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 Pap Smear Test *for GIRLS*, all that u need to know

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jfashion33
post Jun 25 2008, 04:37 PM

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QUOTE(kmarc @ Jun 24 2008, 05:54 PM)
At the moment, the recommendation for pap smear has not changed, irregardless of whether you have been vaccinated or not.

Until there are more data/results from long-term studies, you should still do pap smear regularly.

As mentioned by Glamourousfit, current vaccine only covers 2 subtypes (not strands  wink.gif ) of the viruses that cause cervical cancer. Note that these 2 subtypes are the main culprit for cervical cancer. The vaccine still don't cover many other minor subtypes.....
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ohh gooohhhhsssss... then i should go for test regulary... emmm thankx for all ur info... it help lotz... thankx~~ notworthy.gif
kimurastanley
post Jul 3 2008, 04:43 PM

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QUOTE(kmarc @ Jun 24 2008, 05:54 PM)
At the moment, the recommendation for pap smear has not changed, irregardless of whether you have been vaccinated or not.

Until there are more data/results from long-term studies, you should still do pap smear regularly.

As mentioned by Glamourousfit, current vaccine only covers 2 subtypes (not strands  wink.gif ) of the viruses that cause cervical cancer. Note that these 2 subtypes are the main culprit for cervical cancer. The vaccine still don't cover many other minor subtypes.....
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Currently there are 2 types of vaccination, 1 cover 2 subtypes (HPV 16,18) and the other covers 4 subtypes (6,11,16,18). Cervical cancer mainly caused by HPV 16,18. However, these new vaccination still need long term trial to determine the real effectiveness. So Pap smear is still very important in the screening of cervical cancer. Specialist also recommend woman come for regular Pap Smear although they have been vaccinated.
poison32
post Jul 5 2008, 05:06 AM

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gosh i must get this done...
celyn
post Jul 10 2008, 03:45 PM

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QUOTE(meiteoh @ Nov 2 2005, 09:16 AM)
It costs around RM100 including lab tests for the cells. I went to TTDI's Apollo clinic to get mine done - female gyne AND very friendly. Results come out in two weeks. Pretty fast.
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it caused RM100 in the private sector??? wow!! it's such a simple procedure, i've been doing it for patients and i never realise how much they are charging outside... go to the government health clinics la....

the problem with today's women is that they perform PAP smear once, got a normal results, and assumed that they are save from cervical carcinoma.... they are WRONG.... PAP smear should be perform in all sexually women for 3 years, and if results were all normal, she can repeat them every 3 years. CIN when detected early cam be easily treated and it can save your life!


Celyn's Web
darrenkg
post Jul 11 2008, 05:50 PM

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QUOTE
for virgins that is concer about cervical cancer you can opt go get ca125 blood test, it is used to detect cervical cancer as well. However it is not as accurate as pap smear, and the result may vary due to ur health conditions ie imflamations such as soar throat, it may tend to increase the ca 125 count. If u r planing to go on ca125 blood test please make sure that u r not on medication or having period or near to having period or just finish ur period. The ideal date for the ca12 blood test is around 1 to 2 weeks after period.
Unfortunately this is not true at all. Tumour marker is never a mean to screen for cervical cancer. Pap smear is still the best screening test.

Gals, pls don't have to worry about where is the best place to do Pap smear. It does not have to be expensive private hospital. It's a simple procedure to be done and all hospitals, and most of the clinics can do it. If the result is abnormal, you'll be referred to a gynecologist.

Yes, every sexually active female should do this screening. It's for your own good. Early detection significantly makes the prognosis (outcome) more favourable.

Lastly, yes the vaccine is recommended. The age limit (9-26 years old) stated is due to the large-scale study was conducted in such a range of age. So the result (effectiveness of the vaccine in preventing cervical cancer) can only be applied to this age group for now. Of course, more studies are being conducted for a wider age group, and in future, we can expect a larger coverage. The vaccine is quite costly, RM400 each and you need total of 3 doses, so around RM1200.

Hope these help. smile.gif
kimurastanley
post Jul 19 2008, 12:35 PM

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ca125 cancer tumor is meant for ovarian cancer
soul_slasher85
post Jul 23 2008, 01:38 AM

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QUOTE(celyn @ Jul 10 2008, 03:45 PM)
the problem with today's women is that they perform PAP smear once, got a normal results, and assumed that they are save from cervical carcinoma.... they are WRONG.... PAP smear should be perform in all sexually women for 3 years, and if results were all normal, she can repeat them every 3 years. CIN when detected early cam be easily treated and it can save your life!
Celyn's Web
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Yes, agree with celyn. Most of them think that they are free of cervical cancer life-long when the report come out as normal and nv come for PAP smear anymore until they have symptoms.
ku_maria
post Jul 25 2008, 05:17 AM

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Is that mean that we need to do this test every 3 years? hmm.gif
soul_slasher85
post Jul 25 2008, 09:30 PM

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QUOTE(ku_maria @ Jul 25 2008, 05:17 AM)
Is that mean that we need to do this test every 3 years?  hmm.gif
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Only if the report come out as normal for 3 consecutive years. If not they will ask u to come again after 3 or 6 months to redo it again.

This post has been edited by soul_slasher85: Aug 18 2008, 12:31 PM
province86
post Sep 21 2008, 12:54 PM

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I used to be in hospital cytological lab be4 . For gals, who r married and sexually active, it is a must . Its a simple n painless but maybe uncomfortable for some women.
cfcw
post Sep 21 2008, 03:15 PM

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there is a full body checkup package which includes pap smear for RM180 in some clinic in puchong. I think is quite worth the money =)
VelVetDreAmzZz^_^
post Oct 4 2008, 08:59 PM

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wat is the suitable age to have pap smear test?or in wat condition?
chilicandy
post Oct 5 2008, 07:39 PM

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i've done it 4 times ... and it's real uncomfortable !

did it with private gynae clinics. The reports back are quite comprehensive list.

InNet
post Oct 10 2008, 03:35 AM

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There's a new Sanitary Napkins in the market called LoveMoon Anion. The good thing about this brand is, it comes with a revolutionary Vaginal Test Card for FREE. It wont provide an eloborate & detailed report of your vaginal health status but its really good to know the vagina health condition.

It comes in a neat wrapper containing a test card, an indicator card and a swab. Very much like the pregnancy test card.

Hope this might help to spare your blushes, time and money.

Link to the site <<Klik here


babymina
post Oct 19 2008, 03:51 PM

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hey, this is interesting, should go and try out.
chloe_yee87
post Oct 27 2008, 06:29 PM

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QUOTE(InNet @ Oct 10 2008, 03:35 AM)
There's a new Sanitary Napkins in the market called LoveMoon Anion. The good thing about this brand is, it comes with a revolutionary Vaginal Test Card for FREE. It wont provide an eloborate & detailed report of your vaginal health status but its really good to know the vagina health condition.

It comes in a neat wrapper containing a test card, an indicator card and a swab. Very much like the pregnancy test card.

Hope this might help to spare your blushes, time and money.

Link to the site <<Klik here


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Is this thing certified or approved by MOH??
sandboxz
post Nov 14 2008, 01:11 AM

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Hm..
Never heard of this before..
Is it certified by the MOH?

Anyway, Pap smear is still the gold standard for screening cervical cancers;
especially at the early phase.
Remember, cervical cancer takes 10 years to progress from abnormal cells,
so, Pap smear is super important!!
It saves lifes from cervical cancer..
better endure the pain from screening rather than endure the pain of cervical cancer

It is recommended for all sexually active ladies, done yearly for 3x until u get normal result.
If abnormal cells are found, normally it'll be removed, via surgery/medication, and you are "cured" , no worries!

But if you leave it there, it'll grow and grow.. and turn malignant and may possibly spread to the liver, lungs, and bones..

well, from what i heard is, there is another ongoing trail for the vaccine.. it'll protect up to 10 strainz!
So.. the $ of the 2strain vaccine is going to drop for sure biggrin.gif
if your aim is to protect against cervical cancer, the bivalent (2subtype) vaccine is sufficient.. if im not mistaken, max age is 40 years
if you are scared of warts and all... then, u might opt for the 4 subtype vaccine <- this, max age is 28 years.
klifex
post Nov 14 2008, 02:29 AM

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QUOTE(sandboxz @ Nov 14 2008, 01:11 AM)
Anyway, Pap smear is still the gold standard for screening cervical cancers;
especially at the early phase.
Remember, cervical cancer takes 10 years to progress from abnormal cells,
so, Pap smear is super important!!
It saves lifes from cervical cancer..
better endure the pain from screening rather than endure the pain of cervical cancer
*
Pap smear indeed is a very sensitive and high specificity screening tool. it's cheap and easily done. it's important, especialy for those sexually active women.

QUOTE(sandboxz @ Nov 14 2008, 01:11 AM)
It is recommended for all sexually active ladies, done yearly for 3x until u get normal result.
If abnormal cells are found, normally it'll be removed, via surgery/medication, and you are "cured" , no worries!
*
yes, recommend for all sexually active ladies, but you dun need to do 3 times until you get normal result.
for age below 30, 3 yearly pap smear is recommended, in fact, it's carry out in government clinic for all sexually active women as primary screening tools if patients comes in with gynae problem.
if abnormal cells are found, it depends on staging...
early stage is very easy to treat...but if late stage might be a bit difficult.

QUOTE(sandboxz @ Nov 14 2008, 01:11 AM)
well, from what i heard is, there is another ongoing trail for the vaccine.. it'll protect up to 10 strainz!
So.. the $ of the 2strain vaccine is going to drop for sure  biggrin.gif
if your aim is to protect against cervical cancer, the bivalent (2subtype) vaccine is sufficient.. if im not mistaken, max age is 40 years
if you are scared of warts and all... then, u might opt for the 4 subtype vaccine <- this, max age is 28 years.
*
vaccine for HPV is already in the market, if you're sexually active already...there's no point to take the vaccine ...
it's highly recommended for those sexually inactive girls...and u need to know HPV transmit by guys...
previously, there's recommendation of vaccinate guys as well tongue.gif, because they are the "vectors"..haha tongue.gif
sandboxz
post Nov 14 2008, 07:12 PM

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QUOTE(klifex @ Nov 14 2008, 02:29 AM)
Pap smear indeed is a very sensitive and high specificity screening tool. it's cheap and easily done. it's important, especialy for those sexually active women.
yes, recommend for all sexually active ladies, but you dun need to do 3 times until you get normal result.
for age below 30, 3 yearly pap smear is recommended, in fact, it's carry out in government clinic for all sexually active women as primary screening tools if patients comes in with gynae problem.
if abnormal cells are found, it depends on staging...
early stage is very easy to treat...but if late stage might be a bit difficult.
vaccine for HPV is already in the market, if you're sexually active already...there's no point to take the vaccine ...
it's highly recommended for those sexually inactive girls...and u need to know HPV transmit by guys...
previously, there's recommendation of vaccinate guys as well tongue.gif, because they are the "vectors"..haha tongue.gif
*
Yes,

3 yearly = once yearly for 3 times, so when i said 3 times ( the doc will tell u that u'll have to do 3 times in 3 years ) it's means the same thing lah biggrin.gif .

Why do we have to do 3 times, because there is a chance of missing the lesion; probably due to technique problem, staining problem.. etc.. and y women still get cervical cancer even though people doing pap smear is increasing? It's because they do not follow this regime. So, please don't misguide people by saying "you dun need to do 3 times until you get normal result."

The point im telling about the 10 subtype vaccine is because the $ of the bivalent vaccine will drop.
Nothing to do with sexually active or not. whistling.gif

haha.. yes i heard about vaccinating guys. it's because now, they found out that nasopharyngeal cancer and esophageal cancer is now found in young girls.. why? because of oral *** and they get the HPV !! doh.gif HPV found in the histology of the ca!! doh.gif doh.gif doh.gif


This post has been edited by sandboxz: Nov 14 2008, 07:20 PM
klifex
post Nov 14 2008, 11:44 PM

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QUOTE(sandboxz @ Nov 14 2008, 07:12 PM)
Yes,

3 yearly = once yearly for 3 times, so when i said 3 times ( the doc will tell u that u'll have to do 3 times in 3 years ) it's means the same thing lah  biggrin.gif .

Why do we have to do 3 times, because there is a chance of missing the lesion; probably due to technique problem, staining problem.. etc.. and y women still get cervical cancer even though people doing pap smear is increasing? It's because they do not follow this regime. So, please don't misguide people by saying "you dun need to do 3 times until you get normal result."

The point im telling about the 10 subtype vaccine is because the $ of the bivalent vaccine will drop.
Nothing to do with sexually active or not. whistling.gif

haha.. yes i heard about vaccinating guys. it's because now, they found out that nasopharyngeal cancer and esophageal cancer is now found in young girls.. why? because of oral *** and they get the HPV !!  doh.gif  HPV found in the histology of the ca!!  doh.gif  doh.gif  doh.gif
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frankly speaking, i'm not misguiding people...
if you read some medical journals, the recommendation are -
within 3 years after first sexual contact and 3 yearly ( means every 3 year, not once yearly for 3 years..then i'll just straight away say annually already...right? brows.gif )

of course, pap smear sensitivity also depends on the experience and operator's technic. a good gynae doctor should be able to obtain a good smear.

why women still get cervical ca even though people doing pap smear increasing?
haha..this is a good question...i asked my brother before( he's a doctor).
this is because, previously, when pap smear was not popular, women only comes to doctor when they got serious problems like pervaginal bleeding, some lumps felt over the region, or other metastases symptoms etc. (but it's already in quite a late stage)
now a days, with pap smear, the detection is very sensitive, it can detect some very early changes even before it changed into neoplastic cell(cancer cell) it's call a metaplastic phase.
with more people doing pap smear, the pickup rate among general population increase...so as those who being detected to have cervical ca.(hope u understand nod.gif )

about the point which i mentioned about the vaccination on sexually active women..

Ideally females should get the vaccine before they become sexually active, when they may be exposed to HPV. Females who are sexually active may also benefit from the vaccine, but they may get less benefit from it. This is because they may have already gotten an HPV type targeted by the vaccine. Few sexually active young women are infected with all HPV types covered by the vaccine so they would still get protection from those types they have not yet gotten.

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