(Closed) Horrible pap test… now everything is wonky (TMI Obviously!)

posted 7 years ago in TTC
  • poll: Have you ever bled from a pap test?
    Yes, a lot. : (5 votes)
    6 %
    Yes, just a bit of spotting. : (34 votes)
    44 %
    No, never. : (38 votes)
    49 %
  • Post # 32
    Member
    1621 posts
    Bumble bee
    • Wedding: September 2012

    @pharmy:  I hate to disagree with you, but Paps are not “required” until you become sexually active. It does have *everything* to do with HPV, because HPV, which is sexually transmitted (which includes intimate touching ie. fingers in/near vagina, not just penis in vagina) is the cause of 99.7% of cervical cancers, with 2 strains being responsible for 70% of cancers (hence the vaccination) and a handful of strains being responsible for 95+% of strains.  Most clinical guidelines say age 21 or once sexually active….but really the age 21 parameter comes from the fact that many women won’t disclose sexual activity to their care providers.  

    http://www.uptodate.com/contents/screening-for-cervical-cancer-rationale-and-recommendations?source=preview&anchor=H2&selectedTitle=6~150#H2

    http://www.cdc.gov/cancer/cervical/pdf/guidelines.pdf

    Now, there are other tests done during a speculum exam, namely vaginal and cervical swabs for other issues like Chlamydia, Gonorrhea, yeast, bacterial vaginosis, etc.  So one could argue that there’s more to a speculum exam than an Pap test and cervical cancer screening.

    Lastly, vaginal infections can indeed cause inflammatory changes in cervical cells that are detected on Paps.  These, however, are not cervical cancer nor cervical dysplasia.  Infections other than HPV can cause unusual Pap findings but they don’t cause dysplasia (pre-cancer) or cervical cancer.

    If a woman is honest with her care provider about when she started sexual activity, there’s no clinical evidence that Paps should be done before that time.  One may even argue that if a woman trusts her partner that they were both virgins and are now monogamous that she could forego Paps completely….although I’m not sure I’m that trusting but I’m cynical that way.

    ETA: keep in mind that correlation does not equal causation, eg. risk factors for cervical cancer include BCP use, HSV infection, smoking, low socio-economic status, young age of first intercourse, etc…..these things do not cause cervical cancer but the people that have these characteristics tend to also have higher cervical cancer rates

    ETA2: here’s the most recent guidelines from ACOG for the American bees:

    http://www.acog.org/About%20ACOG/Announcements/New%20Cervical%20Cancer%20Screening%20Recommendations.aspx

    Testing starts age 21 and then every 3 years.  Annual cervical screening is not recommended.

     

    Post # 33
    Member
    1621 posts
    Bumble bee
    • Wedding: September 2012

    @mjwyatt84:  Lots of doctors insist on annual screening here too, but it’s not based in evidence at all and in fact the guidelines of the past 5+ years do not recommend annual screenings via Pap.

    Post # 34
    Member
    10649 posts
    Sugar Beekeeper
    • Wedding: January 2011

    @Little_Hedgy:  Are you suggesting that women take health advice from you instead of their doctor?  My doctor told me the a pap smear wasn’t neccessary or even recommended when I was 21.

    The new guidelines that are being suggested aren’t being made to save money.  Harm can be done from overtesting and overtreating.

    Post # 35
    Member
    1051 posts
    Bumble bee
    • Wedding: March 2011

    I’m sorry you had a bad experience, I sympathize because I am a Total bleeder 🙁 I have bled from literally every single PAP test I’ve had, I just have a soft/sensitive cervix. My doctor is fabulous, super gentle and careful, my tests are never more than mildly uncomfortable, but there’s no way she can prevent the bleeding. I actually had to have my last pap repeated because the bleeding washed away the cells and there was nothing for them to test. I have noticed bleeding for a couple days after too, especially if Darling Husband and I bd.

    Post # 36
    Member
    445 posts
    Helper bee
    • Wedding: September 2013

    Well that came off a bit snarky, obviously no don’t take advice frm ANYONE on the net. I could be an old creepy man who was about to ask for pics od your cervix so you could have a sexond opinion. I was basing my reply off of what the american cancer society, and whatvthe guidelines are at the OBGYN I work for. 

    Post # 37
    Member
    3028 posts
    Sugar bee
    • Wedding: June 2013

    I have had abnormal paps (just spotting) and have to go ever 6 months for another pap and subsequent coposcopy (biopsy) due to low-grade pre-cancerous cells. My co-worker just told me she has the same issue and had to go every 3 months for a pap for over a year until it went away (which I think something like 90% of cases do within 2 years.)

    Post # 39
    Member
    378 posts
    Helper bee
    • Wedding: June 2008

    I bleed every time I have a pap smear. I bleed enough that I usually wear a pad for the day I have a pap. I wouldn’t call it spotting, but my doctor doesn’t think there’s anything unusual about it.

    However, if you felt in any way uncomfortable with your doctor, I wouldn’t hesitate to find a new one.

    As for the strange CM, are you sure it wasn’t the lubricant the doctor used oozing out? (Sorry, that is so gross!) I sometimes leak that for a couple days and if this was your first time and weren’t expecting it, I could see how you might confuse it for unusual CM. 

    Also, not to beat a dead horse, but my doctor recommended beginning starting pap smears when I became sexually active, without any regard to how many partners I had. I think it’s generally a good thing to do so I hope you find a doctor you’re comfortable with!

    Post # 40
    Member
    10649 posts
    Sugar Beekeeper
    • Wedding: January 2011

    @Little_Hedgy:  I wasn’t being snarky, the conversation went from guidelines which right now aren’t consistent across organizations, to what ‘women should do’.  There seems to be quite a bit of judgement in general on WB when a poster hasn’t had a pap smear when maybe in the past it wasn’t recommended by their doctor.

    @MrsRugbee:  I wouldn’t switch doctors over that alone.  I would be a little upset if the doctor didn’t say anything about it though.  It also sounds like this isn’t the only thing you’ve had problems with.  If it’s easy enough to do so, I would want to switch to someone I felt more comfortable with.

    Post # 42
    Member
    10649 posts
    Sugar Beekeeper
    • Wedding: January 2011

    @MrsRugbee:  Having a competent doctor you’re not comfortable with is still better than no doctor!  Is she the only doctor in the practice?  Sometimes it can be easy to switch to a different doctor within the same office.  Some here even allow you to make an appointment with any of the doctors in the office.

    Post # 44
    Member
    4272 posts
    Honey bee
    • Wedding: April 2012

    I remember that I spotted very lightly after a couple paps. More so when I was pregnant and after pelvic exams. Not as much as you though, I can imagine that it probably differs with every doctor and patient. I don’t know. Its too bad you have such a difficult time changing doctors, because that is what I would suggest.

    Post # 45
    Member
    4099 posts
    Honey bee
    • Wedding: May 2013

    @MrsRugbee:  If I hadn’t had a pap done when I was 21 (I had them annually with no problem prior to that) they wouldn’t have found out that I had a problem.. After several more tests I turned out to be OK… I haven’t had one done in a few years (due to no insurance) and I hate it…

    Post # 46
    Member
    4354 posts
    Honey bee
    • Wedding: June 2013

    I’ve definitely bled a fair bit from paps in the past, your doctor didn’t do anything wrong. She likely didn’t make a big deal about your bleeding because A- it happens all the time and B- you might have felt worse about it if she had.

    Paps are important, you shouldn’t feel violated because she “made” you bleed. Your cervix is sensitive at different points in your cycle, it could be that you’ve never had a pap around the time that your cervix is prone to bleeding and thus never experienced it before.

    No biggie, just move on from it.

    The topic ‘Horrible pap test… now everything is wonky (TMI Obviously!)’ is closed to new replies.

    Find Amazing Vendors