Pap tests and cervical screening, done gently.
A Pap test checks for early cell changes on the cervix, long before they can become cancer. It takes a few minutes, it is covered by OHIP, and it is one of the most effective screening tests in medicine.
Who should be screened, and how often
In Ontario, routine cervical screening is generally recommended starting at age 25 for people who have ever been sexually active, and repeated every three years when results are normal. Your physician may recommend a different interval based on your history or previous results.
Screening usually continues to age 70 when your previous results have been normal. If you have had abnormal results, an abnormal HPV test, or a weakened immune system, you may be screened more often.
What happens during the test
You will be given privacy to undress from the waist down and a sheet to cover yourself. The physician gently inserts a speculum, collects a small sample of cells from the cervix with a soft brush, and the sample is sent to the lab. Most people describe brief pressure rather than pain.
Light spotting afterwards is normal. You can return to your day immediately. Results usually come back within two to four weeks, and we contact you either way.
How to prepare
- Try to book when you are not having your period
- Avoid vaginal medications, creams or douching for two days before
- Bring your health card and let us know about past abnormal results
- Ask for a female physician or a chaperone if that makes you more comfortable
Frequently asked questions.
Is a Pap test covered by OHIP?
Yes. Cervical screening at the recommended interval is an insured service with a valid Ontario health card.
Does a Pap test hurt?
Most people feel pressure and mild discomfort for less than a minute. Tell your physician if it is painful — they can use a smaller speculum or pause.
What if my result is abnormal?
Abnormal does not mean cancer. It usually means cell changes that need a repeat test or a colposcopy referral, which we arrange for you.
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