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Pap Smear after Hysterectomy

From the Hysterectomy Recovery Articles List

SHARING IS CARING


woman at doctor's office for pap smearDo I need a Pap smear after my hysterectomy if I didn't have cancer?


If you had a partial hysterectomy and still have your cervix, you will need to continue with regular smears. If, however, you had a complete hysterectomy, it may depend on your situation and the philosophy of your physician.

In March 2012, the American Congress of Obstetricians and Gynecologists (ACOG) reported that the United States Preventive Services Task Force (USPSTF) and the American Cancer Society (ACS) updated cervical screening guidelines and stated that they are not necessary for women who have undergone a complete hysterectomy for benign reasons (a). However, there does not seem to be a uniform opinion among physicians about whether or not women without cancer need to continue with Pap smears following a complete hysterectomy. Changes in the surface of the cervix that produce abnormal Pap smears can also occur on the vaginal cuff or vaginal walls. Thus, some doctors and patients feel that periodic Pap smears can be wise to catch or monitor any of those changes. As a result, physicians may make an assessment on a patient-by-patient basis, or establish a policy for their practice based on their own interpretation of current medical data.

If you have never had an abnormal Pap smear, talk to your doctor about whether continued Pap smears are right for you following your hysterectomy. If you are at risk for any abnormal conditions related to the vagina or cervix (DES exposure, HIV exposure, etc.), share those with your physician. If you become sexually involved with a new partner, talk to your doctor about whether Pap smears are right for you to monitor any STD related possibilities.

(a) New Cervical Cancer Screening Recommendations from the U.S. Preventive Services Task Force and the American Cancer Society/American Society for Colposcopy and Cervical Pathology/American Society for Clinical Pathology

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

Published: 12 April 2003
Last updated: 31 May 2014


04-12-2003 - 10:35 AM


SHARING IS CARING


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Find a Surgeon

HysterSisters Doctor Directory
Eric Grossman, M.D.
903 Sheppard Road
Voorhees NJ 08043
(856) 772-2300
Clifford Rogers, M.D.
The Everett Clinic, Dept. of Surgery and Gynecology
1330 Rockefeller Ave, Suite 120
Everett WA 98201
425 339 5424
Linda Wrigley, M.D.
4200 Lake Otis Pkwy Ste 101
Anchorage AK 99508
907-569-8810
Diane DiTusa, M.D.
2671 hwy 70
Manasquan NJ 08736
732-528-6999
Shirley Bennett, M.D.
7255 Old Oak Blvd
Suite c202
Middleburg Hts OH 44149
440-816-5390
Susan D. Hunter, M.D.
626 Ed Carey Dr
Harlingen TX 78550
956-428-4868
Susan Murrmann, M.D.
7205 WOlf River Blvd Ste 150
Memphis TN 38120
901-752-4500
Debra Richardson, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
214-645-4673
David Ghozland, M.D.
530 Wilshire Blvd.
suite 202b
SANTA MONICA CA 90401
310-393-9359

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