A Pap smear is a simple test that could save your life. It’s one of the most effective ways to detect early signs of cervical cancer — and when paired with HPV screening, it becomes a powerful tool for protecting women’s health.
At SR Women & Children Specialists Centre, we believe in empowering women with knowledge, proactive care, and early detection. Here’s everything you need to know about Pap smears, HPV, and what to expect during your screening.
What Is a Pap Smear?
A Pap smear (Papanicolaou test) is a screening procedure used to detect abnormal cells on the cervix, the lower part of the uterus that opens into the vagina. It’s designed to catch changes in the cervical cells before they become cancerous.
A Pap smear does not diagnose cancer — but it helps your doctor determine if further testing is needed.
What Is HPV and How Is It Related?
Human Papillomavirus (HPV) is a very common sexually transmitted virus. In most cases, it clears up on its own. However, certain high-risk types of HPV can cause changes in cervical cells that may lead to cervical cancer over time.
That’s why HPV screening is often performed alongside or as part of Pap smear testing, especially for women over 30.
How Is a Pap Smear Done?
A Pap smear is a quick and relatively painless procedure done in a clinic setting. Here’s what to expect:
- Positioning: You’ll lie on your back with your knees bent and feet supported.
- Speculum insertion: Your doctor gently inserts a speculum into the vagina to open it and visualise the cervix.
- Cell collection: A small brush or spatula is used to collect cells from the surface of your cervix.
- Sample sent to lab: The collected sample is sent to a lab for analysis.
The procedure usually takes less than 5 minutes. You may feel some mild pressure, but it’s not typically painful.
How to Prepare for a Pap Smear
To ensure accurate results:
- Avoid intercourse 24–48 hours before the test
- Don’t use vaginal creams, lubricants, or douches for 2 days prior
- Schedule it mid-cycle, ideally not during your period
- Empty your bladder before the exam for added comfort
Pap Smear Schedule: How Often Should You Get One?
Here’s the general Pap smear schedule recommended in Malaysia and internationally:
| Age Group | Recommended Screening |
|---|---|
| 21–29 years | Pap smear every 3 years |
| 30–65 years | Pap + HPV co-testing every 5 years, or Pap smear alone every 3 years |
| Over 65 years | May discontinue if previous tests are normal and no high-risk factors |
Women who are sexually active or have risk factors (e.g. early sexual activity, multiple partners, smoking, or weakened immunity) may need earlier or more frequent testing.
If you’re unsure, talk to our experienced gynaecologists about the best schedule for your needs.
When to See a Gynaecologist and What to Expect
What If My Pap Smear Is Abnormal or HPV Is Detected?
First — don’t panic. An abnormal Pap smear or positive HPV test does not mean you have cancer. Here’s how we typically manage results:
Mild Abnormal Cells (ASCUS, LSIL):
- Often monitored with a repeat Pap in 6–12 months
- HPV testing may help guide the next step
HPV Positive (High-Risk Types):
- A colposcopy may be recommended — a close examination of your cervix using a special microscope
- In some cases, a biopsy is taken for lab analysis
Moderate to Severe Changes (HSIL):
- May require treatment with LEEP, laser, or cone biopsy to remove abnormal tissue
- These are highly effective and typically prevent progression to cancer
Our team at SR Women & Children Specialists provides individualised follow-up and gentle, respectful care every step of the way.
The HPV Vaccine: Prevention Starts Early
The HPV vaccine protects against the most dangerous types of HPV and is recommended for:
- Girls and boys aged 9–14 (before first sexual activity)
- Women up to age 26, and some up to age 45 (depending on risk)
- Women previously exposed to HPV (to prevent reinfection with other strains)
Ask us about HPV vaccination options available at our clinic.
Why Choose SR Women & Children Specialists?
- All-women O&G team with extensive experience
- Safe, private and non-intimidating clinic environment
- Timely appointments and clear explanations of your results
- Full suite of women’s health services, from screening to treatment
Take the First Step Toward Cervical Health
Routine screening saves lives. Whether it’s your first Pap smear or your regular follow-up, we’re here to make it a comfortable and informative experience.
- Visit us at Suite 206/207, Level 2 SCC, Gleneagles Hospital Johor, Medini Iskandar Puteri
- Call us: [+6011-1992 3585]
- Book your Pap smear or women’s health screening today at www.srwomenchildrenspecialists.com.my
