How can I reduce the pain of pap smear tests due to dryness and menopause?

Doctor's Answers 2

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Dr Paul Ang

General Practitioner

Thank you for sharing your problems.

1) I will usually perform a pap smear for patients around the menopause age, and if it is negative, I wouldn't do any further pap smears, unless there is bleeding or new symptoms.

2) This is a hard question to answer. The pain experienced could be attributed to various factors as follows:

a) The doctor/gynae/nurse performing the procedure

b) The size of the speculum (plastic device that's inserted)

c) Use of lubricants

d) Some clinics also use lignocaine (numbing) jelly before the procedure to numb the area

e) Consider treating the vagina with premarin cream if it is really dry and painful (need to see a doctor to get)

Take Care.

Pass urine before the test: Pap smears may cause mild discomfort due to a sensation of pressure in the pelvic area. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might require a urine sample for other testing purposes, thus check with the doctor or staff before going to the restroom.

To perform the pap smear, your doctor will use an appropriate amount of lubricating gel to lessen any discomfort.

It is also important to take deep breaths and try to relax your pelvic muscles during the procedure. Being tense would make you more likely to squeeze your pelvic muscles, which in turn would add pressure to your pelvic region and may cause more discomfort.

Let your doctor know if there is pain or significant discomfort.

There may be slight bleeding after a pap smear. If, however, you are experiencing heaving or prolonged bleeding, or severe pain or cramps, seek medical attention straight away.

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