atypical cells present, or the pH of the cells can be altered. Using barrier protection like condoms is also not recommended before a Pap smear because it can also impact the results of a Pap smear by causing inflammation and irritation of the vaginal tissue, thus resulting in abnormal results. Some condoms may also be coated with spermicide. So, to get more accurate results, the person undergoing a pap test should avoid having sex for two days or at least 24 hours before a Pap smear, no matter what type of protection they use.

How Long Is Sex Not Adviseable Before a Pap Smear?

A person undergoing a pap smear should avoid sex for at least 24 to 48 hours before a Pap smear. This is because sex may interfere with the test and its results. The vaginal tissue becomes inflamed after sexual intercourse, and it will take at least 24 hours for any inflammation to resolve and, if any, discharge to be expelled.

Is It Advisable to Do Masturbation Before a Pap Smear?

A person planning to do a pap test should avoid masturbating before a Pap smear, mainly to prevent penetrative masturbation, which may include inserting a sex toy into the vagina or the fingers. Penetrative masturbation can cause inflammation of the tissues in the vagina, which can interfere with the pap smear results.

How Should We Prepare for a Pap Smear?

Most women do not need to do anything to prepare for a Pap smear. Before the appointment, let the doctor know about any supplements and medications the patient takes. If the patient is pregnant or thinks they might be pregnant, inform the doctor. Women should not have sex before a pap smear.

Additionally, they should not use the following for two to three days before the appointment:

  • Douching.

  • Applying creams and medication to the vagina.

  • Using spermicidal foams or jellies.

If women are in menstruation on the day of the Pap smear, inform the doctor’s office. Due to improvements in medical technology, a pap smear is possible during menstruation if there is no significant amount of blood. But it is optimum to ask for advice about whether it is possible during menstruation with the doctor. They might reschedule if they are concerned that the results could be less accurate.

What Is the Procedure for a Pap Smear?

Pap smears might not be painful, but they can be uncomfortable, and the test is rapid.

  1. During the procedure, the patient is asked to lie on their back on an examination table with their legs spread and their feet resting on supports called stirrups.

  2. The doctor will gradually insert a device called a speculum into the vagina. This device helps to keep the vaginal walls open and provides better access to the cervix. Inserting the speculum might cause a sensation of pressure in the pelvic area.

  3. Then the doctor will scrape a small sample of cells from the cervix with a small soft brush or a flat scraping device called a spatula or cytobrush, a combination of spatula and brush.

  4. The sample of cells collected from the cervix will be preserved and sent to a laboratory to be tested for the presence of abnormal cells.

  5. After the test, there might be some cramping or mild discomfort from the scraping.

  6. Sometimes there may be very light vaginal bleeding immediately after the test. Consult the doctor if bleeding or discomfort continues after the day of the test.

Conclusion:

A pap smear is a diagnostic test for cervical cancer in women. During the pap test, samples from the cervix are collected and sent to a lab to check for any abnormalities. Sex is not recommended 24 to 48 hours before a pap test because sex can irritate the tissues of the vagina and cervix and cause discharge, which can give an abnormal result.

Frequently Asked Questions

1.

What Is a Pap Test?

A Pap smear test is a screening procedure done to check for cancerous or precancerous processes in the cervix of the woman. This test involves collecting pap cells from the cervix (narrow, lower end of the uterus) and sending them to a laboratory for further examination.

2.

What Is a Pap Smear Used For?

The doctors perform Pap smears as part of a pelvic examination to check the following: Cervical cancer. Cervical cancer risk can be heightened by the transmission of the sexually transmitted infection known as human papillomavirus (HPV). Precancerous cells in the cervix.

3.

Whether a Pap Smear and a Pelvic Exam Are Done for the Same Purpose?

Pelvic exam and pap smear are done together but not for the same reasons. A pelvic exam checks for the health and any abnormalities of the vulva, vagina, rectum, ovaries, and pelvis, while a pap smear checks for abnormal cell changes that may result in developing cervical cancer.

4.

What Distinguishes an HPV Test From a Pap Smear?

The HPV test is done to check for cells that are infected with high-risk HPV types, and the Pap collects cervical cells and checks them for changes caused by HPV; if left untreated can turn into cervical cancer. Pap tests can also find out cervical cancer cells.

5.

Is a Pap Smear Recommended Even After a Hysterectomy?

Even after a partial hysterectomy (removal of the uterus while preserving the cervix), doctors may advise individuals to undergo Pap tests as a precautionary measure. In the case of women who have undergone either a partial hysterectomy or a total hysterectomy for a precancerous or cancerous condition, doctors may utilize regular Pap tests as a means of early detection, monitoring for any potential development of new cancerous or precancerous changes.

6.

How to Prepare for a Pap Smear?

Women may not require much preparation before a pap smear. However, the following things should be avoided two to three days before the test: 
 - Sex should be avoided before the test.
 - Applying creams and medication to the vagina.
 - Using spermicidal foams or jellies.
 - Douching.

7.

How Is a Pap Smear Performed?

A pap smear is often done along with a pelvic examination. It takes around 10 to 20 minutes. The patient is instructed to recline on a table while ensuring their feet are securely positioned in stirrups. Subsequently, a speculum is introduced into the vagina to expand its opening. A brush is then inserted into the vagina to take out cell samples from the cervix. The samples are checked under a microscope for signs of disease.

8.

What Potential Side Effects Are Associated With the Procedure?

A Pap smear is a very safe test. Most women only experience mild cramping during the procedure. Few may notice cramping and mild bleeding or spotting that lasts for one to two days after the test. There are normally no other side effects. If a woman notices burning or itching in the vagina or on the vulva after the test should consult a doctor.

9.

Is Pap Smear a Painful Procedure?

The Pap smear will not hurt much, but it can be a little uncomfortable during the procedure and after the procedure. Some may experience mild cramps after the procedure.

10.

Is It Possible to Perform a Pap Smear During Menstruation?

In most cases, the pap smear will not be rescheduled during the menstrual period. Because it can be performed during menstruation, and the results will not be affected much. In rare cases, depending on the flow, it may be rescheduled.

11.

What Do Pap Test Results Mean?

A pap smear result can be normal, abnormal, or not clear:
Normal - A normal result means that no changes in the cell were found on the cervix. 
Not Clear - It is common for the results to come back not clear or unclear. It could be due to life changes like menopause, pregnancy, or an infection.
Abnormal - Abnormal result means the cell changes were found in the cervix. Experiencing these symptoms does not automatically imply the presence of cervical cancer.

12.

Does the Abnormal Pap Result in a Confirmatory Test?

 
If the results of the Pap test come back abnormal or positive, that indicates abnormal or unusual cells present in the cervix. But this result does not mean that a person has cervical cancer. Further tests are required for confirmation.
Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

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