Regarding Gynaecological Tests - message from your teachers

We understand there have been some questions concerning procedures and order of the gynecological tests.

A reasonable order would be:

1. Cervical cytology (either with liquid-based or with spatula/brush/slide)
2. Microbiological sample (incl. stuarts transport medium)
3. Chlamydia, gonorrhea and mycoplasma PCR/NAT

   Procedure:

1. Cytology shall be taken from where the transformation zone is (portio/cervical canal). The combination brush should rotate 5 times with the tip inside the cervical canal. If there is excess mucus this should be wiped off before sample is taken.
2. Swab for microbiological testing should be taken before PCR/NAT, and the swab should touch the portio, fornix posterior and the vaginal walls.
3. Test for chlamydia is also taken from the cervical canal. Use a swab to clean the cervix in order to remove excess mucus. Chlamydia is an intracellular bacteria; rotate the swab against the wall of the endocervical canal several times, as well as on the portio and the vaginal wall.

Vi har skj?nt at det er en del forvirring rundt gynekologisk pr?vetakning, b?de rekkef?lge og metode.

En fornuftig rekkef?lge kan v?re:

1. Cervixcytologi (enten v?skebasert eller med spatel/b?rste/objektglass)
2. Dyrkningspr?ver (f.eks. stuarts medium)
3. PCR (NAT-p?visning)

   Metode:

1. Cellepr?ven tas fra transformasjonssonen. Kombinasjonsb?rsten roteres 5 ganger rundt med spissen i cervicalkanalen. Dersom det er rikelig slim b?r dette t?rkes forsiktig av f?r pr?vetaking.
2. Dyrkningspr?ver tas f?r PCR/NAT-p?visning, og p? indikasjon. Tas fra portio, bakre fornix og strykes langs vaginalveggen p? vei ut.
3. Chlamydiapr?ven tas fra cervicalkanalen. Cervix t?rkes godt av. Pinnen roteres i kanalen noen sekunder for ? sikre at man f?r celler med, siden chlamydia er en intracellul?r bakterie.  Pinnen strykes p? portio og i vaginalveggen ogs?.