Can I refuse to have a Pap smear?

You've probably heard that healthy women no longer need annual Pap tests, or smear, but what about that yearly visit to the ob-gyn? While new guidelines suggest that not all women will need a Pap smear, it's still very important for women to schedule their routine, annual pelvic exam.
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Can I skip Pap smear?

We want you to know that your Pap smear is a test that is far too important to skip and doing so means cervical precancerous changes may go undetected until they have reached an advanced stage or turned into cancer.
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How can I stop myself from getting a Pap smear?

Smear test top tips: How to make cervical screening more...
  1. Time your appointment with your period.
  2. Wear comfortable clothes.
  3. Ask for a woman to do the test.
  4. Ask for a smaller speculum.
  5. Put the speculum in yourself.
  6. Ask to change position.
  7. Don't use lubricant.
  8. Use painkillers if necessary.
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Why does my doctor want me to get a Pap smear?

Pap smears are a lifesaving screening tool for cervical cancer. The test can detect abnormal cells in the cervix before they become cancerous. Healthcare providers often perform HPV tests during Pap tests to check for a virus that raises the risk of cervical cancer.
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Can I deny a pelvic exam?

You always have the right to refuse to answer certain questions or to decline a physical examination of any part of your body. You are the one in charge and nothing should happen without your consent. You also have the right to withdraw consent and stop your examination at any point.
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Your Pap Smear Questions Answered



Can you be forced to have a pelvic exam?

Performing pelvic exams without consent is illegal in Hawaii, Virginia, Oregon, California, Iowa, Illinois, Utah, and Maryland. Legislation prohibiting this recently passed the New York legislature and is pending in other states, including Minnesota and Massachusetts.
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Can you say no to cervix check?

Bottom line: If you're in your final weeks of pregnancy, aren't having any symptoms of labor, and aren't being induced—whether for medical reasons or otherwise—then there's no reason to do a cervical check, and you have every right to decline that exam.
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Why do Pap smears hurt?

When Pap smears are uncomfortable, it's often because there's a sensation of pressure in the pelvic region. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might request a urine sample, so be sure to ask if it's OK to use the restroom beforehand.
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When can you stop having Pap smears?

Most cervical cancer is caused by human papillomavirus (HPV). The only sure way to find out if you have cervical cancer is to get a screening test (a Pap test and/or an HPV test). If you are a woman who has not had her cervix removed by surgery (a hysterectomy), keep getting tested until you are at least 65 years old.
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Do I cancel my Pap smear while on period?

It's also OK if you want to keep the appointment

Being on your menstrual cycle isn't going to have an effect on your visit or results. Thanks to new tech, the findings of your Pap smear, STI tests, and pelvic exam will most likely be the same as they would if you weren't bleeding!
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Why am I afraid of Pap smear?

Pap Smear test tends to be a bit uncomfortable because of the process involved in the sample collection. Even after the procedure ends, the discomforted feeling might persist. You might experience cramps or slight vaginal bleeding after the test. You can consult your doctor if the discomfort continues for long.
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Do Pap smears hurt if you're not a virgin?

Will it hurt? The pelvic examination will not hurt. Many women describe the experience as a sensation of crowding or fullness in the vagina; however, there should be no pain. Sometimes a woman will feel discomfort, especially if she is tense.
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How can I get over my fear of pelvic exams?

A: Communicate with your provider that you're feeling nervous and tense. They can help position you to feel more comfortable. Practice slow, deep breathing. Try to relax your shoulders, your stomach muscles and the muscles between your legs.
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Are Pap smears mandatory?

All women aged 25 and over who have ever been sexually active — even just once — will be due for their first Cervical Screening Test 2 years after their last Pap test. You will still need a Cervical Screening Test even if you have been vaccinated against HPV.
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Can you refuse a Pap smear and still get birth control?

Well, no. Doctors routinely deny patients birth control prescription refills until patients comply with Pap tests or pelvic exams, even though birth control judgments are in no way affected by the outcome of a Pap test or pelvic exam.
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Do gynecologists care if you shave?

It's not necessary to shave or wax your vagina before getting a gynecologic exam,” Dr. Ross ensures. “Vaginal grooming is your personal choice. The main consideration on how to prepare for an exam is to simply be clean, so showering or using a vaginal hygiene wipe prior to your visit is suggested.”
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Why are Pap smears every 5 years now?

A big reason for the change: We now better understand the way cervical cancer develops over time—we know it takes many years to develop—so we've expanded the time between screenings. We also now have two screening options to detect cervical cancer, the Pap test and the HPV test.
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How do I relax for a smear test?

8 Tips For Making Your Smear Test More Comfortable
  1. Remember that your GP or gynaecologist has seen many vaginas before. ...
  2. Wear warm clothing. ...
  3. Think of something to distract you during the test. ...
  4. Focus on your breathing. ...
  5. Ask for a smaller speculum. ...
  6. Relieve yourself before the test. ...
  7. Communicate with your doctor.
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Can Pap smears cause damage?

For years doctors have urged women to come in for annual pap smear testing to screen for cervical cancer. But over the past decade, women's health experts have recognized that such frequent testing not only doesn't provide greater protection from cancer, it may be causing serious medical harm.
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Does a speculum hurt?

The speculum exam — Your doctor will gently slide a speculum into your vagina. The speculum is made of metal or plastic. It separates the walls of your vagina when it opens. This may feel uncomfortable or weird, but it shouldn't hurt.
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Are cervical exams necessary?

The short answer – “nothing.” As long as you're not having complications that suggest premature delivery, infection, premature rupture of membranes, heavy bleeding or some other big problem, you can tell your doctor, nurses and/or midwife to keep their fingers outta there. Vaginal exams aren't absolutely necessary.
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Are cervical checks bad?

Overview. It's important to note that performing a cervical exam is not risk-free. An exam may increase the risk of vaginal infection or could possibly result in the premature rupture of membranes. 2 If your practitioner wants to perform a cervical exam at every visit, question them as to why and for what benefit.
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When do doctors start checking cervix?

Most doctors and midwives offer to begin checking the cervix for dilation in the last 36-40 weeks of pregnancy, although this varies depending on the individual and their specific needs. Some people dilate slowly over the course of a few weeks and others will experience rapid dilation right before their baby is born.
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What states do not require pelvic exam consent?

Twenty one states have now made the practice illegal, including New York, Maryland, Utah, Washington and Delaware in 2019. In 2020, Louisiana, Maine, and New Hampshire followed suit. Arkansas, Arizona and, most recently, Texas and Nevada have also joined in 2021, along with New Jersey and Connecticut in 2022.
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Which states allow forced pelvic exams?

Starting in 2004, states began passing laws mandating certain standards for pelvic examination under anesthesia. As of 2019, seven states (California, Hawaii, Illinois, Iowa, Oregon, Utah, and Virginia) have such laws, and others are considering them.
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