OBGYN in Richmond, VirginiaWhen it comes to gynecology, a pap smear and pelvic exam are often confused as the same procedure. This is inaccurate, however, as they are two very different things. The confusion may come about because both are routinely done at yearly well-women visits.

What is a Pap Smear?

A pap smear is often done during a well-woman visit. It is a procedure to check for cervical cancer and (sometimes) sexually transmitted diseases or STDs. It typically involves swabbing the cervix with a long cotton swab. The swab is then sent to a medical laboratory to be evaluated for certain signs of either cervical cancer and/or STDs.

What is a Pelvic Exam?

A pelvic exam is a physical examination of the vaginal area and surrounding regions. In addition to a general physical examination it may also include (depending on the reason) an ultrasound or other imaging. While a pelvic exam is done during a yearly well-women visit, it is also routinely done during pregnancy or at any point a woman complains of vaginal/lower abdominal pain or discomfort.

Takeaway: Key Differences

  • A pap smear is a lab test, while a pelvic exam is a physical examination.
  • A pap smear is routinely only done during well-woman visits, while a pelvic exam is done in other circumstances – like pregnancy or when complaining of pain.

Do I Need A Pap Smear or Pelvic Exam?

Yes, to both. A pap smear should be done every year after a woman receives her first menstrual cycle or (depending on state laws) after turning sixteen. With yearly testing cervical cancer can be caught early enough for a high survival rate. During your pap smear you can also be checked for certain STDs, which is vital to overall reproductive health.

Pelvic exams should typically be completed yearly also. You should also get several pelvic exams during pregnancy to ensure the health of both yourself and the unborn child.

River City Ob/Gyn and Dr. Paoloni understand that well women care can be a nervous undertaking.  The importance of these screenings is emphasized at River City Ob/Gyn while providing privacy and compassionate care.  To make an appointment for your annual exam, contact us at (804) 362-0808.