در تشخیص سرطان دهانه رحم و بیماریهای دیگر مرتبط با این ناحیه، دو آزمایش بسیار مهم و متداول وجود دارد که عبارتند از «پاپ اسمیر» و «کولپوسکوپی». These two tests differ from each other in terms of their methods, objectives and clinical applications. In this article, we will examine the difference between pap smear and colposcopy and we will answer three key questions in this field.
What is pap smear and what is its use?
Pop Smear (or pap smear) is a screening test done to detect abnormal cell changes in the cervix. The main purpose of this test is to identify signs of cervical cancer or precancerous problems. During this test, the doctor collects cells from the cervix using a special tool (scalp or brush) and sends them to the laboratory for analysis.Pap smear main use:
According to mayoclinic
A Pap test is often used to look for cervical cancer. Cervical cancer is cancer that starts as a growth of cells in the cervix. The cervix is the lower, narrow end of the uterus that opens into the vagina. Cervical cancer screening with a Pap test can find cervical cancer early, when it's more likely to be cured.
A Pap test is often used to check for cervical cancer. Cervical cancer is a cancer that starts with the growth of cervical cells. The cervix is the narrow, lower end of the uterus that opens into the vagina. Cervical cancer screening with a Pap test can detect cervical cancer in its early stages, when it is more likely to be treated.

What is colposcopy and how is it done?
Colposcopy is a diagnostic method that In it, the doctor carefully examines the cervix, vagina, and vulva using a device called a colposcope, which is similar to a microscope and capable of magnifying images. Colposcopy is usually performed when abnormal changes or suspicious cells are found as a result of a Pap smear. This test helps the doctor to better identify suspicious areas and, if necessary, take tissue samples (biopsies).The main use of colposcopy:
- genital warts
- Inflammation of the cervix, which is called cervicitis.
- A non-cancerous growth on the cervix, such as a polyp
- Precancerous changes in cervical tissue
- Precancerous changes in vaginal tissue Precancerous changes of the vulva

What are the main differences between pap smear and colposcopy?
Although both tests help to check the health status of the cervix, they differ in various aspects:
Objective of the experiment:
- Pap smear is used for initial screening and identification of abnormal cell changes in the cervix.
- Colposcopy is performed to more closely examine and diagnose certain diseases, including cervical cancer, in people who have had an abnormal Pap smear.
How to do it:
- Pap smear is a simple test that is done in the doctor's office or clinics and involves collecting cells from the cervix.
- Colposcopy requires a special device that is performed in a doctor's office or hospital and includes a more detailed examination of suspicious areas.
Schedule:
- Pap smear is done as a regular screening test every 3 years for women.
- Colposcopy is performed only if Pap smear results or clinical symptoms are suspicious.

Conclusion
Finally, pap smear and colposcopy each play an important role in screening and diagnosing cervical problems, but these two tests have differences in terms of their methods and clinical applications. Pap smear is used as an initial screening test and colposcopy as a more accurate diagnostic tool in cases of suspected cancer and precancerous diseases. Dr. Bita Sajjadipour Frequently asked questions about pap smear and colposcopy
Should all women have a pap smear? Yes, the World Health Organization and many medical centers recommend that women start having a pap smear at the age of 21 and that this test be done every three years. If the Pap smear results are abnormal, the doctor may request a colposcopy. Does a colposcopy hurt? A colposcopy is usually a painless test, but some women may feel discomfort or pressure in the vagina or cervix, especially if a biopsy is also performed. This discomfort is temporary and usually goes away after a few minutes. What are the differences between Pap smear and colposcopy in cancer diagnosis? Pap smear is done to identify early and abnormal cell changes that can predict cervical cancer. But colposcopy is used in the later stages and as a more accurate tool to examine suspicious areas and perform a biopsy to definitively diagnose cancer.Dr. Sjady-Pour Contact Information
