How Accurate Are PAP Smears?
PAP smears are generally very accurate at detecting cervical abnormalities, including precancerous cells and HPV infections. However, no test is 100% perfect, and the accuracy of a PAP smear can be influenced by various factors. The sensitivity of a PAP smear, which refers to its ability to correctly identify abnormal cells, is generally high, but false negatives (where the test misses abnormalities) can occur. For example, if the sample collected is insufficient or if the cells being examined are in a transitional stage, the test may not detect issues. The accuracy of the test also depends on the experience of the healthcare provider performing it and how well the cells are prepared for examination in the lab.
To improve accuracy, co-testing with a HPV test is often recommended for women aged 30 and older. This allows for a more comprehensive assessment, as it not only detects cellular abnormalities but also identifies high-risk strains of HPV that may be linked to cervical cancer. While the PAP smear is an essential tool for early detection, women should continue to follow the recommended screening schedule and work closely with their healthcare provider to ensure accurate results and timely follow-up care.


