Bleeding from Pap smear — normal?
Originally Published: October 1, 1994 - Last Updated / Reviewed On: July 24, 2009
I bled as a result of my last Pap smear. I've never had that happen before and it was a new gynecologist. She said that it was normal. Is that true?
—Confused about blood
Dear Confused about blood,
It's true — it's not unusual for a Pap smear to cause a small amount of bleeding. The procedure involves removing cells from the surface of the cervix with a small brush and a plastic spatula. Although the procedure is usually painless, the scraping can cause bleeding. Women who use hormonal contraceptives like birth control pills may be more prone to bleeding from a Pap smear because the hormones can make the cervix more sensitive.
Having a yeast infection or a sexually transmitted infection (STI), such as trichomonoiasis, chlamydia, or gonorrhea, may also make your cervix susceptible to bleeding. If you've been sexually active and have had a new partner(s) since the last time you were tested for STIs, it's a good idea for you and your partner(s) to be tested. A Pap smear tests for abnormalities in the cervical cells that may develop into cervical cancer. These abnormal cells are most often the result of human papillomavirus (HPV), which also causes genital warts. A Pap doesn't test for HPV itself or other STIs. A health care provider can perform tests for chlamydia, gonorrhea, HIV, or other STIs at your request.
In the end, a bit of bleeding following a Pap is probably nothing more than a minor scrape. Like an annual Pap smear, STI testing is an important part of taking care of your gynecological health.