Pap test - a cytological screening for early detection of cervical changes as well as inflammatory changes. It is a simple and important preventive test in which cells of the cervix are analyzed for the early detection of changes that, if left unmonitored or untreated, may progress. The exam is brief, usually only slightly uncomfortable, and the result provides important information about cervical health. At Polyclinic Cito the Pap test is performed discreetly and gently, with a clear explanation of the findings, and HPV testing or a follow-up plan is recommended when needed.
The Pap test is a non-invasive medical test in which a swab of cells is taken from the cervix and analysed under a microscope. The aim is to detect pre-malignant changes in good time, to monitor existing changes and other abnormalities, often linked to HPV infection. It does not detect “everything”, but it is one of the most important preventive measures in gynaecology, especially when it is done regularly and as recommended.
Pre-malignant changes of the cervix are called CIN (cervical intraepithelial neoplasia) and represent cell changes that are not yet cancer, but can become serious if they are not monitored.
We distinguish:
It is important to stress that CIN is not cancer, but a condition that can be monitored and treated in good time.
Note: It differs from the HPV test. The Pap test assesses cells, while the HPV test detects the virus. Sometimes the best choice is a combination - as indicated.
It is most often done once a year, and sometimes more frequently at the gynaecologist's discretion. The reasons it is recommended include:
Before the test is taken, you talk with your chosen gynaecologist about your symptoms, your cycle, previous findings and the goals of the examination.
During the gynaecological examination a speculum is inserted into the vagina and the gynaecologist then uses a thin brush to take a swab of the cervix, the vagina and the cervical canal. The procedure is painless or briefly uncomfortable.
We send the sample for cytological analysis. The results may read: normal test, abnormal or unclear.
On receiving the findings you get a clear recommendation: follow-up, further work-up or continuation of regular prevention.
Proper preparation increases the reliability of the sample. Recommendations from our gynaecologists:
Instead of a "general conclusion", the aim is for you to leave with clear answers and a plan.
The difference is in the details: enough time, a calm approach and clear recommendations that you can understand and follow.
If it is time for a check-up or you have earlier findings to monitor, arrange an appointment – you will receive clear instructions and a plan.
The price of a basic gynaecological examination that includes a Pap test at Cito Polyclinic is 60€. Additional tests such as an ultrasound, HPV typing, colposcopy or swabs are charged separately, as needed.
You can get the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Specialist in Gynecology and Obstetrics
Find answers to common questions about this service
Optimally after the end of menstrual bleeding. Vaginal intercourse, douching and local preparations should be avoided 24–48 h before the Pap test itself.
The result is most often available within about 15 days; Pap test results are delivered by SMS or in electronic form, depending on the patient's preference.
ASC-US/LSIL indicate mild changes related to HPV; repeat testing and/or HPV genotyping is usually recommended. HSIL suggests more significant dysplasia and colposcopy with targeted intervention is indicated.
The Pap test detects cellular changes, not the HPV type; HPV DNA testing is required for genotyping. The Pap test is a screening, not a diagnostic, method for cervical cancer.
