Pap Smears: Importance, Procedures, and Symptoms - Obstetrics and Gynecology

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Pap smear examination


Excuse me! I've heard that women who have had sexual intercourse should get a Pap smear once a year.
Should I make an appointment with the obstetrics and gynecology department? Will a doctor perform the examination, or do I need to go to a laboratory for testing? Also, I've been experiencing brown discharge from my vagina recently, and it’s very itchy! What can I do to get my vagina checked? How can I find out what issues I might have?

Binggan, 20~29 year old female. Ask Date: 2005/11/04

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello: Women who have engaged in sexual intercourse are already exposed to the threat of carcinogenic viruses; therefore, it is recommended to undergo a Pap smear annually.
Pap smears can be performed at hospitals, clinics, or health centers, and it is advisable to call ahead for inquiries.
As for abnormal discharge and vulvar itching, it is recommended to visit a gynecologist for appropriate treatment.
Wishing you a speedy recovery.

Reply Date: 2005/11/04

More Info


Pap smears, also known as Pap tests, are essential screenings for cervical cancer and other abnormalities in the cervix. The recommendation for sexually active women to have a Pap smear annually is based on the need for early detection of potential issues, including precancerous changes caused by the human papillomavirus (HPV). Regular screenings can significantly reduce the risk of developing cervical cancer, as they allow for timely intervention and treatment.

To answer your questions, yes, you should schedule your Pap smear with a gynecologist or an obstetrician-gynecologist (OB-GYN). These specialists are trained to perform the Pap test as part of a pelvic examination. During the procedure, the doctor will use a speculum to gently open the vaginal walls and collect cells from the cervix using a small brush or spatula. This sample is then sent to a laboratory for analysis. It is important to note that while some clinics may have a separate laboratory for testing, the initial examination and sample collection will be performed by a qualified medical professional.

Regarding your symptoms of brown discharge and itching, it is crucial to address these concerns with your healthcare provider. Abnormal vaginal discharge can be indicative of various conditions, including infections (such as bacterial vaginosis or yeast infections), hormonal changes, or other underlying issues. The presence of itching, especially in conjunction with unusual discharge, warrants a thorough examination.

When you visit the gynecologist, they will likely perform a pelvic exam to assess your symptoms. They may also conduct additional tests, such as a wet mount or cultures, to determine the cause of your symptoms. It is essential to communicate all your symptoms clearly, including the duration and any other associated signs, as this information will help the doctor make an accurate diagnosis.

In summary, it is advisable to schedule your Pap smear with an OB-GYN, who will conduct the test and address any other concerns you may have regarding your vaginal health. If you are experiencing unusual symptoms, do not hesitate to seek medical attention, as early diagnosis and treatment can lead to better health outcomes. Regular check-ups and open communication with your healthcare provider are key components of maintaining reproductive health.

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