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in this short video we will talk about pap smear what is pap smear it is a screening test for detecting the pre-invasive diseases of cervix in other words pap smear is a test carried out on a sample of cells from the cervix to check for abnormalities that may be indicative of cervical cancer how effective is pap smear pap smear reduces the risk of CSR risks by 75 percent whereas vaccination reduces the risk by 70 percent sensitivity of pap smear is about 50 percent specificity of pap smear is about 86 to 100 the first negative rate of pap smear is up to 26 percent what instructions do we need to give to the patient before performing pap smear first of all ask about LMP ideally the pap smear is done when the patient is not menstruating secondly ask her to avoid few things prior to cervical smear like vaginal intercourse douching use of tampons and contraceptive cream about 24 to 40 hours before fast math ask her about vulva and vaginal symptoms the procedure of pap smear I will introduc