Smear Testing (cervical cytology and microbiological)

1. Oncocytological (Cervical Cytology or Pap Tests)

Oncocytological smear tests are the most effective way for diagnostics of the cervix uteri or as a method of detection of cell changes, because these changes could be a sign of an early cervical cancer. Oncocytology smear tests allow us to obtain information regarding changes in cervix uteri (narrowest and lowest parts of the uterus) (including pre-cancer) and signs of a tumour. For the smear test, a gynecologist will use the spatula or special brush – having taken several cells from the surface of the cervix uteri. After that, the sample of cells are examined in the laboratory using microscope to detect possible early changes. An oncocytology examination must be performed once every 12 months even though in several European countries the following practice is used – in the cases when the oncocytological report is normal, the next examination is performed only after three years after considering that cervical cancer does not develop so fast.

2. Microbiological

Analysis of vaginal microflora. A gynecologist will take a smear test from the posterior vaginal vault with the help of a spatula or special brush. After that a sample of cells will be examined in a laboratory using microscope. This method of diagnostics assists in the evaluation of vaginal inflammations and infections. With this help, it possible to find yeast infections, Gonorrhea, Trichomonas, Staphylococcus and other infectious agents.

In cases where there is a suspicion of infectious agents which do not appear in normal smear tests – the inoculation will be performed (from the cervix, posterior vaginal vault, urethra etc.) – this test is more accurate which gives an opportunity to find the best treatment.

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Jelena Silkalna
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