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Pap tests are recommended every two years for women with no signs or symptoms, and lesbians need them too.

A pap test is a simple procedure that detects changes in the cells of the cervix. Early detection is important to pick up warning signs that can be treated, however not all changes are an indicator of cancer. Lesbians don't seem to have pap tests as often as recommended, because of factors such as misinformation, difficulties finding a suitable health care provider, or negative experiences in the past. But regular testing is a concrete way you can be proactive in looking after yourself.

Some women can feel nervous or uncomfortable having a pap smear, but it shouldn't be painful. Talk this through with your provider. You may like to ask them to explain the process before it begins. Tell them how you are feeling - this creates the opportunity for an environment where you can feel as comfortable as possible.

Remember too that pap tests are not a complete sexual health check. If you would like to arrange a full sexual health screen, you could request this at the same appointment.

A pelvic examination is often conducted at the same time as a pap smear, and is another important part of your regular health care. Pelvis exams are helpful for initially detecting abnormalities in the internal organs such fibroids (benign, or non-cancerous, and usually harmless growths in the wall of the uterus) and cysts.