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Women's health

Cervical Screening (pap)

Routine screening to find changes in cervical cells long before they become a problem.

Illustration of a cervical screening sample being taken with a small brush

What is a Cervical Screening Pap Smear?

A Pap smear (or Pap test) is a quick health check that looks for early cell changes on the cervix, which is the lower, narrow opening of the uterus. During the test, a healthcare provider collects a small sample of cells from the cervix to send to a lab. The main goal is to find abnormal or precancerous cells before they have a chance to turn into cervical cancer, making it one of the most effective preventive health tests available. In many modern healthcare guidelines, a Pap smear is often paired with or replaced by an HPV test. High-risk types of Human Papillomavirus (HPV) cause nearly all cervical cancers. While a Pap smear looks directly at the cells for unusual changes, the HPV test looks for the virus itself. Together, these tools allow providers to catch potential issues years before any symptoms appear.

Who Needs to Get a Cervical Screening?

Cervical screening is generally recommended for anyone with a cervix between the ages of 21 and 65, regardless of sexual orientation or gender identity. Manitoba Guidelines typically recommend starting screening at age 21 until age 69 (depending on health status), a Pap smear every 3 years. Screening schedules can vary based on individual health histories. People with weakened immune systems, a history of cervical precancer, or exposure to certain medications may need more frequent testing. Most individuals can safely stop screening after age 65 if they have had consistent, normal test results for several years, or if they have had a total hysterectomy (removal of both the uterus and cervix) for non-cancerous reasons.

How is the Procedure Performed?

The procedure is simple, takes only a few minutes, and is performed right in a healthcare provider's office. You will lie on an exam table with your knees bent and feet resting in supports. The provider gently inserts a smooth, lubricated instrument called a speculum into the vagina. This holds the vaginal walls open so the provider has a clear view of the cervix. Using a soft brush or tiny spatula, the provider lightly sweeps the surface of the cervix to collect a sample of fluid and cells. You might feel a brief moment of pressure or a mild pinch, but the collection itself takes only a few seconds. Once the sample is secured in a liquid tube or on a slide, the speculum is removed, and the exam is complete. You can return to your regular daily activities right away, though light spotting for a few hours afterward is completely normal.

This page is for general information, if you have questions or wondering about possible treatment. feel free to connect, book appointment at WELL Health Medical Centre — Regent