The Pap Test

A Pap test is done to look for changes in the cells of the cervix. During a Pap test, a small sample of cells from the surface of the cervix is collected by your health professional. The sample is then spread on a slide (Pap smear) or mixed in a liquid fixative (liquid-based cytology) and sent to a lab for examination under a microscope. The cells are examined for abnormalities that may indicate abnormal cell changes, such as dysplasia or cervical cancer.

It is important to have your first Pap test within 3 years of having sex for the first time or by age 21. You may be able to stop having regular Pap tests after you are 65 to 70 years of age, if you have had 3 normal Pap tests in a row, you do not have a high risk of cervical cancer, and you have not had any new sex partners over the last 3 years. If you do not have a uterus, you don’t need a Pap test as long as cervical dysplasia or cervical cancer was not the reason your uterus was removed. You may need more frequent Pap tests if you have had an abnormal Pap test in the past. Talk with your health professional about how often you should have Pap test.

Before a Pap test:

• Try to schedule the test when you are 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.


• If you have symptoms such as bleeding after intercourse, get a Pap test as soon as you are able to schedule one.


• Do not use douches, tampons, vaginal medicines, sprays, or powders for at least 24 hours before having a Pap test.