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Process for Your Well Woman Exam

Pap Test Process

Your health care provider will perform a pelvic exam using an instrument called a speculum to examine your vagina and cervix. During this examination, a few cells will be collected directly from your cervix and the surrounding area, and then sent to a lab for further evaluation.

Frequency of Pap Tests

The American College of Obstetrics and Gynecology (ACOG) recommends that sexually active females younger than age 21 be counseled and tested for sexually transmitted infections, and be counseled regarding safe sex and contraception. The Pap test is not recommended for those younger than 21 (and not sexually active) because it may lead to unnecessary evaluation and treatment in women at very low risk of cancer. Women age 21 should start getting regular Pap tests no fewer than every three years or as directed by their primary care physician.

Screening for Sexually Transmitted Infections

During the exam, your cervix and vaginal tissue will be examined for any abnormal discharge or bumps. A Sexually Transmitted Infections (STI) screening, which includes tests for gonorrhea and chlamydia, may be performed at the clinic when requested (a fee may be involved, please call us at 325-942-2171 FMI). All sexually active women are encouraged to be screened for STIs if they have had a new sexual partner since their last exam or are not in a mutually monogamous sexual relationship.

STI screening is simple and consists of taking a small amount of cervical discharge with a swab, or through urine testing. Like the Pap test, STI testing will also be sent to a laboratory for evaluation. Most results are back within two weeks. The University Clinic will contact you with your results. You should contact us if you do not hear from us within two weeks of your testing.

In addition to routine check-ups or to obtain contraception information, the clinic invites you to schedule an appointment for any of the following symptoms, regardless of your age or the time of occurrence (call 325-942-2171 immediately for an appointment):

  • Abnormal or heavy vaginal discharges that itch, burn, have an odor or cause you discomfort.
  • Heavy vaginal bleeding, missed monthly periods or irregular menstrual cycles.
  • Bleeding between periods, spotting or breakthrough bleeding
  • Painful sexual intercourse.
  • Menstrual cramps causing you to miss school or work
  • Any signs of pregnancy.
  • Side effects or problems with your birth control method.
  • Breast pains, lumps or discharges from the nipple.

Well Woman Exam Information