ï»?html> I had a total hysterectomy almost 20 years ago. Do I still need pap smears & what about cervical cancer?
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I had a total hysterectomy almost 20 years ago. Do I still need pap smears & what about cervical cancer?

I had a total hysterectomy almost 20 years ago. Do I still need pap smears & what about cervical cancer?

If a hysterectomy was performed for a cancer, then it would be mandatory to have ongoing 鈥渧aginal vault�pap smears well into the future.

One must also remember that even though a total hysterectomy technically means the cervix is also removed, it is remotely feasible that some endocervical cells may remain in the area of the vaginal vault. It is recognised that in some cases, vaginal vault smears can produce cellular evidence of glandular cells i.e. endocervical cells. Therefore, technically it is still possible to have the potential for development of neoplastic lesions in a vaginal vault. This is especially so if sexual activity persists or if there was ever a recorded HPV or neoplastic lesion in the patient prior to the hysterectomy.

Hence continued pap smears of the vaginal vault would be prudent.
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ask your doctor
You dont need a pap smear and you cant get cervical cancer. If you ovaries are retained then get an ultrasound done once a year to ensure all is well.
Yes, you can still get cancer in your cervical area. Rather be safe than sorry
if you had a total hysterectomy including taking your cervix out you shouldn't need one however it is still sometimes common practice for some doctors to do a pap smear on some patients to check the vaginal area, though not as often as if you still had your uterus and cervix.
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