
A Pap smear detects changes in the cells of the cervix before they become a problem. This guide covers how often it is due, how to prepare and what each result means.
How often is it due?
According to the USPSTF:
- Ages 21 to 29: cytology every 3 years
- Ages 30 to 65: cytology every 3 years, or every 5 when combined with HPV testing
- Before 21: screening is not recommended
- After 65: it can be stopped if previous results were normal
An abnormal result shortens the interval. Your history sets the timing, not the calendar.
How to prepare
- Do not use douches, vaginal suppositories or creams in the 48 hours before
- Avoid sex for 48 hours beforehand
- If possible, do not come during your period
- Bring the date of your last period
- If you had an abnormal result before, bring the report
Skipping these can make the sample insufficient and force a repeat.
Does it hurt?
It should not. A speculum is placed and a sample of cells is taken with a small brush. The sensation is pressure, not pain, and it lasts a few seconds. If it is very uncomfortable, say so: speculum size and positioning can be adjusted.
Light spotting afterwards is normal and lasts a day or two.
What each result means
| Result | What it means |
|---|---|
| Normal | No abnormal cells were seen |
| ASC-US | Atypical cells of unclear significance; usually paired with HPV testing |
| LSIL | Mild changes, often from HPV, which frequently resolve on their own |
| HSIL | Higher-grade changes; referred for colposcopy |
| Insufficient | Could not be read, usually from blood or too little sample; must be repeated |
An abnormal result does not mean cancer. It means follow-up is due, and most mild changes go away without treatment.
About HPV
Most cervical changes are caused by human papillomavirus. It is a very common infection and in most cases the body clears it on its own. HPV testing is combined with cytology from age 30 because together they detect what matters better.
Where to have it done in Houston
At Clínica Hispana Nueva Salud Little York the Pap smear is part of the gynecology visit, walk-in and Monday through Sunday from 9 AM to 9 PM. Promotions include the complete women's check-up with ultrasound for $179.
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