What is the difference between a pelvic exam and a pap smear?

MRS. N: What is the difference between a pelvic exam and a pap smear?
Are they the same or not?
I recently had my pap smear done where it came positive for yeast infection. It has been treated and symptoms dissapeared. Do I need a pelvic exam done as well? I never had one yet
When do you need one?
I am 21 years old and sexually active. Also, if I am sexually active 7 days out of 30 days in a month, should I be on pills or any other contraceptive?

I am seeing a gynecologist this next week and don’t know whether I should see him or not

I will appreciate suggestions
Thanks!

Answers and Views:

Answer by Mary Boo
A pap smear is simply one test performed during a pelvic exam. It is a sample of cervical tissue placed onto a slide and sent to a lab to test for precancerous cells.

The pelvic includes the pap and a general exam of both internal reproductive organs and external genitalia for signs of problems or disease. The doctor will insert his/her fingers into the vagina, take his/her other hand and press on the abdomen to feel the ovaries, uterus, etc.

But when making an appointment with the doctor’s office, if you say you need to schedule your annual pap, they will automatically assume the pelvic exam or vice versa. The terms are often used interchangeably.

Answer by Karen B
A pelvic exam does not have to include a pap smear. A pap smear is a test for the presence of Human Papillomavirus, or HPV, in cervical tissue. Generally a pelvic exam is administered along with a pap smear.

In a pelvic exam, your healthcare provider will examen your gential and vaginal area and test your for some STDs (Chlamydia and Gonnorhea) as well as for yeast infections. You most likely had a Pelvic Exam when you had your pap smear, only you didn’t realize that it was what it was. A pelvic exam does not always have to include a pap smear if you are under a specific age or have not had multiple sex partners.

It is a good idea to schedule a pelvic exam if you have new or multiple partners. Pap smears should be done anually.

As for the decision to use contraceptives, that is something for you and your healthcare provider to decide. There are many things to consider when choosing to use birth control that I’m sure he or she will go over with you. One important thing to consider, though, is that if you have a family histroy of heart problems, using contraceptives can increase your risk of blood clots and other serious health issues.