Dr Derran M Govender does Pap smears at his practice in Durban North. He uses liquid-based cytology, which allows the same sample to be tested for HPV, the virus that causes most cervical cancers. A female chaperone is present for every examination.
What a Pap smear is and why it matters
A Pap smear checks the cells of the cervix for early changes that could develop into cervical cancer. Cervical cancer is one of the most common cancers in South African women, and it can be prevented when changes are found and treated early. Most women with early changes have no symptoms, so regular screening matters even if you feel well.
What happens during a Pap smear
A Pap smear takes a few minutes. A small sample of cells is taken from the cervix and sent to the laboratory. A female chaperone is always present. Most women feel only mild discomfort and can carry on with their day straight afterwards.
Results and follow-up
If the result is normal, your next Pap smear is due in three years. If it shows changes or HPV, Dr Govender explains what it means and arranges further tests or a referral to a gynaecologist where needed.
What to bring
Please bring:
- your ID
- your medical aid card, if applicable
- your previous Pap smear result, if you have one
Fees and medical aid
The practice accepts all major medical aids. Many medical aids cover Pap smears from your preventative benefits. For fees, contact the practice.
Appointments
The practice is open Monday to Friday, 09:00 to 17:00, and walk-ins are welcome. Book an online or in-person appointment.
Frequently asked questions
Is a Pap smear painful?
A Pap smear isn’t usually painful. Most women feel mild pressure or discomfort for a few seconds while the sample is taken. It can feel easier if you’re relaxed, so let Dr Govender know if you’re anxious.
At what age should I start having Pap smears?
Dr Govender recommends starting Pap smears from the age of 25. Women who are HIV-positive should start at diagnosis, whatever their age. South Africa’s public health programme offers screening from the age of 30.
Do I need a Pap smear if I’m not sexually active?
If you have never had any sexual contact, your risk of HPV is very low, and Dr Govender can advise whether you need screening yet. If you have ever been sexually active, even years ago or with only one partner, you should still have regular Pap smears.
How often should I have a Pap smear after 30?
Every three years, as long as your previous results were normal. If you’re HIV-positive or have had abnormal results before, Dr Govender may recommend more frequent screening.
Is there anything I should avoid before a Pap smear?
For 48 hours before your Pap smear, avoid sex, tampons, vaginal creams and douching. If possible, book it for a time when you don’t have your period.
References
- South African National Department of Health. Cervical Cancer Prevention and Control Policy. 2017. Read source
- World Health Organization. WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention. 2nd ed. 2021. Read source
- Siebers AG, Klinkhamer PJJM, Grefte JMM, et al. Comparison of liquid-based cytology with conventional cytology for detection of cervical cancer precursors: a randomized controlled trial. JAMA. 2009;302(16):1757–1764. Read source