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Facebook: @The<strong>Weekender</strong>Spain<br />
FRIDAY 13TH SEPTEMBER 2019 31<br />
Health&Lifestyle<br />
Should I be having<br />
regular smear tests?<br />
I had a hysterectomy 10 years ago and have not had a smear test since. My friend who<br />
has also had a hysterectomy is still having regular smears. Should I be having checks?<br />
THERE is no right or wrong<br />
here as it depends upon<br />
the situation. The important<br />
issue is that the patient<br />
knows what type<br />
of hysterectomy she has<br />
had and the reason for<br />
the procedure.<br />
During a smear test, cells<br />
are removed from the cervix<br />
(neck of the womb) and<br />
examined for changes that<br />
may lead to cancer later on.<br />
If a woman has had a TO-<br />
TAL hysterectomy, the cervix<br />
will have been removed. If<br />
she has had a SUB-TOTAL<br />
hysterectomy the cervix will<br />
have been conserved.<br />
Therefore, in the case of a<br />
sub- total hysterectomy, the<br />
woman should attend for regular<br />
smears. Very frequently,<br />
women who have had a total<br />
hysterectomy will not need to<br />
attend as they have no cervix.<br />
However, and this is EX-<br />
TREMELY IMPORTANT, if<br />
the hysterectomy was performed<br />
as a result of cancer or<br />
for any other reason if there<br />
were pre- cancerous changes<br />
or the suspicion of cancer, the<br />
woman will still need regular<br />
checks. In cases such as<br />
these, a procedure known as<br />
a vault smear is performed.<br />
It is the same procedure but<br />
as the woman has no cervix,<br />
cells are removed from the<br />
closed end of the vagina and<br />
the vaginal walls.<br />
All women undergoing<br />
hysterectomy should ensure<br />
that they know exactly what<br />
type of surgery they are having<br />
and ask the Gynaecologist<br />
if ongoing smear tests<br />
are recommended. If you are<br />
unable to find this information<br />
out, see your Doctor or<br />
Practice Nurse.<br />
For more information or to book an appointment call the Family Medical Centre on<br />
+34 966 865 072, emailing us at info@albirfamilymedicalcentre.com or on Facebook<br />
www.facebook.com/albirfamilymedicalcentre