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Discussion Starter · #1 ·
My next prenatal appt is in April. My last pap was 2004. I've never had an abnormal pap. They want to do a pap next visit in April. I think I've read that there is a good chance for a pap done in pregnancy to come back abnormal. I'm already on the cusp of being high risk, so I'm afraid that an abnormal pap will send me directly to high risk. Does anyone have any info about paps done around 12 weeks? Any compelling reason to accept or decline?
 

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I think it is good that you are looking into this first. Personally I wouldn't get it. I've heard it can increase the chance of m/c but I've only heard that and never researched it myself.
 

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From what I've read, pap tests don't cause miscarriages, but they can cause spotting which freaks women out into thinking they might be having a miscarriage. I can't think of any reason why a pap would cause a miscarriage - they're scraping the CERVIX, not the uterus.<br><br>
Paps *can* come back abnormal during pregnancy moreso than when not pregnant.<br><br>
I'm a month overdue for mine, so I'm getting it done at the next prenatal when they do my u/s. I had my first prenatal today, where we mainly just talked.
 

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Yes I am another person who doesnt believe paps cause m/c I think most of it started here when a mama had a pap and that same day she had a m/c I dont think there is any connection between the two. IMHO.<br><br>
I have always had normal paps....and mine this time came back abnormal....we are going to repeat in 3 months....I think it would be a good idea to talk to your doc and ask them about what they think and "why its necessary and cant wait until your 6wk PP checkup"
 

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I just turned it down. I don't think it is the time for doing a pap. If it was that big of a concern they should have done it in the last two years, not as soon as you get pregnant. As far as I know, pregnancy does not cause cancer!!!!<br><br>
The doc really gave me a lot of grief until I asked her how many woman actually are diagnosed with cancer while pregnant and if there was some new contagious form of cancer floating around that I could have caught in the last nine weeks. She left me alone after that.<br><br>
JMO!
 

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I don't know that it increases your chances of m/c but I had a pap during my last pg and I had TONS of cramps and b/h afterwards... I was 15 weeks or so. It really scared me. I swore never again... luckily for me, it came back okay.<br><br>
I do not need the stress of any false positive tests so I don't do genetic testing or paps.<br><br>
and CONGRATS Meghan! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/partytime.gif" style="border:0px solid;" title="partytime">
 

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I have had cervical cancer - diagnosed & treated at 24 years old.<br>
I won't have a pap while pregnant and the reason is because if the pap does come back bad they will want to do a culposcopy which will increase your chances of m/c. There is no treatment for cervical dysplasia that would not interfere with the pregnancy (freezing, carturization, removal of part of the cervix).<br>
I guess you could get a good pap and that may put your mind at ease but getting an abnormal pap while pregnant is VERY common.<br>
I got a pap just a few months ago and we plan on ttc in the next few months. I will get another pap PP.<br><br>
Keri
 

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<div>Originally Posted by <strong>kerikadi</strong></div>
<div style="font-style:italic;">I won't have a pap while pregnant and the reason is because if the pap does come back bad they will want to do a culposcopy which will increase your chances of m/c. There is no treatment for cervical dysplasia that would not interfere with the pregnancy (freezing, carturization, removal of part of the cervix).</div>
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Exactly- if there's nothing you can do about it why even have it done and end up getting stressed out if the result if abnormal? I have also heard that it is best to wait about 8-12 weeks after you give birth to have one done. The only abnormal one I've ever had was 6 weeks after I miscarried.
 

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mine came back abnormal when pregnant, but nothing was wrong. i had to have two more afterwards that were normal...a big pain.
 

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Discussion Starter · #10 ·
I'm not doing the genetic testing either. Even the cma at my ob's office thinks the afp test has too high of a false positive rate. I'm young and healthy. Cervical cancer does scare me, and I don't know what kind of treatment a pregnant woman could undergo. The false positive rate scares me because I feel it would lead me to completely freak out.<br><br>
Oh and thanks Michelle<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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SOooo many women I've read about here have had miscarriages after paps. I refuse it based on that. Also, although the docs say we should get them every year, I understand that they are more necessary every other year... so you could get it after the baby and be fine. Additionally, I've also read that they are more likely to come back abnormal while preggie - which, ESPECIALLY in your situation, is reason enough to refuse is my opinion.<br><br>
goodluck. You definitely have the right to refuse, though! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<div>Originally Posted by <strong>Tori Gollihugh</strong></div>
<div style="font-style:italic;">SOooo many women I've read about here have had miscarriages after paps.</div>
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Well, Soooo many women I've read about here have had miscarriages after drinking water too. I still drink water. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> Seriously, saying someone had a m/c after doing xyz without having any reason to believe that xyz CAUSED the m/c is being wreckless, IMO. And that's the kind of thinking that causes doctors to think people like us are wackos. Let's think scientifically - What is it about a pap smear (scraping the cervix with a little swab) that would cause a m/c?<br><br>
Now the argument about how cervical cancer in a pregnant woman is treated is a better argument, and that makes me question whether I'll have the pap this time or not (I'm supposed to get it in a few week). But the m/c risk? Nope. Sorry, but scientifically, I don't see any reasoning why one would cause the other, and I don't see any correlation between pap smears and m/c's. There are SOOOO many women on this board having m/c's period, and guess what? It happens! Usually because there's something genetically wrong with the baby, and the body says "Whoops! Try again!" The timing of being after a pap smear is just coincidental - the pap is usually done somewhere around 6-10 weeks, and that's also a major time that m/c's happen (with prior to 6 weeks probably being more common).
 

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Most caregivers here do not do paps during pregnancy or for 3 months after birth because of a ridiculous amount of false abnormal results, which can lead to riskier tests, etc.
 

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Of my three babies, I had a pap done with the first two, and they both came back abnormal. They said that they'd wait until my 6 wk pp exam to redo it, and the first time, I did have cancer and a culposcopy, but the second one, the 6 wk pap came back fine. This time, my mw didn't even suggest it. The thing is, whether it's fine or abnormal, you'll have to wait until your pp appt to have it redone, then they'll decide what to do. I'd just skip it, it's unneccessary (sp?). I'll never have one done again, personally.<br><br>
ETA: stimulating the cervix can cause bh's and cramping. Scraping the cervix would be considered stimulating. So, yes, there could be a small concern about m/c after a pap, esp if the woman has a history of m/c or incompetent cervix.
 

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I have a pap smear done while I was pregnant with my daughter and she was fine.The pap smear was abnormal as well and this is because I had fibroids.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/mischievous.gif" style="border:0px solid;" title="mischief"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/blush.gif" style="border:0px solid;" title="blush">
 

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I'm not sure I buy the pap=m/c theory as I agree that swabbing a cervix would not cause m/c - I know my sex is much rougher than that swab <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy"><br>
However, maybe it's the speculum that causes problems <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shrug.gif" style="border:0px solid;" title="shrug"> I can tell you that there have been times that an OB put that thing in and jacked it up like he was getting ready to fix a flat tire!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><br>
When having a pap done by my M/W she barely opened the speculum while inside me so maybe (if there is an issue) it's not the swabbing but the whole speculum thingy.<br><br>
Keri
 

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I refused anything internal yesterday at my first prenatal. ALL 5 of my miscarriages started with spotting exactly two days after my first internals of the pregnancy. Internals to include pap. Needless to say I am hesitant to RISK it. Not saying it is the cause but after alot of testing and alot of money with no answer as to why I am simply not willing to take the chance.
 

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I chose to wait after I give birth to do any pap. I know I'm not @ risk for anything so there's no point to do it now.
 
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