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introduction a pap test also known as a pap smear is a test performed to look for abnormal cell changes within the cervix the cervix is part of the female reproductive system that connects the uterus or womb to the vagina the cells of the cervix may sometimes undergo abnormal changes leading to formation of benign tumors such as fibroids cysts and polyps as well as pre-cancerous lesions that can lead to cervical cancer indications a pap test may be recommended for screening for cervical cancer in women from the age of 21 every one to three years depending on the results of the last pap test and the risk factors for cervical cancer which include sexual activity human papilloma virus hpv infection human immunodeficiency virus hiv infection sexually transmitted infections multiple child births history of smoking use of oral contraceptives preparing for a pap test to improve the accuracy of the pap test you should avoid sexual intercourse for two to three days do not use tampons douches va