Office

2828 Maplewood Ave., Suite B

Winston Salem, NC 27103

Office: (336) 794-1444

Fax: (336) 794-1477

Hours of operation:

8:30 a.m. to 4:30 p.m.

Monday through Thursday.

8:30 a.m. to 2 p.m.

Friday

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Abnormal PAP Smears

I perform annual examinations on all of the patients I see for routine gynecologic care. Unless you have had a hysterectomy for reasons other than for cancerous or precancerous problems, you no longer need an annual pap smear. However, all women need an annual pelvic examination and rectal exam (if over 40). In 2003, new guidelines for the management of abnormal pap smears were issued by the American College of Obstetrics and Gynecology. This was initiated by the discovery of the association of the human papilloma virus (HPV) as the direct cause of cervical cancer. I am now able to test for this virus right along with the pap smear. Carrying the virus places you at risk for cervical cancer and requires you continue yearly pap smear screening if your pap is normal. Pap smear screening can be reduced to every three years for hpv negative individuals. A vaccine will soon be available for HPV negative individuals in order to reduce the incidence of cervical cancer worldwide.