Pap Test

What You Need To Know About Pap Smear Tests

What Is A Pap Test (also called Pap Smear Test)?

A Pap Test (also known as a Pap Smear) is a test that may help prevent cervical cancer. The two-minute procedure involves collecting cells from the cervix, which can detect cell changes that, if left untreated for several years, could eventually turn cancerous.

When changes in cervical cells are found early, they can often be treated effectively before they become dangerous. Regular Pap testing can reduce cervical cancer deaths by 70 per cent.

What Causes Cervical Cancer?

Cervical cancer is usually caused by the Human Papilloma Virus (HPV). However, several other factors are known to increase the risk of cervical cancer including:

  • Sexual activity
  • Smoking
  • Weakened immune system
  • Diethylstilbestrol (DES)
  • Socioeconomic status
  • Family history
  • History of STIs (sexually transmitted infections)


What are the Symptoms of Cervical Cancer?

In the early stages of cervical cancer, a woman may or may not experience symptoms. Common symptoms include:

  • Abnormal vaginal bleeding or spotting between periods
  • Pain during sexual intercourse or bleeding after intercourse
  • Clear, watery, or foul-smelling discharge from the vagina
  • Increased amount of vaginal discharge

Prevent Future Health Concerns
Updated guidelines recommend Pap testing for women who are, or have been, sexually active. Testing should begin at age 21, and repeated every 3 years. Screening may be discontinued at the age of 70, if there have been 3 or more normal tests in the last 10 years.

Does vaccination prevent HPV?

Yes, vaccination is an effective way to prevent cervical cancer. This new and safe HPV vaccine is available at all Appletree locations. However, even if you have been vaccinated, you should still get a Pap test. Book your appointment today at any Appletree location, and detect the early signs of HPV.

Book Your Appointment

Pap Test appointments are available at the following Appletree Medical Centres:


240 Sparks Street, Unit C153, Ottawa
Monday 3:00pm – 7:00pm

2573 Baseline Road, Ottawa
Monday 10:00am – 2:30pm
Friday 9:00am – 1:00pm

1595 Merivale Road, Unit 1A-2, Ottawa
Thursday 10:00am – 2:00pm

1309 Carling Avenue, Ottawa
Saturday 10:00am – 3:00pm

2948 Baseline, Ottawa
Friday 9:00 am – 2:00 pm

Greater Toronto Area

2077 Lake Shore Boulevard West, Toronto
Tuesday 9:00am – 4:30pm

70 University Avenue, Toronto
Wednesday 3:30pm – 6:30pm

1450 O’Connor Drive, East York
Wednesday 10:00am – 4:00pm

275 Dundas Street West, Toronto
Thursday 11:00am – 2:30pm

2025 Midland Avenue, Unit 100, Toronto
Monday 4:00pm – 8:00pm
Tuesday 4:00pm – 8:00pm
Wednesday 4:00pm – 8:00pm
Thursday 4:00pm – 8:00pm
Friday 4:00pm – 8:00pm

4700 Keele Avenue, York University, Toronto
Thursday 4:30pm – 7:30pm

1971 Queen Street East, The Beaches, Toronto
Monday 1:00pm – 4:00pm
Thursday 9:30am – 4:30pm

3355 Hurontario Street, Mississauga
Monday 9:00am – 2:00pm
Tuesday 11:00am – 2:00pm
Friday 10:00am – 1:30pm

4062 Confederation Pkwy, Mississauga
Wednesday 9:00am – 3:00pm

4G Spadina Avenue, Toronto
Thursday 1:30pm – 4:00pm
Saturday 1:30pm – 3:00pm

What To Expect At Your Appointment

You will be asked to complete a short heath questionnaire which will provide the doctor you are seeing with relevant medical information regarding your health. The Pap test will be completed by either a Physician or an International Medical Graduate (IMG).  You will be asked to lie down on the exam table and a speculum will be inserted into the vagina, to allow the cervix to be examined. Using a small brush, your cervix will be swabbed to collect cells for analysis.

If you do not have OHIP coverage, make sure to take your swabs and accompanying requisitions with you at the end of the appointment, to drop off at a local laboratory. Nearby locations will be listed on the bottom of the requisition for your convenience.

After Your Appointment

We will provide you online access to your Pap test results, through your secure and confidential Patient Portal, so that you may access them from anywhere, at any time. Pap test results are generally available 4 weeks after your appointment.

Human Papillomavirus (HPV)

Learn about the impact of this disease, and the options for prevention and symptomatic treatment.

Human Papillomavirus (HPV)

Pap Test - Frequently Asked Questions

Do I need a referral?

No. If you are due for a Pap test (you have not had one in the last three years) no referral is necessary. You can book an appointment through your Patient Portal, over the phone, or in person at one of the locations listed above.

When is the best time to have a Pap test?

Ideally a pap test should be done during the middle of your cycle, around day 14 after your period starts.

I received the HPV vaccine in school as a teenager; do I still need a Pap test?

Yes – you should still have your routine Pap test every three years, even if you have been vaccinated.

Is a Pap test painful?

You may feel pressure and a little bit of discomfort, but a pap test should not be painful. If you experience pain during your Pap test, let your health care provider know.

Does the Pap test check for sexually transmitted infections (STIs)?

No. The Pap test itself does not check for STIs, however, additional swabs are usually collected at the same time to check for STIs, such as chlamydia and gonorrhea. Your health care provider will review this with you at the time of the appointment.

What is the cost of a Pap Test?

There is no cost for a Pap test, as it is an insured OHIP service.

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