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papanicolaou (pap) smear
liquid-based technology; cervical cancer screening
obtaining tissue specimens for analysis

older adult considerations
more susceptible to vaginal infection due to vaginal atrophy; greater chance of chronic vaginal infections + urinary function problems; painful sexual intercourse
estrogen production decreases w/ age causing atrophy of vaginal mucosa
urinary incontinence from muscle weakness or loss of urethral elasticity
cervix appears pale after menopause
cervical eversion
occurs after vaginal birth or when person takes oral contraceptives
columnar epithelium within endocervical canal is everted
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