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  • 125 BD Brahim Roudani,1er etage, Appt 11, Casablanca, Morocco
  • Mon - Fri: 09:00 - 17:00,
    Saturday: 09h00 - 13h00
(+212) 520170817
(+212) 606121213
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dr oukacha nadia - Gynecology, obstetrics, fertility and oncology in Casablanca

Cervico-vaginal smear

The cervico-vaginal smear is a routine screening test for cervical cancer.

This examination involves removing superficial cells from the cervix. It is performed during a gynecological examination.

The sample is then examined under a microscope in a cytology laboratory.

Depending on the appearance of the cells, we can assume that the cervix is normal, or that it has an infection, precancerous lesion or cancer.

Most lesions detected by Pap smears are linked to HPV infection.

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Indication

The HAS (haute autorité de santé) in France currently recommends a cervico-uterine smear test (FCU) every 3 years (after 2 normal FCUs performed 1 year apart) from age 25 up to age 65 in asymptomatic women who are or have been sexually active, whether or not they have been vaccinated against HPV.

This frequency may be increased if the doctor deems it necessary.

However, it is still possible for doctors to perform a cervico-vaginal smear before the age of 25 in the special case of patients who are at high risk because they had their first intercourse at an early age and have many sexual partners.

Pre-cancerous lesions (cervical dysplasia) have no symptoms.

The only way to prevent them from developing into cancer is to screen and treat them.

Routine smear testing has significantly reduced mortality from cervical cancer.

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Certain conditions must be met before taking a smear test.

The smear should be taken :
  • Outside the menstrual or bleeding period
  • Away from sexual intercourse (48 hours).
It must not be carried out :
  • After vaginal cleansing
  • After application of ovules or cream
  • Or in case of cervico-vaginal infection.

In this case, the smear should not be taken until one month after the infection has been treated.

Smear tests are simple and painless.

He can sometimes be a bit unpleasant.

This test takes less than 5 minutes.

No preparation is required.

The patient is placed in the gynaecological position.

A speculum is inserted.

He takes a sample by rubbing the cervix with a small spatula or brush.

Slight bleeding may occur immediately after the smear.

This bleeding is normal

Is it possible to have a pap smear during pregnancy?

A Pap smear can be taken during pregnancy.

Even if it causes slight bleeding (the cervix is highly vascularized during pregnancy), it does not increase the risk of miscarriage.

Smear results may show (Bethesda system terminology, 2001):

  • A smear of unsatisfactory quality
  • Certain benign infections or inflammations
  • No squamous intraepithelial lesion or sign of malignancy (normal smear)
  • Squamous cell abnormalities
  • ASC-US, ASC-H
  • Low-grade squamous intraepithelial lesion (LSIL including koilocytes, mild dysplasia or CIN I)
  • High-grade squamous intraepithelial lesion (HSIL, including moderate and severe dysplasia or CIN II and CIN III)
  • Squamous cell carcinoma (cancer)
  • Glandular cell abnormalities Glandular cell atypia (GCA)
  • Glandular cell atypia suggestive of neoplasia
  • Endocervical adenocarcinoma in situ (AIS)
  • Adenocarcinoma.

What next?

Normal smear :
  • In most cases, the smear comes back normal. It is advisable to repeat it once a year.
Unsatisfactory smear quality :
  • When the quality of a smear is unsatisfactory, it may need to be repeated.
Detection of benign infections or inflammations:
  • These infections or inflammations can often be cured by local treatment with ova.
  • This treatment is prescribed by the doctor.
When a smear detects undetermined anomalies, the doctor may prescribe :
  • The smear result may be abnormal in around 2 to 5 % of women. In these cases, the doctor will refer the patient for an examination of the cervix using a magnifying glass (or colposcopy). Most of the time, these are low-grade lesions, or high-grade lesions (mild dysplasia or severe dysplasia). These lesions warrant appropriate treatment.
Pap smear suggestive of cervical cancer :
  • Management must be adapted to the stage of the cancer.

Normal vaginal smear

Care philosophy

A holistic approach to women's health

Dr Nadia Oukacha puts her expertise in gynecology, obstetrics and fertility at the service of every woman, combining listening, prevention and cutting-edge technology.

Active listening and caring

Each consultation begins with an in-depth discussion to understand your needs and establish a climate of trust.

Comprehensive, personalized approach

A complete check-up, nutritional advice and psychological follow-up are adapted to your age and life situation.

Focus on prevention

Regular smear tests, screening and check-ups aim to anticipate risks and preserve your health over the long term.

Frequently asked questions (FAQ)

Here you'll find answers to the most frequently asked questions about consultations, specialties, booking appointments and how the practice works.

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How do I make an appointment with Dr Oukacha?

You can book your consultation directly online via our website or by calling the practice on +212 606 12 12 13. A contact form is also available on the site.

What are Dr Nadia Oukacha's specialties?

Dr Oukacha specializes in :

  • Gynecology (consultations, pap smears, colposcopy, ultrasounds)

  • Obstetrics (pregnancy monitoring, ultrasound, amniocentesis)

  • Intimate and breast surgery

  • Fertility and medically assisted reproduction (MAP)

What examinations are carried out at the clinic?

The practice is equipped for :

  • Gynecological and obstetrical ultrasounds

  • Cervico-vaginal smear

  • Colposcopy

  • Fertility assessment

What are the opening hours?

  • Monday to Friday: 9:00 am - 5:00 pm

  • Saturday: 9:00 am - 1:00 pm

  • Sundays and public holidays: closed

Where is the office located?

The office is located in Casablanca, at 125 BD Brahim Roudani, 1st floor, Appt 11. An interactive map is available on the Contact page.

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