Dear maymaygurl12,

It is recommended that women start having regular Pap tests three years after they have vaginal intercourse or once they reach the age of 21, whether they have had vaginal intercourse or not. Girls and women with certain health conditions may need exams more frequently.

A Pap test is one of the most important parts of a gynecological exam. It is used to examine the cells of the cervix in order to detect cancerous or precancerous cells. It is the best way to prevent cervical cancer. Pap tests can also detect symptoms of sexually transmitted infections. With the exception of trichomoniasis, they cannot detect the specific infection.

In order to see the cervix, a clinician will insert a plastic or metal speculum to separate the walls of the vagina. Some women feel a degree of pressure or mild discomfort when the speculum is inserted and opened.

Usually a small spatula or tiny brush is used to gently collect cells from the cervix for the Pap test. You may have some staining or bleeding after the sample is taken. Talk with your clinician about any discomfort you feel during the exam.

Here are some ways to reduce the discomfort (gynecological exams should not be painful):

• Breathe slowly and deeply with your mouth open.
• Let your stomach muscles go soft.
• Relax your shoulders.
• Relax the muscles between your legs.
• Ask the clinician to describe what's being done as it's happening.

Hope this information helps!

Take care,

teenwire.com^® Editors

This column is for informational purposes only and is not intended to constitute medical advice, diagnosis, or treatment. If you have a medical problem, please call toll-free 1-800-230-PLAN for an appointment with the Planned Parenthood health center nearest you.