The papanicolaou (pap) technique is a cytologic screening test that detects:

In a Pap test, your doctor uses a vaginal speculum to hold your vaginal walls apart and to see the cervix. Next, a sample of cells from your cervix is collected using a small cone-shaped brush and a tiny plastic spatula (1 and 2). Your doctor then rinses the brush and spatula in a liquid-filled vial (3) and sends the vial to a laboratory for testing.

A Pap smear, also called a Pap test, is a procedure to test for cervical cancer in women.

A Pap smear involves collecting cells from your cervix — the lower, narrow end of your uterus that's at the top of your vagina.

Detecting cervical cancer early with a Pap smear gives you a greater chance at a cure. A Pap smear can also detect changes in your cervical cells that suggest cancer may develop in the future. Detecting these abnormal cells early with a Pap smear is your first step in halting the possible development of cervical cancer.

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Why it's done

A Pap smear is used to screen for cervical cancer.

The Pap smear is usually done in conjunction with a pelvic exam. In women older than age 30, the Pap test may be combined with a test for human papillomavirus (HPV) — a common sexually transmitted infection that can cause cervical cancer. In some cases, the HPV test may be done instead of a Pap smear.

Who should have a Pap smear?

You and your doctor can decide when it's time for you to begin Pap testing and how often you should have the test.

In general, doctors recommend beginning Pap testing at age 21.

How often should a Pap smear be repeated?

Doctors generally recommend repeating Pap testing every three years for women ages 21 to 65.

Women age 30 and older can consider Pap testing every five years if the procedure is combined with testing for HPV. Or they might consider HPV testing instead of the Pap test.

If you have certain risk factors, your doctor may recommend more-frequent Pap smears, regardless of your age. These risk factors include:

  • A diagnosis of cervical cancer or a Pap smear that showed precancerous cells
  • Exposure to diethylstilbestrol (DES) before birth
  • HIV infection
  • Weakened immune system due to organ transplant, chemotherapy or chronic corticosteroid use
  • A history of smoking

You and your doctor can discuss the benefits and risks of Pap smears and decide what's best for you based on your risk factors.

Who can consider stopping Pap smears?

In certain situations a woman and her doctor may decide to end Pap testing, such as:

  • After a total hysterectomy. After a total hysterectomy — surgical removal of the uterus including the cervix — ask your doctor if you need to continue having Pap smears.

    If your hysterectomy was performed for a noncancerous condition, such as uterine fibroids, you may be able to discontinue routine Pap smears.

    But if your hysterectomy was for a precancerous or cancerous condition of the cervix, your doctor may recommend continuing routine Pap testing.

  • Older age. Doctors generally agree that women can consider stopping routine Pap testing at age 65 if their previous tests for cervical cancer have been negative.

    Discuss your options with your doctor and together you can decide what's best for you based on your risk factors. If you're sexually active with multiple partners, your doctor may recommend continuing Pap testing.

More Information

  • Pap smear: Do I need one if I'm a virgin?
  • Genital warts
  • HPV infection
  • Sexually transmitted diseases (STDs)
  • Vaginal atrophy
  • Vaginal cancer
Show more related information

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What is the Papanicolaou test used to detect?

A procedure in which a small brush is used to gently remove cells from the surface of the cervix and the area around it so they can be checked under a microscope for cervical cancer or cell changes that may lead to cervical cancer.

What is a Pap test designed to detect quizlet?

A Pap smear is used to detect. cervical cancer.

What did Papanicolaou discover about cervical cancer?

George Nicholas Papanicolaou was a pioneer in elucidating the physiology and cytologic characteristics of the female reproductive system. He is best known for creating the Papanicolaou test, commonly known as the Pap smear, which revolutionised the early detection of cervical cancer.