What to expect at your first pap smear

So, you’re about to have your first Pap smear, and you’re a little nervous. It’s completely normal to feel this way, so knowing what to expect during your first Pap test can help calm your nerves. A Pap smear is a quick and simple exam that is an important part of every woman’s wellness routine.

Here’s what you need to know about getting your first Pap smear, including what to expect, what happens during a Pap smear and more. As a gynecologist, my goal is to help ease your worries about this test—trust me, it really isn’t as bad as you may think.

What is a Pap smear?

A Pap smear, or Pap test, is a simple and routine screening used to check for abnormal cells in the cervix, which could indicate cervical cancer or precancerous changes. During this test, your OBGYN gently collects cells from the cervix, which are then examined in a lab for any abnormalities.

When most women get a Pap smear, it’s usually part of what the doctor’s office may call an annual “wellness visit,” “wellness check” or “well woman exam.”

The keyword here is wellness. An overwhelming majority of Pap smears return as normal, but it’s an important part of your wellness routine. When most women go in for a wellness visit, we walk in healthy and walk out affirmed of our good health.

What happens during a Pap smear

If you're preparing for your first Pap smear, you may be wondering, "What happens during a Pap smear?" It can help you mentally prepare if you know what to expect.

First, you'll lie on an exam table and place your feet in stirrups. Your doctor will insert a speculum, a medical tool that gently opens the vaginal walls, allowing them to view your cervix. Although this step may cause slight pressure or discomfort, it’s usually brief and not painful.

Next, your doctor uses a small brush or spatula to collect a sample of cells from the cervix. The process is typically quick, lasting just a few seconds.

Once the cell sample is collected, it’s sent to a laboratory where it’s checked for any unusual or potentially cancerous changes. If you have an abnormal Pap smear result, your doctor will discuss the next steps, which may include further testing or follow-up. An abnormal result does not necessarily mean there’s a cause for concern, just for further investigation.

When should you get your first Pap smear?

The general recommendation is that women should have their first Pap smear at age 21, whether you’re sexually active or not. By starting at age 21, you and your doctor can establish a baseline to monitor your cervical health over time.

For most women, Pap smears are recommended every three years until age 29. Between the ages of 30 and 65, Pap smears can often be combined with HPV (human papillomavirus) testing, which screens for the virus responsible for most cervical cancers. If both the Pap smear and HPV test results are normal, screening intervals can often be extended to every five years.

However, these guidelines vary based on personal health factors, so it’s important to consult with your doctor about the best screening schedule for your needs based on your age, health history and past test results.

What to know before getting a Pap smear

If you’re preparing for your first Pap smear, you probably have a few questions. Here are the answers to a few frequently asked questions about getting a Pap test, so you can feel confident going into your OBGYN appointment.

Can you get a Pap smear on your period?

Yes, you can get a Pap smear while you’re on your period, but it’s best to reschedule if your flow is heavy. Blood from your period can sometimes make it harder for the lab to get a clear sample, which may affect the accuracy of the results. However, a light period flow is usually not a problem.

Do you need a Pap smear if not sexually active?

Yes, it’s still recommended to get a Pap smear at age 21 even if you’re not sexually active. While many cases of cervical cancer are linked to human papillomavirus (HPV), which is sexually transmitted, other factors can contribute to abnormal cell changes.

These factors include lifestyle habits like smoking or a family history of cervical cancer. Regular Pap smears are an easy way to ensure any potential issues are detected early, so talk to your OBGYN about what screening schedule is best for you.

What does an abnormal Pap smear mean?

An abnormal Pap smear means that the test detected some changes in the cells of your cervix. But keep in mind that these changes don't necessarily indicate cancer. In many cases, they are caused by an infection, inflammation or the presence of human papillomavirus (HPV).

An abnormal Pap result simply means your doctor may need to monitor your cervical health closely or investigate further to determine whether there is cause for concern.

Schedule your Pap smear today

If it’s time for your first Pap smear, don’t delay. Regular Pap tests can help bring peace of mind about your health and well-being, giving you one less thing to worry about. If you’re still feeling nervous, your OBGYN can help answer questions and make sure you feel comfortable.

If you haven’t received an HPV vaccine, take this opportunity to also talk to your doctor about the benefits of getting vaccinated.

Find an OBGYN near you to schedule your Pap smear today.