Pap smear, HPV test and HPV vaccine

Small tests that find problems early

Cervical screening finds changes in the cervix before they can turn into cancer. Dr Leng Meng Chik offers the Pap smear and HPV test at KPJ Seremban Specialist Hospital, along with the HPV vaccine, pre-pregnancy check-ups and yearly women's health checks. The tests take a few minutes, and early changes are easy to treat.

Also called: Cervical screening, Pap test, HPV DNA testBahasa Melayu: ujian Pap smear, vaksin HPV · 中文: 子宫颈抹片检查
Illustration of a Pap smear sample being taken from the cervix
During the test, a soft brush collects a few cells from the cervix.

Key facts

  • Cervical cancer grows slowly, over many years.
  • Most cervical cancer is caused by HPV.
  • A Pap smear or HPV test takes a few minutes.
  • You still need screening after the HPV vaccine.
Dr Leng explaining with a model in her clinic

Good to know

HPV is very common. Most adults get it at some point, and the body usually clears it. A positive result does not mean anyone was unfaithful. It can stay quiet for years.

See a doctor soon if you have

  • Bleeding after sex
  • Bleeding between periods
  • Any bleeding after menopause
  • Unusual discharge that does not go away
  • Pain during sex

Do not wait for your next screening test. See a doctor soon.

What is the difference between a Pap smear and an HPV test?

A Pap smear looks at cells from the cervix for early changes. An HPV test looks for the virus that causes most of those changes. Both use the same quick sample. Dr Leng tells you which one you need.

How often should I be screened?

As a general guide, women who have had sex should be screened from their 20s until 65. A Pap smear is usually every 3 years. An HPV test is usually every 5 years. Your plan may be different if you have had an abnormal result.

What happens during the test?

You lie on a couch with a sheet over you. Dr Leng gently opens the vagina with a smooth instrument and uses a soft brush to collect a few cells. It takes a few minutes. It may feel a bit uncomfortable, but it should not hurt. You can ask her to stop at any time.

Who should have the HPV vaccine?

The vaccine works better when given before any contact with the virus, so it is given to girls from age 9. Adult women can still benefit. Ask Dr Leng if it is right for you.

HPV vaccine details

What is in a yearly women's health check?

A yearly check covers what matters for your age:

  • A talk about your periods, health and family history
  • Blood pressure and weight
  • A breast check
  • A Pap smear or HPV test, if due
  • Blood tests, if needed

What else do women ask about screening?

Does a Pap smear hurt?

It should not hurt. Most women feel some pressure or mild discomfort for a minute. Breathing slowly and relaxing your legs helps. Tell Dr Leng if anything hurts.

Does a Pap smear also test for HPV?

Not always. A Pap smear looks at the cells of the cervix. An HPV test looks for the virus. Both can be done from the same sample. Dr Leng tells you which test you are having and why.

How much does a Pap smear or HPV test cost?

The cost depends on the test and the hospital charges. Please ask the clinic for the current price when you book. Some insurance plans and company health checks cover it.

Can I have the test during my period?

It is better to book on a day you are not bleeding. Mid-cycle, about a week after your period ends, is a good time.

Do I still need screening after the HPV vaccine?

Yes. The vaccine protects against the most common types of HPV, but not all of them. Keep up with your screening tests.

HPV vaccine details

I have never had sex. Do I need a Pap smear?

Usually not, because the risk is very low. Talk to Dr Leng about what is right for you.

Dr Leng Meng Chik

Dr Leng Meng ChikConsultant Obstetrician & Gynaecologist, MD (UNIMAS), MRCOG (UK). MMC 54266. KPJ Seremban Specialist Hospital. About Dr Leng

Sources

  1. WHO fact sheet: Cervical cancer
  2. NHS: Cervical screening
  3. NHS: HPV vaccine

Book your screening with Dr Leng.

Bring your questions. Dr Leng will explain what is going on and help you choose what to do next.

KPJ Seremban Specialist Hospital, Seremban
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