Do you know what items are included in the cervical smear test?

Many women will have a detailed physical examination every year, and this physical examination includes many items, one of which is the cervical smear examination. This examination is the most routine and necessary examination item in gynecology. Doing this kind of examination can prevent the occurrence of cervical cancer and avoid some gynecological diseases. So what does a cervical smear test include?

Cervical smear examination is very necessary for female friends. It can greatly reduce the mortality and incidence of cervical cancer, and can detect and treat it in time, reducing the occurrence of tragedy. So what does the cervical smear examination include?

Cervical smear test items

A cervical smear is a procedure in which a small sample of cells is taken from the cervix of the uterus, placed on a glass slide, and then studied under a microscope to see if there are any abnormalities. Cervical smear is currently the simplest and most effective diagnostic method for widespread examination of cervical cancer.

Cervical smear test is an essential item for women undergoing gynecological examination. A cervical smear is a procedure in which a small sample of cells is taken from the cervix of the uterus, placed on a glass slide, and then studied under a microscope to see if there are any abnormalities. It is best for sexually active women to have a cervical smear done once a year if possible. Effect: Cervical smear test, which reduces the mortality rate of cervical cancer by at least 70%. Any woman who has had sexual activity for more than three years or has had sexual activity for more than 21 years should start regular cervical cancer screening. Women who marry and have children early, have a history of miscarriage, a history of sexually transmitted diseases, or have multiple sexual partners are all at high risk of cervical cancer. Examination method: After fully exposing the external os of the cervix, rotate the scraper 360 degrees at the external os of the cervix and gently scrape the mucosa and secretions there. The secretions were then evenly spread on numbered slides, immediately fixed in 95% ethanol for 15 minutes, and removed and stained with the Papanicolaou staining method.

This diagnostic method does not cause damage to the cervix and is not painful.

1. Please seek examination from an experienced obstetrician and gynecologist, because in addition to the location and collection techniques of cervical smear sampling, the obstetrician and gynecologist's observation with the naked eye and accompanying internal examination are also necessary tasks. Clinical experience combined with the accuracy of smear sampling can improve the accuracy of smear. 2. Do not douche the vagina within 24 to 48 hours before the examination. Many women douche the vagina and the area before seeing a gynecologist as a courtesy, but this will ruin the situation and affect the results of the smear. 3. In principle, it is clearer to check right after menstruation. If there is no menstruation, or there is abnormal bleeding, or the secretions have an odor, samples can be taken for examination at any time. If someone who receives regular examinations finds any abnormalities before the scheduled time, he or she should go to the doctor for examination immediately. 4. There must be results after the examination. Nowadays, there are too many obstetrics and gynecology patients and some of them may be busy with personal matters and forget to look at the results. It should be noted that without results, it is equivalent to a waste of time, and in serious cases it may delay the disease. 5. Cervical smears can only be used for cancer prevention screening and cannot be used as a formal basis for diagnosis. The final conclusion will be determined by the report of the pathologist on the biopsy, so don't panic if you hear that there is abnormal cell lesions.

Note : 1. The person being examined should avoid sexual intercourse within 24 hours before scraping. 2. Do not flush the vagina, use vaginal suppositories, or perform intravaginal examinations within 24 to 48 hours before the planned examination. 3. When there is cervical inflammation, treatment should be carried out first, and then the scraping should be done to avoid the film being filled with a large number of white blood cells and inflammatory cells, which may affect the diagnosis. 4. It is best to schedule the examination during the non-menstrual period. 5. Anyone who has had sexual intercourse should have a cervical smear test. Regardless of whether they are married or unmarried, any woman who has had sexual intercourse at any age may develop cervical cancer. Among them, women who marry early or have sexual experience too early, give birth to their first child at a very young age, have many sexual partners, give birth frequently, or smoke have a particularly high risk of developing the disease. Therefore, all sexually active women should undergo a smear test at least once a year.

Other related inspections

1. Gynecological examination: focus on checking the size, shape, texture, thickness of the cervical canal, and whether there is contact bleeding. Secondly, check the condition of the vulva, vagina, uterus, and paracervical tissue (ovaries, fallopian tubes, pelvic lymph nodes), mainly to check for erosion and other phenomena. 2. Cervical mucus examination: Cervical mucus examination includes examination of the properties of cervical mucus and test of the compatibility of sperm and cervical mucus. The examination of the properties of cervical mucus is to observe the secretion volume, transparency, viscosity, and ductility of cervical mucus, which can reflect the function of ovarian ovulation. The accuracy will be higher if continuous observation during the menstrual cycle is combined with basal body temperature. 3. Post-coital test (PCT): The post-coital test (PCT) for cervical infertility examination is performed during the predicted ovulation period to determine whether the compatibility between sperm and cervical mucus is normal. Abstain from sex for 3-7 days. Within 2-8 hours after sexual intercourse, use a speculum to expose the cervix and collect fluid from the posterior vaginal fornix to check for active sperm. If sperm is present, sexual intercourse was successful. Then, cervical mucus from deep inside the cervical canal is aspirated for smear microscopic examination. If there are more than 20 active sperm in each high-power field of view, it is normal, indicating that the sperm and cervical mucus are compatible well. If there are less than 5 incompatibilities, this may be the cause of infertility. Although there are still many shortcomings in the examination time and judgment criteria of the test, PCT is still an important method for cervical infertility examination commonly used in clinical practice. 4. Contrast examination: Cervical infertility examination can very well show the length and shape of the cervical canal. It can make a clear diagnosis of cervical growths, congenital malformations, stenosis, adhesions and uterine curvature. Angiography can also be used to measure the length and proportion of the cervical canal and uterine body. Angiography is often successful, especially for patients with genital dysplasia and cervical stenosis in whom probe examination fails. 5. Probe examination: The probe examination for cervical infertility is simple and practical. It can detect the direction and length of the cervical canal and its ratio to the cervix, the presence of stenosis, adhesions, and the tightness of the internal cervical os. For those suspected of abnormalities, further angiography should be considered. Hysterosalpingography can not only detect uterine and fallopian tube lesions, but endocervical canalography is also extremely helpful in studying infertility treatment. 6. Vaginal examination: Vaginal examination can be used to observe the position, shape, size of the external opening of the cervix, the amount and nature of secretions, and the presence of cervical erosion and growths. Attention should be paid to the presence of cervical lifting pain and parauterine tenderness. At the same time, a bacteriological examination of the cervical mucus should be performed, and a scraping or colposcopy should be performed when necessary.

After reading the above question about what the cervical smear examination includes, I believe everyone has some understanding of the cervical smear examination items. In fact, a cervical smear test is very necessary for married women. Of course, you should choose a regular gynecological hospital to do the examination, so that the results of the examination will be more accurate and precise, and can also detect diseases.