Cytological examination of the cervix (Papanicolaou, PAP), also called a cervix smear test, allows the very first changes in the cervix cells, that could eventually develop into cancer, to be detected. Surface cells are taken from the cervix with a light stroke of a spatula or brush and spread on a glass or in a liquid medium. Cell lesions are assessed by the investigator (doctor–pathologist) by examining the cells in the smear under the microscope. 

Every woman is recommended to have a cytological cervix examination (PAP) every 1-2 years starting from the age of 18 years or when they become sexually active. 
The cytological cervix test (PAP) in the liquid medium is more accurate and is painless and uncomplicated. No special preparations are needed. 
The examination is carried out by the obstetrician-gynaecologist.
Duration is about 1-5 min. The results are usually available on the same working day. 

Price of cytological cervix (PAP) examination

Service
Centre standard price Eur with a referral letter Centre For clients who are covered by compulsory health insurance
Regular price Regular For clients who are not covered by compulsory health insurance
Cito! Cytological examination of fine needle aspiration material, performed by doctor

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Cito! Cytological examination of smears of biological fluids, scrapings with centrifugation (except vaginal and cervical smears), performed by doctor

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Cito! Cytological examination of vaginal smears, smears of phlegm, smears from nose, ear, tongue, performed by doctor

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Cito! Extended cytological examination of smears of material from any localization (more than 5 preparation units and/or additional dyeing methods), performed by doctor

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Cytological examination of cervical smears (PAP smears)

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Cytological examination of cervical smears (PAP smears) and evaluation according to Bethesda system, performed by doctor

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Cytological examination of cervical smears (PAP smears) and evaluation according to Bethesda system, performed by doctor

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Cytological examination of cervical smears (PAP smears) in liquid-based

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Cytological examination of fine needle aspiration material, performed by doctor

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Cytological examination of smears of biological fluids, scrapings with centrifugation (except vaginal and cervical smears), performed by doctor

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Cytological examination of vaginal smears, smears of phlegm, smears from nose, ear, tongue, performed by doctor

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Extended cytological examination of smears of material from any localization (more than 5 preparation units and/or additional dyeing methods), performed by doctor

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Taking material for PAP investigation

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What factors affect the price?

The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.

More about prices

When are the examinations are carried out:

The time of specific tests and associated data are presented here.
The time of pathology and citology examinations here.

More about the time required for the tests

deco round
Reasons

to choose us

  • The examination is carried out by qualified specialists.
  • Modern, safe and reliable medical equipment of the world’s leading producers. 
  • Consultation, tests and treatment prescribed – all in 1 day. 

It is useful to know

If the test results are outside the normal range, it does not mean that you have cancer. There are three precancerous lesions stages, i.e. three stages of dysplasia. Most lesions are benign and can disappear without any treatment. But test results can also show precancerous lesions, and you need to consult the gynaecologist in order to get the required treatment. It is important to know that precancerous lesions that are detected early are treated successfully. 

The sample taken remains suitable for further tests for 6 weeks. It is possible to use the sample to detect the human papillomavirus (HPV) and chlamydia and gonorrhoea.  

Doctors

Assoc. prof., MD  Alisauskas Jonas
Assoc. prof., MD Alisauskas Jonas

Gynaecologist obstetrician

Assoc. prof., MD Alisauskas Jonas

Gynaecologist obstetrician

  • LT, RU, FR, SR
  • Working hours
MD  Bartkeviciene Daiva
MD Bartkeviciene Daiva

Gynaecologist obstetrician

MD Bartkeviciene Daiva

Gynaecologist obstetrician

  • LT, RU, EN
  • Working hours
Bogdanskiene Grazina
Bogdanskiene Grazina

Gynaecologist obstetrician

Bogdanskiene Grazina

Gynaecologist obstetrician

  • LT, RU, EN
  • Working hours
MD  Buzinskiene Diana
MD Buzinskiene Diana

Gynaecologist obstetrician

MD Buzinskiene Diana

Gynaecologist obstetrician

  • LT, RU, EN, PL
  • Working hours
Daunoravicius Ricardas
Daunoravicius Ricardas

Gynaecologist obstetrician

Daunoravicius Ricardas

Gynaecologist obstetrician

  • LT, RU, DE, FR
  • Working hours
Kirilova Irena
Kirilova Irena

Gynaecologist obstetrician

Kirilova Irena

Gynaecologist obstetrician

  • LT, RU, EN, PL
  • Working hours
Kudziene Vida
Kudziene Vida

Gynaecologist obstetrician

Kudziene Vida

Gynaecologist obstetrician

  • LT, RU, DE
  • Working hours
Markauskiene Antonina
Markauskiene Antonina

Gynaecologist obstetrician

Markauskiene Antonina

Gynaecologist obstetrician

  • LT, EN, RU
  • Working hours
MD  Mecejus Gediminas
MD Mecejus Gediminas

Gynaecologist obstetrician

MD Mecejus Gediminas

Gynaecologist obstetrician

  • LT, RU, EN
  • Working hours
Norvilaite Kristina
Norvilaite Kristina

Gynaecologist obstetrician

Norvilaite Kristina

Gynaecologist obstetrician

  • LT, EN, RU
  • Working hours
MD  Rudaitis Vilius
MD Rudaitis Vilius

Gynaecologist obstetrician

MD Rudaitis Vilius

Gynaecologist obstetrician

  • LT, RU, EN
  • Working hours
Tumene Sandra
Tumene Sandra

Gynaecologist obstetrician, Geneticist

Tumene Sandra

Gynaecologist obstetrician, Geneticist

  • LT, EN, RU
  • Working hours
Vitko Julija
Vitko Julija

Echoscopist, Gynaecologist obstetrician, Breasts oncosurgeon

Vitko Julija

Echoscopist, Gynaecologist obstetrician, Breasts oncosurgeon

  • LT, RU, EN
  • Working hours
MD  Zakareviciene Jolita
MD Zakareviciene Jolita

Gynaecologist obstetrician

MD Zakareviciene Jolita

Gynaecologist obstetrician

  • LT, RU, EN
  • Working hours

FAQ (frequently asked questions)

Cancer of the cervix develops from precancerous changes in the cervical mucus membrane. This does not just happen in a day. These changes in the cervix tissue develop over several years. There may be alterations in the cells but those alterations do not cause any symptoms. The timely PAP cytological test, carried out for preventive reasons, helps to detect the cell alterations, which enables timely treatment and protects against cervical cancer. 

Cells in the conventional PAP smear are overcrowded, overlaid, some of them are crushed. Usually the investigated material contains a number of side impurities, inflammation mucus, blood. All this complicates the examination, making it impossible to properly inspect the cells. Besides, not all the cells taken for the examination are taken from the smear-taking instrument onto the glass slide. Some of the cells are just thrown away with the instrument.

The THINPREP® PAP test was invented by analysing the shortcomings of the conventional smear. Cells from the cervix are collected in the same way. The difference is that the instrument with the cell sample is washed in a special fluid, which ensures that all the taken cells are investigated. The computerised machine then removes all the side impurities, filters out the cells from the solution and forms a monolayer of the cells. This enables the investigator to make an accurate analysis of the cervix cells under the microscope. 

Differences of the conventional smear (example 1) and THINPREP® PAP (example 2) observing the cells under the microscope

 

1 picture. It is difficult to analyse the cells prepared from the conventional smear even for an experienced investigator.

 

2 picture. THINPREP® PAP solution has no side impurities, the cells are deposited in a single layer, therefore the investigated cells can be easily analysed.

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