The test results from a Pap smear can go one of three ways: NORMAL, UNCLEAR, ABNORMAL. Normal: Indicates no cellular changes or precancerous activity was found. Unclear: Often warrants a repeat Pap test. This indicates that your cells could be mildly abnormal, due to a vaginal or sexually transmitted infection, changes in hormones, or poor test
This is called a "vaginal smear" or a "wet mount." The sample is prepared on a glass slide and checked under a microscope for bacteria, white blood cells, and other cells that are signs of infection. Checking for odor. This is called a "whiff test." The sample is mixed with a chemical to see if it makes a strong, fishy odor, which is a sign of BV.
The normal vaginal discharge is white, nonhomogeneous, and viscous. It contains vaginal squamous epithelial cells in a serous transudate, as well as material from sebaceous, sweat, and Bartholin's glands, and secretions from the cervix. A small number of polymorphonuclear leukocytes may be seen, probably coming from the cervix. The pH is below 4.5, usually between 3.8 and 4.2. The predominant Specimens may include cervical, cervical/vaginal, endocervical, vaginal and/or vulvar samples. To ensure thorough and complete interpretation of the Pap test, the following pertinent clinical history should be included on the requisition for all Pap tests: specimen source; date of birth; date of last menstrual period (LMP); gynecological surgery/procedures; if patient is pregnant or postHologic is the leader in Pap and human papillomavirus (HPV) testing. The ThinPrep Pap test helps healthcare providers and laboratory professionals detect the presence of abnormal cervical cells, and the Aptima HPV assays identify high-risk HPV mRNA that is indicative of the HPV infections most likely to lead to cervical disease. 1-3.
All women presenting with abnormal vaginal discharge should have a careful pelvic examination. Condition-specific tests (ie, colposcopy and cervical biopsies) are indicated for suspected cervical cancer. Studies that may be performed in cases of suspected vaginitis include saline wet mount, the so-called whiff test, pH testing, culture, nucleic
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