Is it possible to take a smear after an ultrasound scan. Is it possible to take a gynecological smear for flora during menstruation? What smear analysis shows in women: interpretation of results

Check women's health for only 6090 rubles *!

Women's beauty is the perfect reflection of women's health. Most often, a lady dissatisfied with the reflection in the mirror goes to see a beautician, not even suspecting that the purity of the skin and a clear oval of the face largely depend on the health of the genitourinary system.

Statistics confidently confirms the fact that 75% of women suffer from certain diseases of the female genital area.

Decreased immunity, the modern rhythm of life, constant psychological stress, uncontrolled intake of drugs, free sexual relations and genital infections lead to the development of numerous diseases, the most common of which are:

  • inflammatory diseases of the genital organs - external (labia, vagina), as well as internal (cervix, uterine mucosa, ovaries, fallopian tubes);
  • benign formations - cysts, erosion of the cervix, etc.;
  • malignant neoplasms are cancer of the body of the uterus, which today, according to statistics, is in first place, as well as cervical cancer, which is in second place, and also ovarian cancer;
  • hormonal disorders.

If the disease is not diagnosed in time, it becomes chronic and it is much more difficult to cope with it. Although today there are many medical programs for the early detection of gynecological diseases, many women come to a specialist when the disease is already fully manifesting itself, which leads to longer treatment, as well as the transition of diseases to a more dangerous chronic form.

Prevent illness - undergo a diagnostic examination!

Many diseases are practically asymptomatic and are detected quite by accident during a gynecological examination or during the delivery of clinical tests. It is not for nothing that experts advise women to undergo regular check-ups with a gynecologist at least twice a year. This allows you to identify pathological changes at the earliest stage of development, correctly diagnose the disease and conduct effective treatment.

The ON CLINIC Medical Center has an excellent team of qualified gynecologists with vast practical experience.

Do not give the disease a chance - go through regular medical examinations and remain a beautiful, blooming woman as long as possible.

We invite beautiful representatives of the fairer sex to take advantage of a unique chance and undergo a comprehensive examination at the ON CLINIC center with a big discount, which includes:

  • Primary and repeated consultation with a gynecologist;
  • Ultrasound of the pelvic organs;
  • Colposcopy;
  • Smear bacterioscopy.

In case of revealing any pathologies or deviations from normal indicators, the gynecologist will prescribe an additional examination, as well as treatment.

Trust your health to professionals! HE CLINIC

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Every woman had to take a gynecological smear. This procedure allows you to identify various gynecological and venereal diseases, to identify the vagina. This is a fairly simple, quick and inexpensive way to monitor the state of the genitourinary system. Every woman is advised to have a smear test every year, even if there are no unpleasant symptoms.

In what cases is a gynecological smear prescribed?

A gynecological smear is taken during almost every examination by a gynecologist. Often a smear is taken for prophylaxis, since many diseases in the initial stages are asymptomatic.

Many women are interested in when it is better to take a smear so that it is reliable, whether it is possible to take a smear during menstruation. The timing of the smear is prescribed by the doctor, they are individual and depend on the specific disease: in some cases, smears are taken at any time, others require a specific day of the cycle.A woman can take a smear at a paid clinic at any time she wants to check her health.

A smear is prescribed by a doctor in the following cases:

  • Pregnancy. During pregnancy, a swab for flora is taken several times. This is necessary to check the condition of the woman's reproductive system, to monitor pregnancy. Any bacterial, inflammatory disease can lead to impaired development and termination of pregnancy.
  • Unusual discharge. It is recommended to take a gynecological smear if the discharge has become an unusual color (yellow, green, brown), consistency (thick, cheesy) or has a pungent odor.
  • Itching, burning and pain in the perineum. The presence of itching and burning in the perineum may indicate the presence of an infectious, inflammatory disease. These signs require immediate investigation.
  • Menstrual irregularities. For various violations of the menstrual cycle, a woman is recommended to undergo a full examination: donate blood, smear, to do to identify the cause of the violations.
  • ... At the planning stage, a smear is necessary, since it allows you to detect violations and inflammations in time, treat them even before the moment of conception, which increases the chances of a successful pregnancy.
  • Long-term use of drugs. Some drugs can disrupt the microflora of the vagina. These drugs include oral contraceptives, antibiotics. After completing the course of treatment, it is recommended to take a smear in order to detect and treat violations in the microflora in time.
  • Change of partner. If a woman has changed her partner or during the last year she had more than 1 partner and she did not visit a gynecologist, it is advisable to take a smear for flora.

When is the best time to have a smear?

As mentioned above, the timing of the smear is individual. If it is not possible to take a smear at the moment, the doctor will prescribe a different time. Usually, a smear for prevention is taken immediately when visiting a gynecologist, without taking into account the cycle. If violations are revealed, the next smear can be prescribed taking into account the cycle and course of treatment.

There are several types of smears: vaginal, cervical, urethral. They are usually taken at the same time:

  • It is believed that the optimal time for the delivery of a gynecological smear is 7-10 days after the onset of menstruation, that is, 2-3 days after the end of bleeding.
  • During menstruation, the smear is not given, as spotting can blur the picture. In some cases, this is possible, for example, if a woman needs to have smears constantly to check for bacterial growth and the development of a disease. During menstruation, a smear is taken if a woman has urgent complaints, pains and discomfort that require immediate examination.
  • Sometimes a woman's bleeding does not stop for a long time. In this case, a smear is also taken at any time, since it is necessary to determine the cause of uterine bleeding.
  • If the first smear revealed a violation, a course of treatment is prescribed. After the end of treatment, a woman is advised to wait for her period and take a smear on the 7-10th day of the cycle.
  • During pregnancy, a smear is taken any time it is needed.
  • Taking various medications affects the term of the smear. It is not recommended to have a vaginal and urethral swab while taking antibacterial drugs.

Useful video - Swab from the cervical canal:

Despite the possibility of taking a smear during critical days, do not forget that such an analysis will have its own difficulties. For example, it is recommended not to wash with soap before a smear, and during menstruation this is impossible, especially if the discharge is abundant. The use of sanitary wet wipes will also compromise the result.

During the collection of a smear due to discharge, the doctor practically does not see exactly where he is taking the material from. Blood will invariably end up in the smear, so the result may be unreliable. However, when bacteria are detected, the analysis for menstruation does not affect the result in any way.

Preparation and procedure for taking a smear

Often, a smear is taken when visiting a gynecologist as a preventive check. In this case, there can be no preparation. If the smear is planned, the doctor will definitely warn about the preparation methods.

Preparation affects the reliability of the result. The procedure itself is quite painless, the sensations can be compared to unpleasant ones. If severe pain is felt, it is due to the presence of inflammation, but not to the smear procedure itself.

  • A day or two before taking a smear, it is recommended to refuse sexual intercourse.
  • It is not recommended to wash with soap before going to the doctor. This can be done in the evening. Harsh cleansers can disrupt your vaginal flora. In addition, it is undesirable to use panty liners.
  • On the day of smear delivery and the day before, it is not recommended to insert vaginal suppositories, use ointments and intimate lubricants.
  • If a smear is given for, that is, for the determination of infections, it is recommended to provoke them. The day before the test, you need to eat smoked, salty, spicy food, which will help identify hidden infections.
  • It is undesirable to shave your bikini area on the day of your doctor's appointment. Immediately after shaving, slight swelling, redness, inflammation, scratches form, which can affect the result. It is best to do epilation a day or two before visiting the gynecological office.

A vaginal swab is taken quickly and painlessly. The woman sits on a chair, and the doctor, using a disposable spatula, takes some mucus from the vagina. At the same time, a woman may not feel anything.

The smear is accompanied by more unpleasant sensations.

The cervical canal is located close to the uterus, so taking a swab from this part is somewhat more difficult. Usually this smear is necessary to determine pathologies, the presence of cancer cells. The smear is also taken with the help of gynecological mirrors and a spatula.

A urethral swab is taken with a thin, hooked spatula. This procedure is unpleasant, but not painful. A burning sensation may be felt for some time after taking a smear. It is not recommended to urinate an hour before a urethral smear.

The result of a smear: what a smear can "tell"

A gynecological smear helps to detect various inflammations, infections and diseases

The smear has 4 degrees of purity. A first grade smear is considered ideal. All indicators are normal. A smear of the fourth degree of purity indicates that the disease has already started, there is an inflammatory process and it is necessary to urgently start treatment.

A gynecological smear includes many indicators, but their rate varies depending on the presence of pregnancy or menopause in a woman:

  • ... These cells indicate the presence of inflammation. They can be present both in the vagina and in the cervical canal, urethra, but in small quantities.
  • ... Epithelial cells are present in any smear, but in moderation. If the amount of epithelium is large, this indicates either an inflammatory process or hormonal disorders.
  • Gram-positive sticks. They should only be present in the vagina. The more, the better. They are responsible for the immunity of the vagina. But a reduced amount of a stick indicates inflammation or dysbiosis of the vagina.
  • Gram-negative sticks. These rods are absent in a healthy body. Their presence indicates inflammation or microflora imbalance.
  • Yeast mushrooms. Mushrooms should be absent from the smear. Their presence speaks of candidiasis, or thrush.
  • Gonococci. These are the causative agents of gonorrhea, the presence of which in the body is very undesirable. Gonorrhea causes unusual discharge, pain in the perineum and urethra, discomfort during intercourse, and can also lead to joint diseases.
  • Trichomonas. Trichomoniasis is a sexually transmitted disease. The presence of any number of Trichomonas in the smear indicates trichomoniasis. This disease does not often lead to complications, but in its advanced form it can cause inflammation of the fallopian tubes.
  • Chlamydia. Chlamydia in the smear should also be absent. Chlamydia is one of the most common causes of female infertility and can also lead to miscarriages during pregnancy.

It is often the first step in a survey. If abnormalities are found in the smear, then further examination is prescribed. In some cases, a gynecological smear is sufficient to diagnose and prescribe treatment.

Oncocytological smear is a microscopic analysis performed for the purpose of early diagnosis of abnormal (cancerous) changes in the epithelium of the cervix. Biological material for analysis - cells taken from the vaginal part and cervical canal - ectocervix and endocervix.

Due to the increased risk of cancer, the Pap test, as it is also called oncomicroscopy, is recommended for women who are predisposed to cancer, as well as for pregnant women. The results of the study are presented in the form of a description of the cells found in the material.

Preventive and diagnostic tests can be done at the Women's Medical Center. Research is carried out in a short time - in the laboratory of the center. The cost of the service in the ICC is 1,500 rubles. The term of completion is 10 working days.

The cost of a smear for oncocytology *


Why take a smear

The PAP test gives a clear picture of the state of the epithelial cells of the uterus and cervical canal. Oncocytology is used both as a preventive measure (therefore, the test is recommended annually for all women who have reached the age of 18), and as the easiest way to detect cancer at an early stage.

At least once a year, a cervical smear should be taken by patients who are at risk due to age and hereditary factors, women who have cervical erosion or papilloma virus. In pregnant women, the scraping is taken three times.

Most often, cervical cancer is diagnosed in women of middle age - from 35 to 55 years. Among those who have practically no chance of a cure, women who did not undergo preventive examination and diagnostics for several years self-medicated.

Specialists

Preparation for analysis

Any inflammatory processes in the vagina can change the picture of oncocytology, therefore, the analysis is carried out only after confirming the purity of the vaginal environment.

  • douching;
  • have sexual intercourse;
  • use vaginal medications;
  • take a bath (use a shower).

It is better to take a smear in the period starting from the 5th day of the cycle, but no later than 5 days before the onset of menstruation. If a colposcopy is prescribed, then scraping is taken the day before or 2 days after the procedure.

How to take a smear for cancer cells

The material is taken from the cervical canal and the vaginal part with a special brush or spatula. A smear for oncocytology in our center is examined in a traditional way - it is transferred to a sterile glass, stained and studied.

The average duration of the preparation of results is 7-10 days. The sampling of the material does not cause pain and is carried out during a gynecological examination.

Discomfort can only be caused by the introduction of mirrors, which are used to expand the view of the inside of the vagina.

What does the oncocytology of the cervix show: norm and decoding

The essence of oncocytology is the study of the cellular composition and state of organelles - permanent constituents of cells. For the reliability of the result, the doctor does not limit himself to taking a scraping from the vaginal part of the cervix, but takes a smear from the cervical canal for examination.

The results of the analysis are descriptive and state the presence or absence of cancerous or altered cells (characterizing a precancerous condition).

The term "no abnormal features" in the cytogram speaks of a negative result - the norm. In positive oncocytology, abnormalities can be described as a change in cell morphology, single cells with structural abnormalities or pronounced signs of malignancy, a large number of abnormal cells.

Where to take in Moscow

Oncocytology according to the innovative method of the PAP test can be done at the Women's Medical Center. Getting a positive cytogram is cause for concern. Perhaps the diagnosis will not be confirmed, and the smear showed an inflammatory process, but for this you need to consult a gynecologist, if necessary, undergo an additional examination.

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