Screening for cervical cancer is an essential part of every woman’s health care. Two common tests, you will need for cervical cancer screenings are the HPV test and Pap smear. Singapore‘s healthcare system is advanced.
So if you’re already in Singapore, you can count on women’s health clinics in the country for expert services. These tests are crucial for detecting abnormal cells and infections that could lead to cervical cancer.
But how do these tests differ? And, which one is right for you? This article will help you understand the key differences between these tests, when to get them, and how they help in preventing cervical cancer. Let’s begin;
What is an HPV Test?
An HPV test checks for the presence of the human papillomavirus (HPV). HPV is the most common sexually transmitted infection, and certain high-risk types of HPV can cause cervical cancer. This test doesn’t look for cancer but for the virus that can lead to it. Here’s how it typically works:
- A women’s health specialist collects a sample of cells from your cervix.
- The sample is tested for high-risk HPV types.
- If the test detects high-risk HPV, it means you’re at an increased risk of developing abnormal cervical cells, which can lead to cancer.
HPV tests are usually recommended for women aged 30 and older. Younger women often clear the virus naturally, so HPV testing before 30 may not be as useful unless there’s a concern.
What is a Pap Smear?
A Pap smear (or Pap test) screens for abnormal cells in the cervix that may turn into cancer. Unlike the HPV test, a Pap smear does not directly test for viruses like HPV. Instead, it examines the actual cells of the cervix.
Here’s what happens during a Pap smear:
- A women’s health specialist collects a sample of cervical cells, just like in an HPV test.
- These cells are examined under a microscope to check for changes or abnormalities.
The Pap smear is typically recommended for women starting at age 21. It helps detect abnormal cells early before they turn into cancer.
What are the Key Differences between HPV Test and Pap smear?
The HPV test and Pap smear have different purposes. The HPV test detects the presence of high-risk human papillomavirus (HPV), which can cause cervical cancer.
It’s usually recommended for women aged 30 and older because, in younger women, HPV often clears on its own. If HPV is detected in your test, it signals an increased risk of developing abnormal cervical cells that can turn cancerous.
In contrast, the Pap smear screens for abnormal cells in the cervix. These cells may eventually lead to cancer if left untreated.
It’s recommended for women starting at age 21, as cervical changes often begin in early adulthood. Pap smears are valuable for catching early warning signs of cancer before any symptoms appear.
When it comes to frequency, HPV tests are generally done every 5 years when combined with a Pap smear. If you’re only getting a Pap smear, the recommendation is every 3 years.
While the HPV test checks for the virus causing cancer, the Pap smear focuses on identifying cell changes. Together, both tests help prevent cervical cancer by either identifying the virus (HPV test) or spotting abnormal cells early (Pap smear).
When Should You Get an HPV Test or Pap Smear?
The age and frequency of testing vary depending on the test and your health history. Here are general guidelines that you may find helpful:
- Ages 21 to 29: Pap smears are recommended every 3 years. HPV testing is not usually needed unless your Pap smear shows abnormal results.
- Ages 30 to 65: Co-testing (both Pap smear and HPV test) is recommended every 5 years. You can also choose to have just a Pap smear every 3 years or just an HPV test every 5 years.
- After 65: You may stop testing if you’ve had regular screenings in the past 10 years and no history of abnormal results.
Please note that individual recommendations may vary based on your individual risk factors. The information above are just general guidelines so it is best to follow your doctor’s specific guidelines.
Which Test Should You Choose?
The decision between an HPV test and a Pap smear in Singapore often depends on your age and overall health. For women under 30, a Pap smear is usually sufficient.
Women 30 and older are more likely to benefit from co-testing with both tests, as it provides the most comprehensive screening. Here’s how to decide:
- If you’re under 30, stick to Pap smears every 3 years unless your doctor advises otherwise.
- If you’re over 30, you can choose HPV testing, Pap smears, or both depending on your preferences and doctor’s advice.
Are There Any Risks or Side Effects?
Both tests are safe, but with minimal risks. For example, you might experience some mild discomfort or spotting after the test, but these side effects are temporary.
However, false-positive results can occur, especially with Pap smears. This means the test might suggest abnormal cells when there’s no actual problem.
As you’re probably imagining right now, this may lead to unnecessary worry or follow-up testing. Similarly, a false-negative result could miss abnormal cells or an HPV infection. That’s why regular screenings are important.
Cost is another important consideration. In Singapore, both HPV tests and Pap smears are widely available at clinics and hospitals. The cost varies depending on the healthcare provider and whether you’re getting both tests or just one. Here are rough estimates;
- A Pap smear typically costs between SGD 50 and SGD 150.
- An HPV test costs more, ranging from SGD 100 to SGD 300, depending on the clinic.
You may want to check with your clinic or insurance provider to see if the tests are covered under your healthcare plan.
The Bottom Line
Both the HPV test and Pap smear help with cervical cancer prevention, but they serve different purposes. That said, always discuss with your provider to determine the best screening schedule for your individual needs.
If you’re unsure which test is right for you, book a consultation with a healthcare professional in Singapore to get personalized advice. Get in touch with a knowledgeable women’s health specialist at;
The Health Advisory Clinic
One Raffles Place, #04-49
1 Raffles Place, Singapore 048616
(+65) 6226 6442


