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Pap Smear after Hysterectomy

From the Hysterectomy Recovery Articles List



Do I need a Pap smear after my hysterectomy?


In November 2002, the American Cancer Society stated: Women who have had a total hysterectomy do not need Pap smears unless the hysterectomy was performed for cancer or pre-cancerous conditions. Women who have had a subtotal hysterectomy (leaving the cervix intact) need to follow the same guidelines as for other women and continue Pap smear screenings for cervical cancer until they are 70 years old.” The American Medical Association recently expressed the same view.

Among individual doctors, there does not seem to be a uniform opinion on this topic. It may be that physicians 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.

Why would anyone without a cervix ever need a test for cervical cancer? The answer is that changes in the surface of the cervix that produce abnormal Pap smears can also occur on the vaginal cuff. A woman can develop vaginal dysplasia particularly if she has previously had cervical dysplasia. Therefore, a woman whose hysterectomy was for cervical cancer should continue to have annual Pap smears.

In summary, if you have never had an abnormal Pap smear, it is reasonable to have a Pap smear every five years, and some authorities would say you never need to have one again. If you had a very minor Pap abnormality that did not require surgery, then having a Pap every three years after a hysterectomy seems reasonable.

If you ever had surgical treatment for an abnormal Pap, then it would probably be safest to continue to have a yearly Pap because the HPV virus would probably still be present in the vaginal cells. Also, if you become sexually involved with a new partner, you should have Paps done again until you have had two or three normal Paps in a row.



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.

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HysterSisters Articles

Options to Hysterectomy
Pre-Op Hysterectomy
Post-Op Hysterectomy
Hormone and Menopause
Intimacy after Hysterectomy
Pelvic Floor
Fitness after Hysterectomy
GYN Cancer
Grief and Loss
Endometriosis
Uterine Fibroids
Hysterectomy Stories
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Recommended for Hysterectomy Recovery

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  • The Great Binder Set - We have made it very easy for you and combined the two best binders and the Silky Sac into a great set to save you money! Our favorite is the Perfect Pocket binder with cold/hot packs!
  • Deluxe Hyst Prep Set - As you plan, we've gathered the best products into one set for special pricing.
  • Post-Op Panty - These great panties speed recovery, and reduces scarring. They contain a medical-grade silicone panel over incision to reduce scar's apperance while they provide support to weakened muscles and tissues from surgery. Excellent!
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Find a Surgeon

HysterSisters Doctor Directory
Kimberly Newman, M.D.
10030 Edison Square Drive
Suite 100A
Concord NC 28027
704-403-7670
Ted Lee, M.D.
Magee Womens Hospital
300 Halket Street
Pittsburgh PA 15213
412 641 6412
Charles Miller, M.D.
120 Osler Drive
Suite 100
Naperville IL 60540
630-428-2229
Bruce Bonn, M.D.
2311 M St, NW Suite 304
Washington DC 20037
202-331-0577
Sherry L Neyman, M.D.
Renaissance Women's Group
12201 Renfert Way Ste 200
Austin TX 78758
512-425-3875
Jennifer Fuson, M.D.
1720 Nicholasville Road
Suite 702
Lexington KY 40503
859-264-8811
Ken Sinervo, M.D.
1140 Hammond Dr., Ste. F6220
Atlanta GA 30328
770-913-0001
Mark Richey, M.D.
1200 Airport Heights
Ste 205
Anchorage AK 99508
9072724443
Jonathan Y Song, M.D.
2455 Dean St.
Suite A
St. Charles IL 60175
(630) 513-9160

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