Why do you need a Pap smear after hysterectomy?

Similarly, if you had a partial hysterectomy or a total hysterectomy — when both the uterus and cervix are removed — for a cancerous or precancerous condition, regular Pap tests may still be recommended as an early detection tool to monitor for a new cancer or precancerous change.
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Can you still get cervical cancer after having 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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Why do I need a vault smear after hysterectomy?

The vaginal vault test helps to prevent any cell changes from developing into vaginal cancer by detecting high-risk types of HPV which could cause cell changes in the vagina, called VAIN.
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Do I need an annual exam after 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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Do I need a gynecologist if I had a hysterectomy?

Even if you have had a hysterectomy, gynecological exams are still important! Many women don't realize that they still need regular gynecological care even after a hysterectomy. Skipping your exams may mean skipping important health screenings and preventative care.
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Do you need a pap smear after a hysterectomy-Jaime Middleton, MD



Do I need a Pap smear if I had a total hysterectomy?

If you have had a full hysterectomy, in which your entire uterus was removed, your cervix was also removed, and you would no longer need a pap smear. If, however, you had a partial hysterectomy and preserved the cervix, you should continue to have Pap smears.
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What replaces the cervix after hysterectomy?

The cervix is the lowest part of the uterus where it meets the vagina. During a total or radical hysterectomy, a surgeon removes the woman's whole uterus, including her cervix. The surgeon will then create a vaginal cuff in the place of the cervix.
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Do you still have HPV after 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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Can you have abnormal Pap after hysterectomy?

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. Women who developed VAIN 2+ after hysterectomy were significantly older than women that did not.
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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 ovarian cancer after hysterectomy?

Some common symptoms include:
  • abdominal bloating and discomfort.
  • trouble eating or feeling overly full.
  • frequent urination or the need to urinate often.
  • fatigue.
  • heartburn or upset stomach.
  • back pain.
  • painful intercourse.
  • constipation.
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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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Does having a hysterectomy age you faster?

Having a hysterectomy is a big change for your body. Depending on where you are in your menopause journey, this type of procedure can cause hormonal changes resulting in different side effects. A hysterectomy by itself usually doesn't affect your hormones and aging as much.
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What is left after a total hysterectomy?

In a total hysterectomy, the uterus and cervix are removed. In a total hysterectomy with salpingo-oophorectomy, (a) the uterus plus one (unilateral) ovary and fallopian tube are removed; or (b) the uterus plus both (bilateral) ovaries and fallopian tubes are removed.
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Can I get HPV without a cervix?

You get it when your vulva, vagina, cervix, penis, or anus touches someone else's genitals or mouth and throat — usually during sex. HPV can be spread even if no one cums, and even if a penis doesn't go inside the vagina/anus/mouth. HPV is the most common STD, but most of the time it isn't a big deal.
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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.
...
Some symptoms of vaginal cancer include :
  • bleeding after sex.
  • unusual discharge.
  • a lump in the vagina.
  • pain while having sex.
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Is HPV contagious for life?

That means it can spread to someone else through sex or close sexual contact and cause warts in that person. It's hard to know when people are no longer contagious, because there's no blood test that looks for HPV. Most of the time, HPV is gone within 2 years of when someone was infected.
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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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Can a man feel when a woman has had a hysterectomy?

Some husbands worry their wives may feel different or no longer express interest in them. The reality is that sex after hysterectomy for the man may feel surprisingly similar. In all procedures, the surgeon takes steps to maintain vaginal functionality.
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What happens to the empty space after a hysterectomy?

After you have a hysterectomy, your other organs move to fill the space. Your small and large intestines mainly fill the space once occupied by the uterus.
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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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At what age should a woman stop seeing a gynecologist?

Typically, women ages 66 and older no longer need a routine Pap exam each year, as long as their previous three tests have come back clear. The benefits of a yearly gynecologist visit can extend far beyond a pap smear, though.
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Can you get an STD after you have a hysterectomy?

Abstract. Thirty-one women who had had total hysterectomies, seen in a venereal disease clinic, were interviewed and examined. Thirteen (31%) of the 31 women had acquired one or more venereal infections after hysterectomy.
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Do you still have a cervix after hysterectomy?

In total and radical hysterectomies, the cervix is removed along with the uterus, and potentially other reproductive organs. If you have a partial hysterectomy, also known as a subtotal or supracervical hysterectomy, your cervix is left in place.
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Do your hips get wider after a 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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