Can you have an abnormal Pap smear after a hysterectomy?

Hysterectomy for cervical dysplasia
86 per cent of abnormal smears occurred within two years of hysterectomy. Shockaert et al detected VAIN 2+ in 7.4 per cent of women who had Pap smears after hysterectomy for CIN 2/3 or Stage 1A 1 cervical carcinoma.
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What can cause an abnormal pap smear after hysterectomy?

After a total hysterectomy, surgical removal of the uterus and cervix, see your doctor if you need to continue Pap tests.
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Some of the factors that can cause a false-negative result include the following:
  • Inadequate collection of cells.
  • A small number of abnormal cells.
  • Blood or inflammatory cells that block abnormal cells.
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Can abnormal cells come back after hysterectomy?

Cervical screening after hysterectomy

Very rarely the abnormal cells can come back in this area, so you will be offered tests at 6 months and 18 months after your hysterectomy. If everything is fine, you won't need to have any more tests after that.
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Can you get cervical cancer if you had a hysterectomy?

If you have had any type of hysterectomy to prevent or treat cervical cancer, you may still be at risk of developing cervical cancer. Also, if you only had a partial hysterectomy, which does not remove the cervix, it's still possible for cervical cancer to develop.
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Is Pap smear indicated after hysterectomy?

Pap test, also called a Pap smear, is a routine screening test for early diagnosis of cervical cancer. If you had a partial hysterectomy — when the uterus is removed but the lower end of the uterus (cervix) remains — your doctor will likely recommend continued Pap tests.
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Abnormal Pap Smear: What Does It Mean?



Can a woman get HPV after a hysterectomy?

Cytologic abnormalities and HPV infection are both relatively common in individuals who have undergone hysterectomy. HPV infection of the vagina is found with similar frequency as HPV infection of the cervix and the prevalence of hrHPV is similar between individuals with and without hysterectomy.
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How do they test for HPV after hysterectomy?

Continued vaginal cytology (Pap test) is recommended for women who had a hysterectomy for the indication of high-grade cervical dysplasia or cancer, as their risk of vaginal cancer remains elevated. Vaginal assessment may also be indicated in the presence of HPV-associated vulvar cancer.
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What are the chances of getting cancer after a hysterectomy?

Ovarian Cancer Still Possible After Hysterectomy

For most women without a family history or other predisposition for ovarian cancer, this risk is very small (less than a 1 in 70 lifetime risk).
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What are the symptoms of cervical cancer after hysterectomy?

Once the cancer is more advanced, women may start to notice the following warning signs of cervical cancer:
  • Abnormal Vaginal Bleeding. Dr. ...
  • Vaginal Discharge, Foul Smelling. ...
  • Pain During Sexual Intercourse. ...
  • Low Back, Pelvic or Appendix Pain. ...
  • Leg Pain. ...
  • Loss of Appetite or Unexplained Weight Loss. ...
  • Pap Test. ...
  • Pap Test Results.
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Do I need a cervical cancer screening if I had a hysterectomy?

"Women who have undergone a hysterectomy in which the cervix was removed do not require Pap testing, unless it was performed because of cervical cancer or its precursors." "The USPSTF recommends against routine Pap smear screening in women who have had a total hysterectomy for benign disease."
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Do I still need to see a gynecologist after a total hysterectomy?

Yes, you should continue to see your ob-gyn after you have a hysterectomy. Depending on the reason for your hysterectomy, you still may need pelvic exams and cervical cancer screening. Cervical cancer screening includes Pap tests, testing for human papillomavirus (HPV), or both.
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Can you have a colposcopy after a hysterectomy?

Therefore, we advocate that patients with CIN, including those who have undergone hysterectomy, should undergo cervical conization and routine HC2-HPV DNA testing. Schockaert et al5 recommended that cervical and vaginal colposcopy should be performed prior to hysterectomy due to CIN.
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How often do I need a Pap smear after a hysterectomy?

If your cervix was removed during hysterectomy for a benign condition, such as fibroids or endometriosis, you don't need further Pap tests.
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When should I be worried about an abnormal Pap smear?

If the answer is “more than three years,” it's time to call our office and schedule an exam. At Physicians for Women, we use the ThinPrep Pap Test, which is the most effective and widely used test available and has been proven to increase early detection of precancerous cells.
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What fills the space after a hysterectomy?

The bottom line

After any type of hysterectomy, your small and large intestines will fill most of the space your uterus previously occupied.
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Can you still get cancer after a full hysterectomy?

Yes. You still have a risk of ovarian cancer or a type of cancer that acts just like it (peritoneal cancer) if you've had a hysterectomy. Your risk depends on the type of hysterectomy you had: Partial hysterectomy or total hysterectomy.
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How do you check for cancer after a hysterectomy?

Care After Hysterectomy

You'll still need to undergo regular examinations after having a hysterectomy. Though there's no routine screening for ovarian cancer, your healthcare provider may recommend certain tests, like a pelvic exam, blood tests, or imaging tests if cancer is suspected.
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How do they check for ovarian cancer after hysterectomy?

Imaging tests, such as the transvaginal ultrasound or MRI can help to detect tumors. A blood test for the CA-125 tumor-associated antigen may also be helpful. However, the only way to confirm the diagnosis of ovarian cancer is with a biopsy of the ovary or other suspicious tissue.
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What are the symptoms of HPV in females?

HPV can infect cells in the vagina and around the vulva. If a female has low risk HPV, they may see warts on the vulva. These warts may present as: a cluster that looks like a cauliflower.
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Some symptoms of vaginal cancer include :
  • bleeding after sex.
  • unusual discharge.
  • a lump in the vagina.
  • pain while having sex.
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Can you still get ovarian cysts after hysterectomy?

Almost 50% of patients with ROS require surgery within the first 5 years after hysterectomy, and 75% within 10 years [1]. Possible pathologies that can occur in residual ovaries include follicular cysts, a hemorrhagic corpus luteum, periovarian adhesions, endometriosis, and benign and malignant neoplasms.
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How long do ovaries last after hysterectomy?

If a hysterectomy leaves 1 or both of your ovaries intact, there's a chance that you'll experience the menopause within 5 years of having the operation. Although your hormone levels decrease after the menopause, your ovaries continue producing testosterone for up to 20 years.
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What causes belly fat after hysterectomy?

Internal lower abdominal and pelvic swelling can take a number of months to subside after a hysterectomy. Abdominal hysterectomy and abdominal incisions can cause the deep abdominal muscles to stop working. When these muscles stop working, this can make your belly look floppy and larger in size.
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Does your stomach get bigger after hysterectomy?

You will probably notice that your belly is swollen and puffy. This is common. The swelling will take several weeks to go down. It may take about 4 to 6 weeks to fully recover.
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Do your hips widen after hysterectomy?

The uterine ligaments are the pelvis' support structures so the torso collapses after those ligaments are cut to remove the uterus. The hips widen and the spine and rib cage fall. This explains why hysterectomized women have shortened and thickened midsections and no curve in their lower backs.
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Can you develop endometriosis after hysterectomy?

Doctors may recommend a hysterectomy to help treat severe endometriosis symptoms that have not responded to conservative treatment. However, endometriosis can recur following a hysterectomy.
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