A Pap smear is a simple test that helps detect abnormal cells in the cervix before they turn into cancer. It has been a critical tool in reducing cervical cancer cases worldwide.
However, with the introduction of the HPV vaccine, many people now, understandably, wonder if it is still necessary to get the pap smear test. Singapore follows global guidelines recommending that women continue regular Pap smears, even after receiving the HPV vaccine, to ensure early detection of any abnormalities.
Now, the HPV vaccine protects against the most common cancer-causing strains of the virus. But does that mean you can skip cervical screenings?
The short answer is no. Regular Pap smears remain an important part of any woman’s health, even after vaccination.
On this page, we will explain why Pap smears are still necessary post-vaccination. You’ll learn how the vaccine works, why screenings are still needed, and how often you should get tested. Keep reading!
What are Pap Smears and HPV Vaccination?
A Pap smear is a quick and painless test that detects changes in cervical cells. It helps find early signs of cervical cancer.
Thanks to this test, doctors are able to treat abnormal cells before they turn dangerous. The test involves collecting a small sample of cells from the cervix, which is then examined under a microscope.
The HPV vaccine, on the other hand, helps protect against certain strains of the human papillomavirus (HPV). HPV is the leading cause of cervical cancer, with specific high-risk strains responsible for most cases.
The vaccine is highly effective, especially when given before exposure to the virus. It prevents infection from these dangerous strains and significantly lowers the risk of developing cervical cancer.
Do you Still Need a Smear after the HPV Vaccine?
Many mistakenly believe that once they get the HPV vaccine, they no longer need Pap smears. This is a dangerous misconception. Here’s why screening remains crucial:
First, the HPV vaccine protects against most, but not all, high-risk HPV strains. While the vaccine covers the most common cancer-causing types, other strains could still cause cervical abnormalities.
Second, the vaccine is most effective when given before any exposure to HPV. If you were sexually active before getting vaccinated, you might have already been exposed to the virus.
In this case, the vaccine won’t eliminate existing infections. This alone makes screening even more important.
Third, immunity from the vaccine may not last forever. Research suggests that protection remains strong for many years, but long-term studies are still ongoing.
Regular Pap smears ensure that any changes in cervical cells are detected early, even if vaccine protection decreases over time. Importantly, other factors besides HPV can lead to cervical abnormalities.
Weakened immune systems, smoking, and certain infections, for example can contribute to abnormal cell growth. Pap smears help catch these issues early, regardless of vaccination status.
Skipping Pap smears could mean missing early warning signs of cervical cancer. Combining vaccination with regular screening provides the best protection.
How Often Should You Get a Pap Smear?
The Ministry of Health Singapore recommends Pap smears and HPV tests at specific intervals based on age and risk factors. You should get your first Pap smear at age 21. After that, you can get them at the intervals explained below
- Women aged 21-29: Pap smear every 3 years.
- Women aged 30-65: HPV test every 5 years (or Pap smear every 3 years if HPV testing is unavailable). Discuss with your doctor for guidance based on your unique situation.
- Women over 65: Can stop screening if previous results were normal.
- Women with weakened immune systems: More frequent testing may be required.
What Happens If You Skip Pap Smears?
To begin with, you do not want to make the mistake of ignoring regular cervical screenings as this can have serious consequences. Cervical cancer develops slowly, often without symptoms in its early stages.
By the time noticeable signs appear, the disease may have already progressed to an advanced and harder-to-treat stage. Pap smears catch abnormal cells before they turn into cancer.
Without regular screening, these changes can go unnoticed for years. By the time they are detected, more aggressive treatment may be required. For example, you may now need surgery, radiation, or chemotherapy.
Even if you feel healthy, skipping Pap smears is risky. Many women diagnosed with cervical cancer had no warning signs until the disease was advanced.
Regular screenings offer peace of mind and can be lifesaving. If cost or time is a concern, know that Singapore offers affordable screening options, including subsidized tests through the Screen for Life program.
Many women also tend to avoid Pap smears due to fear, misconceptions, or lack of information. Let’s address some common concerns:
- Is it painful? Most women feel mild discomfort, but the test is usually painless.
- How long does it take? The procedure itself takes less than 5 minutes.
- Is it expensive? Subsidized screening is available under Screen for Life.
- Do I need it if I have no symptoms? Yes, cervical cancer often develops without symptoms.
- Can I skip it if I am not sexually active? While HPV is mainly transmitted sexually, other factors can cause cervical abnormalities.
Being informed removes fear. A Pap smear is a small step that makes a big difference in protecting your health.
It’s easy to book an appointment for a Pap smear in Singapore. Many clinics provide a comfortable and discreet environment. If you’re unsure where to go, please speak with your GP, and they can refer you to the nearest screening center.
In Closing
Even if you’ve had the HPV vaccine, regular Pap smears still remain essential. The vaccine reduces the risk of cervical cancer, but it does not eliminate it completely.
Screening remains the most effective way to catch abnormalities early. Follow the recommended screening schedule to take control of your health.
It’s a simple test that can prevent a serious disease. Don’t wait until symptoms appear—cervical cancer is preventable with early detection.
If it’s been a while since your last Pap smear, book an appointment today. Your future self will thank you for prioritizing your well-being. You can book an appointment for a Pap smear in Singapore by calling or visiting us at;
The Artisan Health Clinic | Health Screening | STD Testing | HIV Testing Singapore
290 Orchard Rd, #07-01C Paragon Medical Suites, Singapore 238859
https://www.artisanhealthclinic.sg/
Phone: +65 8129 8877