Monday, June 28, 2010

Do I Still Need a Pap Smear?

This question stems from an article I saw in a Dr. Gott newspaper column. The question was posed from a woman who stated that she had a "complete" hysterectomy.  Her question to Dr. Gott was whether she still needed to have pap smears done.

There are two types of hysterectomies: total and partial. In a total hysterectomy both the uterus and the cervix are removed. In a partial hysterectomy only the uterus is removed. In either case, the the ovaries and fallopian tubes may or may not be removed. I believe her when she stated she had a complete hysterectomy, I believe she meant a total hysterectomy.

What is a pap smear? A pap smear is a screening test for cervical cancer based on the examination of cervical cells under the microscope.

According to the American Cancer Society (ACS) Guidelines, pap smears should begin at age 18 or after becoming sexually active, which ever comes first. You are to have a pap smear yearly. Your physician may extended these to every 2 or every 3 years you have had a normal test for 3 consecutive years and if she/he feels the risk is low enough. The ACS states you may stop having pap smears after the age of 70 years old if the last 3 pap smears are normal AND if there are no abnormal pap smears in the past10 years.

Other recommendations include resuming screening pap smears  (after 70 years old) if you have a new sexual partner. Also the ACS continues to recommend yearly overall exams and breast exams yearly.