INFORMATION  ON HIV

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Ontario HIV Clinics' Fact Sheet

PAP test/PAP smear and HIV

What is a PAP test?

The uterus, or womb, is a small pear-shaped organ located in a woman's pelvis. It has two parts; the uterus itself and the cervix (neck of the uterus). The PAP test is the test that looks for changes in the cervix. This test can tell if a precancerous or cancerous condition exists.

Who should have a PAP test and how often?

Women living with HIV seem to have abnormal results of PAP tests more often than HIV-negative women. Many women with HIV will have a PAP test done every 6 months. Your physician will recommend if you need one less frequently or more frequently.

Where do I go for a PAP test?

IYour family doctor and some HIV specialistscan do this test, but you will be referred to a gynaecologist if necessary.

What if my PAP test is abnormal?

You must have a colposcopy if your test is abnormal. Your gynaecologist will look at the cells of your cervix with a tiny microscope called a colposcope. If necessary, the doctor may take a small sample of your cervix (biopsy) for examination. There may be some minor discomfort and bleeding with this procedure.

References

The College of Family Physicians of Canada (1993). A comprehensive guide for the care of persons with HIV disease. Module 1: Adults-Men, women, adolescents. Ottawa: Health Canada.
Canadian Cancer Society (1993). The PAP test.

Ontario HIV Clinics' Network, May 1996