My first appointment was yesterday. They did a pap and now I am cramping really, really bad with some spotting. Is this normal? Why the heck did they do a pap? I was due for my annual but maybe they could have waited until my next appointment when I'm further along? I have never had an abnormal pap! The nurse even said that they switch to paps every 2-3 years at a certain age if you've never had an abnormal pap. Grrrrrrr
EDIT: Update.... I no longer think my cramping & bleeding are related to the pap (it has become much more than spotting now). I think I have another issue. I'm heading to the doctor now Thank you for the responses.
Re: I'm so pissed I got a pap...grrr
I'm just extremely frustrated because the cramping is pretty painful right now. I have three pregnant friends and none of them had paps. It's good to hear that it's pretty standard.
Cole Joseph 7/05/07
Nora Anne 11/03/12
9lbs, 6oz
Cole Joseph 7/05/07
Nora Anne 11/03/12
9lbs, 6oz
I was warned after my pap at my first appointment that there may be some spotting because the cervix is already going through so many changes and sometimes the instruments can cause bleeding on it. However, it's just a superficial wound and won't affect the baby at all.
I had a pap with my first visit to the OB this year, he told me there would be some bleeding & I cramped some. But the next evening I was good as new. Drink lots of water & if the bleeding gets really bad then call your dr. But it's normal to spot after a pap.
Best Wishes!!
It is pretty standard, maybe your friends had their yearly paps within the last year and weren't due for one when they got pregnant.
The cramping and spotting are 100% normal.
Per ACOG guidelines, a pap smear is required as part of the initial prenatal workup. Your provider should be doing it, period the end. If they are not, it is malpractice. It is, however, appropriate to defer it if you've had your pap within the last year as long as it is done during your pregnancy at the appropriate time.
The reason a pap is done is because for most women of childbearing age, they are young, have few to no health issues, and so don't see a provider to get their routine pap. Also, because the immune system is compromised during pregnancy to a certain extent, it can reactivate HPV is you've been previously infected. The pap and HPV DNA test don't detect 100% of this, so even if you've had all normal paps before, one in pregnancy could be different.
Your cervix is very vascular in the first trimester (called Chadwick's sign) and a pap will oftentimes cause some spotting. Some people will also experience cramping.
Thank you for all the answers. I think my doc should have told me to expect the cramping and spotting. Unfortunately, I just soaked through my panty liner and jeans at work.
I guess this could be an unrelated issue. I'm heading to the doctor now.
Good luck everyone.