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Annual Exam FAQs and other FAQS
At what age should the annual pelvic examination and Pap
test begin?
According to the guidelines of the American College of Obstetrics and Gynecology, a woman should have her first Pap test within three years of becoming sexually active and/or by age 21. This should be done yearly unless the Pap test is abnormal. If your Pap test is abnormal, the follow-up test is determined according to your age and your provider should discuss this with you.
Why do I need a Pap test?
A Pap test is needed to detect cellular changes on the cervix that come from the Human Papillomavirus (HPV), a sexually transmitted disease that can sometimes lead to cervical cancer. For more information about HPV click here.
Is the Pap test and pelvic exam the same thing?
No. A pelvic exam is done to determine size, shape and position of the uterus and ovaries. A pelvic exam and other testing may be done for the following problems:
- abnormal vaginal discharge
- vaginal irritation or itching
- sexually transmitted disease testing (STD)
- pelvic or abdominal pain
If any of the above conditions are present, they will be addressed and treated, if necessary. The provider may suggest that you return for your annual Pap test and focus on the pelvic problems.
How do I make an appointment for the annual pelvic exam/Pap test?
An appointment can be made online at HealthWeb (please complete the online health questionnaire for the annual exam) or by calling 919-515-7762. Punctuality for your appointment is essential; please arrive at least 20 minutes early. If you arrive late, the appointment may need to be rescheduled.
When in my menstrual cycle should I schedule
an annual pelvic exam/Pap test?
A Pap test may be scheduled at any time; however, the first week
after a period is preferred.
What if I can’t keep the appointment
I made for my annual pelvic exam/Pap test?
If you can't keep your appointment, cancel by 24-hours prior to your appointment to avoid at $15 no-show fee for the annual exam with Pap test.
How much does a Pap test and pelvic examination
cost?
There is a fee for the exams. Prices are subject to change. There are additional fees charged
for STD tests. Please call 919-515-7762 for current fees.
How much time should I allow for the annual pelvic exam/Pap test?
Allow 1 hour.
How do I prepare for the annual pelvic exam/Pap test?
Complete the online questionnaire via HealthWeb prior to the appointment. To improve accuracy, nothing should be in the
vagina for at least 24 hours prior to the Pap test, including
tampons, medications, and douches. In addition, refrain from sexual intercourse.
What can I expect to happen during the pelvic
exam and Pap test?
1. The provider will first review your medical history that you completed online and allow you a chance to discuss concerns.
2. You will be asked if you need to empty your bladder.
3. Next, you will undress. You can use our paper drapes and tops or you can leave your tee shirt on (bra off) and lay the paper drape over you. First, your neck lymph nodes, thyroid, lungs and heart will be checked.
4.
Then, you will lie down on the table for the breast exam and abdomen exam. The provider will instruct you to put your feet in the stirrups and bring your bottom to the end of the table; the provider will inspect your external labia.
5. At this point, a speculum (an instrument that allows visualization of the cervix) is inserted into the vagina. While the speculum is in place, the Pap test is obtained by removing mucus from the external cervix and the inner opening of the cervix to collect cells (there is never any cutting).* The cells will be sent to a lab for examination.
6. After the speculum is removed, the examiner
places one hand on the lower abdomen and one or two gloved fingers
of the other hand into the vagina. The examiner presses on pelvic
structures (cervix, uterus, ovaries) to note whether any structure
is painful or enlarged.
*Sometime there may be cramping or spotting for a short time after a Pap test. Light day pads will be available.
Other FAQs
Will my parents know what test(s) I have had if I bill it to my student account?
No. However, if you file a claim with your insurance company using your itemized bill there is a chance your parents will know what test(s) you have had. The bill from the University Cashier will state miscellaneous, pharmacy or x-ray/lab. To prevent this, you may pay for the services rendered with cash, check or credit card the day you are seen at Student Health. However, through HealthWeb, an itemized account summary now is available for your purpose only.
What does LMP mean?
LMP means "last menstrual period." This is the first day of your last menstrual cycle, which is the day your period starts.
I think I may have or been exposed to a sexually transmitted infection (STI); what should I do?
Make an appointment online at HealthWeb. For STI screening information click here.
How do I start Depo Provera?
If you are already on Depo Provera and have had a Pap test within one year outside of Student Health, either bring the results with you or fax them to 919-513-3272 and include signed documentation of your last Depo Provera visit.
If you are new to Depo Provera, you must make an appointment (via HealthWeb) for a birth control consult. If you had a Pap test in the past year outside Student Health, either bring the results with you or fax them to 919-513-3272. On your second appointment (when you come for your Depo Provera shot), you need to be having your period and a pregnancy test will be given-- which must be negative-- before you begin taking Depo.
What does break-through bleeding mean?
This refers to spotting of blood between periods. It can happen when you are not on birth control pills mid-cycle at the time of ovulation, or when you are late or have missed taking your birth control pills. If you are taking your pills correctly and experience spotting, make an appointment to see a provider. You can make an appointment via HealthWeb.
When is the best time to start birth control pills?
The best time is on day one of your cycle, which is the day your period starts. |
