Pap Smear FAQs: Everything Women in Kuala Lumpur Need to Know

A Pap smear, also known as a Papanicolaou test, is a crucial screening procedure for detecting abnormal cells on the cervix. Early detection of these abnormalities can prevent cervical cancer, a potentially life-threatening disease. In this guide, we’ll address common questions about Pap smears and their importance for women in Kuala Lumpur.

What is a Pap Smear?

A Pap smear is a simple, quick procedure where a healthcare provider collects cells from the cervix. These cells are then examined under a microscope to check for any abnormal changes.

What Can a Pap Smear Detect?

A Pap smear can detect:

• Precancerous cells: These are abnormal cells that have the potential to develop into cancer if left untreated.
• Human Papillomavirus (HPV): This sexually transmitted infection is a major cause of cervical cancer.
• Cervical cancer: While Pap smears are primarily used to detect precancerous cells, they can also identify early-stage cervical cancer.

When Should I Get a Pap Smear?

The recommended age to start getting Pap smears varies slightly, but generally:

Age 21: Women should begin getting Pap smears every 3 years.

Age 30: If you have had three normal Pap smears in a row, you may be able to extend the interval to every 5 years.

Age 65: If you have had three or more normal Pap smears in a row and no abnormal results in the past 10 years, you may stop getting Pap smears.

However, it’s essential to consult with your gynecologist for personalized advice based on your health history and risk factors.

Where Can I Get a Pap Smear in Malaysia?

You can get Pap smears and other health screenings in KL by a variety of healthcare providers including:

• Gynecologists: These specialists are experts in women’s reproductive health and can perform Pap smears.
• Family physicians: Many family doctors offer Pap smear services as part of their general care.
• Clinics and hospitals: Some clinics and hospitals provide Pap smear screenings.

How Much Does a Pap Smear Cost in Malaysia?

The cost of a Pap smear can vary depending on the healthcare provider and the type of facility. It’s advisable to contact your chosen healthcare provider to inquire about the specific cost. Here’s a breakdown:

• Conventional pap smear for RM80
• Liquid-based cytology pap smear for RM100 – 150
• HPV DNA test for RM400
• HPV DNA & liquid-based cytology pap smear for RM550

You can get a free Pap smear in Malaysia with the National Cancer Society Malaysia. To find out more about their free screening programme, email contact@cancer.org.my. 

Preparing for Your Pap Smear

To ensure accurate results, avoid the following for at least 2 days before your Pap smear:

• Sexual intercourse
• Using vaginal douches, creams, or suppositories
• Tampon use
• Soaking in a bathtub
• Using lubricants

What Happens During a Pap Smear?

A Pap smear typically begins with a brief medical history. Your doctor will ask about your reproductive health, including menstrual cycle, sexual activity, and any symptoms you’re experiencing.

Next, you’ll be asked to undress from the waist down and lie on an exam table with your feet supported by stirrups. Your doctor will insert a speculum into your vagina to gently open it, allowing them to see your cervix.

Using a small brush or spatula, your doctor will collect cells from your cervix. This might cause a brief sensation of pressure. The collected cells are then examined under a microscope to check for abnormalities.

The entire procedure usually takes just a few minutes, and you can typically resume your normal activities afterward.

After the Pap Smear

You may experience slight cramping or spotting afterward, but this is usually mild. If you experience any unusual symptoms, it’s important to contact your healthcare provider.

Understanding Your Pap Smear Results

Normal Results

A normal Pap smear means that no abnormal cells were found on your cervix. However, it’s essential to continue regular screenings as cervical cancer can develop slowly.

Abnormal Results

An abnormal Pap smear indicates the presence of unusual cells on your cervix. These abnormalities can range from mild to severe and may be caused by HPV or other factors.

• ASCUS (Atypical Squamous Cells of Undetermined Significance): This means abnormal cells were found, but it’s unclear if they’re precancerous.
• LSIL (Low-Grade Squamous Intraepithelial Lesion): Indicates mild cell abnormalities, often caused by HPV, and usually resolves on its own.
• HSIL (High-Grade Squamous Intraepithelial Lesion): Suggests more severe cell abnormalities, potentially precancerous.
• ASC (Atypical Squamous Cells): A broader category indicating abnormal squamous cells, requiring further evaluation.
• AGC (Atypical Glandular Cells): Abnormal glandular cells, which may indicate a more serious condition.

If your Pap smear results are abnormal, your doctor will recommend further testing, such as:

• Repeat Pap smear every one year instead of 3
• HPV test to check for the presence of the human papillomavirus.
• Colposcopy procedure to examine the cervix with a magnifying device.
• Biopsy to remove a small tissue sample for examination to check for precancerous cervical intraepithelial neoplasia (CIN). The biopsy will also be able to determine its severity.

Remember: Pap smears have many benefits, but most importantly, it is crucial for maintaining your reproductive health. SpringHill women’s clinic offers cervical cancer screening including Pap smears and HPV tests. Take charge of your reproductive health and schedule an appointment with us today!

Disclaimer: The information provided in this article does not constitute medical advice. Please schedule an appointment with a certified medical professional.