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Three preventive services specifically for women covered by health insurance are the pap smear, pelvic exam and the human papillomavirus (HPV) test. Each of plays an important role in keeping you healthy by looking for abnormal cells before they turn into a more serious condition like cervical cancer.
The pap smear is a routine outpatient cervical cancer screening that women have been getting for decades. It’s recommended that women start getting Pap smears at 21 years old. Pap is short for Papanicolaou – the last name of the doctor who studied changes in cervical cells in the 1900s.
The Pap test looks for changes in the cervix that may lead to cancer. Routine Pap smears are encouraged to find cancer early when it’s easier to treat. During the short procedure, your doctor collects cells and mucus from your cervix and the surrounding areas. The samples are sent to a laboratory for review by a pathologist.
It may take a few weeks to get results back. Once the results do come back, your doctor will contact you to let you know if your Pap smear was normal or abnormal.
An abnormal Pap smear doesn’t mean you have cervical cancer. There are a number of reasons results can come back abnormal. Be sure to follow up with your doctor to learn more about next steps.
How to prepare for a Pap SmearA few tips can help ensure nothing skews the results of your pap smear.
For women 30 or older, the HPV test can be done at the same time as the Pap test. The human papilloma virus is one of the leading causes of cervical cancer cases in the United States. There are many types of HPV, and it’s the most common sexually transmitted infection in the nation.
During an HPV test, your doctor checks the cervix for the HPV virus. The virus can cause abnormal cells, which could lead to cervical cancer. It’s not likely that you’ll know when cervix cells have changed. Having regular preventive exams can help your doctor identify abnormal cells before they develop into cancerous cells.
Doctors don’t always test for HPV when you have a Pap smear. Ask your doctor which tests are included in your routine Pap smear and when you’ll receive your test results.
Pelvic exams look for signs of disease in the pelvic area. Doctors use pelvic exams to check your:
Remember, Pap smears and pelvic exams check for different things. They can be done separately or at the same time by an OB/GYN. Your routine pelvic exam is also covered by your health insurance.
Cervical cancer affects more than 14,000 women yearly in the United States. The Center for Disease Control and Prevention (CDC) defines cancer as a disease in which cells in the body grow out of control. In this case, cells near the cervix grow out of control.
Cervical cancer starts in the cells lining the cervix, which is the lower, narrow end of a woman’s uterus. It is a preventable disease if women have routine screenings and receive the HPV vaccines.
The American Cancer Society suggests women have regular health screenings to detect pre-cancers and abnormal cells before they become cancerous. Tests like the Pap and HPV tests are proven methods that help doctors find abnormal cells. Cervical Cancer Risk FactorsThere are several factors that contribute boost a woman’s risk for cervical cancer.
HPV infection. Women carrying the human papillomavirus have a higher risk for developing cervical cancer. HPV infections are spread through sexual contact.
Not everyone infected with HPV will keep the virus. A strong immune system can fight it off. Only a very small portion of women infected with HPV develop cervical cancer. In the United States, high-risk HPV types cause approximately three percent of all cancer cases among women.
Weak immune system. Immunosuppression increases the risk that HPV will lead to cervical cancer. When the immune system is weak, it’s difficult for the body to fight infections like HPV and other diseases. HIV and medicines that prevent organ rejection after a transplant can cause immunosuppression. DES exposure. Diethylstilbestrol (DES) is a synthetic form of the estrogen hormone. The drug was prescribed to women to prevent pregnancy complications between 1940 and 1971. Diethylstilbestrol was later linked to cancer of the cervix and vagina in a small group of women.
While the drug is no longer prescribed, the daughters of women exposed from 1940 to 1971 have an increased risk of developing a rare form of cancer.
There are other risk factors for women who already carry the HPV virus. Women with the HPV virus boost their risk for developing cervical cancer if they have seven or more full-term pregnancies, smoke or use oral contraceptives for long periods of time.
The National Cancer Institute lists several precautions women can take to lower their risk for cervical cancer. The type of HPV that leads to cervical cancer is transmitted through sexual contact. Women lower their chances of getting HPV when they:
By now it should be clear why having a routine Pap smear, pelvic exam and HPV test is important. Early detection screenings are key to helping you staying healthy.
Originally published 4/28/2016; Revised 2019, 2021
Donna - We cannot advise on tests/services that your doctor requests/performs for your specific circumstances. We recommend that you share your concerns with your provider.
I turned 60 this year and my PCP has said the last couple years that I don't need a Pap smear any more. I still ask for one but this year she pushed the issue so I didn't have it. She didn't do a pelvic either and stopped doing digital rectal exams a few years ago. I am a radiation therapist and know that most patients are 50 and over so I'm concerned that my PCP is not wanting to do these exams anymore. Thank you
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