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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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HysterSisters Doctor Directory
Elizabeth Stevenson-Gargiulo, M.D.
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Dallas TX 75231
214-826-2979
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Neptune NJ 07754
732-776-3797
Larry R. Glazerman, M.D.
1098 W Baltimore Ave
Riddle HLTH Ctr 3 #3404
Media PA 19063
610-627-4170
Linda Nicoll, M.D.
NYU Faculty Practice GYN
NYU Trinity Center - 111 Broadway 2nd Floor
New York NY 10006
2122639700
Antonio Gargiulo, M.D.
Brigham and Women's Hospital
75 Francis Street
Boston MA 02115
617-732-4222
Aileen Caceres, M.D.
Center for Specialized Gynecology/Florida Hospital
410 Celebration Place, Suite 302
Celebration FL 34747
(407) 303-4573
Jennifer Elliott, M.D.
980 Johnson Ferry Road
Suite 720
Atlanta GA 30342
(404) 252-3898
James Kondrup, M.D.
161 Riverside Drive
Suite 109
Binghamton NY 13905
607-770-7074
Stephen Zweibach, M.D.
815 S Parsons Ave
Brandon FL 33511
8135712777

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