Subject: Annual PAP Smears
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MelissaUser is Offline
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06/10/2008 1:47 PM  
Are annual PAP's still necessary once you have had a hysterectomy and one ovary removed due to Cervical Cancer. My GYN back in 1999 said it was not necessary yet now I am hearing contradictory stories related to the cuff lining tissue being at high risk for cancer? What is the real scoop from someone in that field?

Melissa Welch LPN
Jen at NTUser is Offline
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06/10/2008 2:59 PM  
Well, from my mom who recently underwent a hysterectomy due to pre-cancerous cells, she was told that she will definitely need to continue with her annual PAP. At least for her, she is still considered "high risk"..
emadorUser is Offline
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08/19/2008 2:45 AM  
It depends if they do a 'total' hysterectomy or not. If you still have a Cervix, you can still get cervical cancer and therefore need to have your annual PAP smears. If you have had a total hysterectomy, then you no longer have a cervix and do not get pap smears. If you don't have a Cervix, there's nothing to do a pap smear on.
e.
emadorUser is Offline
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08/19/2008 2:55 AM  
I don't know how to edit my response so I have to add another. You might want to talk to your MD about a Colposcopy with/without biopsy. I don't know that they would do this annually but perhaps biannually dependent on the results. This would allow your Gyne. to have a good look at all the walls vaginal walls as well as the cuff lining to look for any abnormalities.
e.
emadorUser is Offline
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08/19/2008 2:56 AM  
Posted By emador on 08/19/2008 2:55 AM
I don't know how to edit my response so I have to add another. You might want to talk to your MD about a Colposcopy with/without biopsy. I don't know that they would do this annually but perhaps biannually dependent on the results. This would allow your Gyne. to have a good look at all the walls vaginal walls as well as the cuff lining to look for any abnormalities.
e.

Boy - how I wish I could edit my responses so I could fix my grammar!!!
e.
MelissaUser is Offline
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08/19/2008 3:02 AM  
To answer your question and my own. I had a complete hysterectomy including the cervix. I had a new cuff lining built from tissue from the vaginal wall. My GYN states it is still necessary to get a PAP due to the tissue but it is only required once every five years after being cancer free and placed on the cancer survivor list.

Melissa Welch LPN
emadorUser is Offline
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08/19/2008 4:46 AM  
I don't understand how they do a true PAP Smear from vaginal tissue. That's why they do a Colposcopy. It is specifically for vaginal tissue. You take biopsies of vaginal tissue and of course cervical tissue but you can't take a smear from vaginal tissue. I'm sorry, I'm just trying to understand the anatomy, physiology and pathophysiology of a pap smear on vaginal tissue. I'll check the Mayo clinic and figure out how they can do that.

Good Luck.

Eilleen - RN

MelissaUser is Offline
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08/22/2008 5:21 AM  
E, any new updates on the PAP vs. Colposcopy? I haven't followed through with the physical yet but I am scheduled for a complete head to toe...I will be 40 next month, you know what that means?????

Melissa Welch LPN
scheeksrnUser is Offline
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10/20/2008 1:08 AM  
My PCP usually does PAPs every other year.. if I keep up to date with my physicals. And I do not have any family history of vajajay diseases.
M.B.User is Offline
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07/09/2009 12:46 PM  
Just for anyone's information. I wrote an article that from my research indicates that women who test negative for 3 years can then just have PAPs every 2-3 years but what should probably be screened is testing for HPV, a strong indicator of risk for cervical CA. http://www.associatedcontent.com/article/1688564/cervical_cancer_detection_hpv_dna_testing.html?cat=58
eveningstrUser is Offline
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08/06/2009 1:40 PM  
What to hear something crazy - in the UK, women have to wait until they are 25 to have a pap smear.  Government run health care.
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