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Can a Pap Smear Detect HPV?

While a Pap smear is designed to detect abnormal cells in the cervix, it is not specifically a test for HPV. However, abnormal cell changes found in a Pap smear may be caused by high-risk strains of HPV, which are associated with cervical cancer. In cases where a Pap smear reveals abnormal cells, an HPV test is often recommended as a follow-up to determine if HPV is present and, if so, identify the specific strain. The presence of high-risk HPV can provide insight into the potential causes of abnormal cell changes and inform the appropriate course of action for further monitoring or treatment.

In recent years, many healthcare providers have offered co-testing, which combines a Pap smear with an HPV test in a single appointment. This co-testing approach allows for a more comprehensive assessment of cervical health, particularly in women over the age of 30, who are at higher risk for persistent HPV infections. While a Pap smear alone does not detect HPV, combining it with HPV testing can enhance early detection and preventive measures against cervical cancer.