SCF: 30-31, SECTOR-11, HUDA, URBAN ESTATE, Panipat, Haryana 132103

Cervical Cancer Screening (Pap Smear & HPV Testing)

Screening for cervical cancer helps to find precancerous changes on the cervix before they become cancer. There are two main tests for cervical cancer. The Pap smear test looks for abnormal cells. The HPV test looks for the virus that can cause cell changes. Most women have no symptoms in the early stages, so routine screening is important even if you feel perfectly healthy. This screening is a preventative measure, not a treatment. It consists of:

  • Finds abnormal cells in the cervix
  • Identifies HPV infections
  • Helps to prevent cervical cancer
  • Provides early treatment

Two Screening Tests Demystified

  • Pap smear test: This is a routine screening test for abnormal cells on the cervix (the mouth or lower part of the uterus). Its primary purpose is to identify early precancerous or cancerous changes so they can be treated before they become cervical cancer. A quick pelvic exam at the doctor’s office or clinic. The healthcare provider uses a tool called a speculum to gently open the vagina during the exam. They then take a small sample of cells from the cervix using a soft brush or spatula and scrape it off. The cells are sent to a lab where they are examined under a microscope for abnormalities.
  • HPV Test: An HPV (Human Papillomavirus) test looks for high-risk types of the virus that can cause cell changes that may lead to cervical cancer. The test involves taking a small sample of cells from the cervix during a routine pelvic exam (like a Pap smear) or from a self-collected vaginal swab and sending it to a lab for testing.

What’s the Difference Between a Pap Smear and an HPV Test?

They both use the same exact method of collecting cells during a pelvic. A Pap smear (or Pap test) looks for abnormal or precancerous cells on the cervix. An HPV test checks for the virus (high-risk Human Papillomavirus) that causes these changes in the cells.

Why is it important to screen for cervical cancer?

Cervical screening is recommended for anyone with a cervix between the ages of 21 and 65 because it:

  • Detects cervical changes early
  • Prevents cervical cancer
  • Highly effective screening
  • Reduces cancer-related deaths
  • Allows minimally invasive treatment

Who Should Get a Cervical Screening?

Women between age groups 21-65 years require cervical screening either with an HPV test, a pap smear, or both. Screenings should continue regardless of your sexual history, whether you’ve received the HPV vaccine, or if you have passed menopause. Women may need more frequent screening if they:

  • Have HIV
  • Are immunocompromised
  • Have previous abnormal Pap results
  • Have cervical precancer
  • Were exposed to DES before birth (if relevant)
  • Have undergone treatment for cervical abnormalities

What Symptoms Should Never Be Ignored?

Never ignore symptoms such as abnormal vaginal bleeding (between periods, after sex, or post-menopause), unusual, foul-smelling, or blood-tinged discharge, persistent pelvic pain, or pain during intercourse. These warning signs demand an immediate medical evaluation regardless of when your next screening is scheduled. Screening is for women without symptoms. However, seek medical evaluation in case you notice any of the following conditions:

  • Bleeding after intercourse
  • Bleeding between periods
  • Bleeding after menopause
  • Persistent vaginal discharge
  • Pelvic pain
  • Pain during intercourse

Who is at Higher Risk of developing cervical cancer?

Women who suffer persistent HPV infection, are addicted to smoking, have multiple sexual partners, and had early sexual activity (early years of age), have a weakened immune system, have had previous cervical abnormalities, or have long-term oral contraceptive use are at a higher risk of developing cervical cancers.

How is the Test Performed?

A cervical cancer test is performed during a quick pelvic exam. A speculum is inserted into the vagina and gently opened by the doctor or nurse to look at the cervix. They take a small sample of cells with a little brush or tiny spatula and send it to a lab. In the lab, these samples are checked for any abnormalities, whether they are infected with high-risk types of the human papillomavirus (HPV). In short, the test checks whether the cells could become cancerous. The procedure is generally quick and feels like mild discomfort, a pressure sensation, and is not usually painful.

How Should You Prepare for the Test?

To ensure an accurate test, avoid vaginal intercourse, douching, tampons, and vaginal medications or creams for two days before your appointment. Book your test for a week after your period has finished. Wear a comfy, loose skirt so you can easily stay covered from the waist down. Preparing correctly prevents your doctor from washing away or missing crucial cells.

What Happens If Results Are Abnormal?

An abnormal cervical cancer screening result rarely means you have cancer. Usually, it means there are precancerous cells or an active HPV infection. Most minor changes clear on their own or are treated long before they ever develop into cancer. Here are the possible next steps your doctor may recommend to confirm and correctly diagnose the underlying condition:

  • Repeat Pap smear
  • Repeat HPV testing
  • Colposcopy
  • Cervical biopsy

Why is early detection important?

Most cervical cancers are preventable with regular screening and appropriate follow-up. The earlier it is found, the easier to treat, the better. The benefits of early diagnosis are:

  • Stops invasive cancer
  • Supports reproductive health
  • Lesser treatment
  • Less expensive healthcare
  • Better prognosis
  • More peace of mind

Is a Pap smear painful?

A Pap smear test is usually not painful, but it may be a little uncomfortable or feel like a short pressure or mild cramp. The most uncomfortable part is the insertion of the speculum (a medical tool used to hold the vaginal walls open) and the gentle brushing of the cervix to collect cell samples.

How long does the cervical screening test take?

The physical cervical screening test (or Pap smear) takes only about 1 to 3 minutes to perform, while the entire appointment usually lasts about 10 to 15 minutes.

Can I have a Pap smear during my period?

You can technically get a Pap smear on your period, but it’s generally not recommended. If you are having a heavy period, this can mask the cells from your cervix, and the results may be inconclusive, and the test will need to be repeated. The ideal time is usually 5-7 days after you have finished your period altogether.

How long after the HPV Vaccine Do You Need HPV Test?

Yes, even if you have the HPV vaccine, you still need regular screening for cervical cancer. The vaccine does not protect against all strains of HPV that can cause cervical cancer, nor does it treat existing infections.

How often should I be screened?

Cervical cancer screening (Pap and/or HPV testing) generally begins at age 21. How often you need screening depends on your age and the type of test.

  • Age 21-29: Every 3 years using a Pap test.
  • Age 30-65: Every 3–5 years, depending on whether you choose a Pap test alone, an HPV test alone, or a combination.
  • Over 65: You may be able to stop screening if recent tests were consistently normal.

Is cervical screening safe during pregnancy?

Cervical screening is safe during pregnancy. It will not harm your baby or increase the risk of miscarriage. Routine screening is often delayed until 3 to 12 months after childbirth unless you have symptoms, a history of abnormal results, or are specifically due.

Can I go back to normal activities after the test?

There is no problem with a routine cervical screening test (Pap smear or HPV test), and you can go back to your normal daily activities, including work and light exercise, straight away. Usually, there is no mandatory downtime. You may have mild cramping or very light brown spotting for a day or two. Most doctors will recommend waiting 24 to 48 hours before having intercourse, because your cervix may be temporarily sensitive.

What if I have an abnormal Pap test? Do I have cancer?

No. An abnormal Pap smear does not mean you have cancer. It just means some of the cells on your cervix look unusual. Many of these changes are caused by a virus (like HPV), a small amount of inflammation, or pre-cancerous cells that can be monitored or treated easily before they ever become cancer.

Is there a way to prevent cervical cancer?

Yes, cervical cancer is almost entirely preventable. Because almost all cases are caused by the Human Papillomavirus (HPV), it can be averted through HPV vaccination and routine screening.

More Information

  1. The Lancer Global Health. Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis. Published in August 2022. Available at https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00241-8/fulltext
  2. Screening for Cervical Cancer: A Comprehensive Review of Guidelines. Published in June 2025. Available at https://www.mdpi.com/2072-6694/17/13/2072
  3. The Medical Clinics of North America. Screening for Cervical Cancer. Published in November 2020. Available at https://pmc.ncbi.nlm.nih.gov/articles/PMC8881993/
Request an Appointment
Mon - Sat 9:00 AM to 7:00 PM

Our Experts

Dr. Renu Gupta
Dr. Renu Gupta
Consultant Endoscopic Gynecologist & Ultrasonologist

Dr. Saloni Singla Gupta
Dr. Saloni Singla Gupta
Consultant Endoscopic Gynecologist