There is still a fair bit of confusion about PAP smears, so just to clear things up:
- It’s no longer a PAP test! Cells on a slide are no longer examined; instead the cervical screening test checks for the human papilloma virus (HPV). This is the virus associated with cancerous change in the cervix.
- Screening programs are for people without symptoms; the aim is to detect disease early and treat it to reduce the risk of progression. So women who have ever been sexually active should have a five-yearly PAP test from the age of 25 to 74. Your first test under this program should be two years after your last PAP test.
- If you are under 25 and want the test, it will not be covered under Medicare, so a private fee will apply.
- A woman with concerning symptoms such as abnormal bleeding should see a GP and have an assessment which might include an examination, imaging or a PAP smear.
- PAP smears, and the cervical screening program, are not tests for ovarian cancer. They are also not tests for sexually transmitted infections.
- The new cervical screening test feels similar to a PAP smear, but it is hoped that women will be able to collect their own samples in the future if they wish.
- Seeing your doctor for the cervical screening test presents a good opportunity to discuss other concerns you might have, such as sexual infections, bladder problems, menstrual difficulties and so on.
