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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

A Pap smear (or cervical-vaginal smear) is a routine test performed as part of cervical cancer screening.

This test involves collecting surface cells from the cervix. It is performed during a gynecological exam.

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

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

Most of the abnormalities detected by Pap smears are related to HPV infection.

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Indications

The current recommendations from the HAS (Haute Autorité de Santé) in France are to undergo a cervical smear test (Pap test) every 3 years (after 2 normal Pap tests performed 1 year apart) from age 25 through age 65 for asymptomatic women who are or have been sexually active, regardless of whether they have been vaccinated against human papillomavirus.

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

However, a doctor may still perform a cervical-vaginal smear test before the age of 25 in specific cases involving patients who are at high risk due to having had their first sexual intercourse at an early age and having multiple sexual partners.

Precancerous lesions (cervical dysplasia) do not cause any symptoms.

The only way to prevent them from developing into cancer is through screening and treatment.

The widespread use of Pap tests has led to a significant reduction in mortality from cervical cancer.

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Certain requirements must be met before a Pap test is performed.

The Pap test must be performed:
  • Outside of the menstrual period or bleeding
  • At least 48 hours after sexual intercourse.
It must not be performed:
  • After a vaginal wash
  • After applying the ovules or cream
  • Or in the case of a cervical-vaginal infection.

In this case, you must wait one month after the infection has been treated before having the Pap test.

A Pap smear is a simple and painless test.

He can be a little unpleasant at times.

This exam takes less than 5 minutes.

No preparation is necessary.

The patient is positioned in the gynecological position.

The doctor inserts a speculum.

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

There may, on occasion, be slight bleeding immediately after the Pap test is performed.

This bleeding is normal

Can you have a Pap smear during pregnancy?

A Pap smear can be performed during pregnancy.

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

Pap smear results may show (Bethesda System terminology, 2001):

  • A Pap smear of unsatisfactory quality
  • Certain mild infections or inflammations
  • No intraepithelial squamous cell lesion or signs of malignancy (normal Pap smear)
  • Abnormalities in Squamous Cells
  • ASC-US, ASC-H
  • Low-grade squamous intraepithelial lesion (LSIL, including koilocytes, mild dysplasia, or CIN I)
  • High-grade squamous intraepithelial lesion (HSIL, which includes moderate and severe dysplasia, or CIN II and CIN III)
  • Squamous cell carcinoma (cancer)
  • Glandular Cell Abnormalities—Glandular Cell Atypias (GCA)
  • Atypical features of glandular cells suggestive of a neoplasm
  • Endocervical adenocarcinoma in situ (AIS)
  • Adenocarcinoma.

What happens next?

Normal Pap smear:
  • In most cases, the Pap test comes back normal. It is recommended that you have it done once a year.
Smear test results of unsatisfactory quality:
  • If a Pap smear is of unsatisfactory quality, it may need to be repeated
Detection of minor infections or inflammation:
  • These infections or inflammations can often be treated with a topical treatment using vaginal suppositories.
  • This treatment is prescribed by a doctor.
When a Pap test detects indeterminate abnormalities, the doctor may prescribe:
  • About 2 to 5 % of women may have abnormal Pap smear results. In these cases, the doctor refers the patient for a colposcopy (a close examination of the cervix). In most cases, these are low-grade or high-grade lesions (mild or severe dysplasia). These lesions require appropriate treatment.
Pap smear suggestive of cervical cancer:
  • Treatment must be tailored 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 through Friday: 9:00 a.m. – 5:00 p.m.

  • 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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