We’re all about keeping our community informed, empowered, and in the know about health and wellness. Today, we’re talking about something crucial but often overlooked—anal Pap smears.

You know how cervical Pap smears help prevent cervical cancer? Well, anal Pap smears do the same for your booty! 🍑 They’re quick, easy, and can help catch abnormal cells before they turn into something more serious. So, let’s break it down: why you need one, who should get one, and how to make sure your booty stays as healthy as possible.

What is an Anal Pap Smear?

An anal Pap smear is a simple, non-invasive screening test that detects abnormal or pre-cancerous cells in the anal canal. It’s similar to a cervical Pap smear but focuses on identifying high-risk HPV-related changes in the anus. HPV (human papillomavirus) is the most common sexually transmitted infection (STI) and is a leading cause of anal cancer.

The test itself is quick and easy—a healthcare provider collects a small sample of cells from the anal canal using a swab. The sample is then examined under a microscope for any abnormalities.

Why Does It Matter?

🎯 Anal cancer is on the rise, and prevention is key!

Anal cancer is rare but increasing, especially in certain groups. Studies show that MSM (men who have sex with men), people living with HIV, and individuals with HPV have a much higher risk of developing anal dysplasia (abnormal cells) and, eventually, anal cancer.

According to the American Cancer Society, an estimated 9 out of 10 anal cancers are linked to HPV (ACS, 2023). But here’s the good news—if caught early, it’s highly treatable! That’s where anal Pap smears come in.

Who Should Get an Anal Pap Smear?

While anyone can get an anal Pap smear, it’s especially recommended for:

✅ MSM (Men who have sex with men) – Higher risk of HPV-related anal dysplasia.
✅ People living with HIV – A weaker immune system means a higher risk of persistent HPV infection and cancerous changes.
✅ Anyone with HPV – If you’ve had genital warts or a prior HPV diagnosis, your risk is increased.
✅ Immunocompromised individuals – Organ transplant recipients, cancer patients, or anyone on long-term immunosuppressive therapy.

The CDC and the American Society of Colposcopy and Cervical Pathology (ASCCP) recommend regular screening for these high-risk groups (CDC, 2022).

What to Expect During an Anal Pap Smear

If you’re nervous about the test, don’t be! It’s super simple:

Step 1: You’ll be asked to undress from the waist down. You can lie on your side, in a comfortable position.
Step 2: Your provider will insert a small swab into the anal canal—no instruments, no pain, just a little pressure.
Step 3: The swab is gently rotated to collect cells, then removed. That’s it! The whole thing takes less than a minute.

Results typically take a week or two. If any abnormalities are found, your provider may recommend follow-up testing, such as High-Resolution Anoscopy (HRA) to get a closer look.

How Often Should You Get an Anal Pap Smear?

The medical community is still working on official screening guidelines, but many experts recommend:

🔹 Every 1–3 years for high-risk individuals (HIV+, MSM, history of HPV)
🔹 As advised by your provider if previous results were abnormal

If you’re unsure, talk to your provider about your risk factors and what’s best for you.

How to Book Your Anal Pap Smear with us.

💜 We get it—talking about anal health can feel awkward. But we’re all about shameless, judgment-free healthcare. Our team specializes in LGBTQ+ health, HIV care, and STI prevention, so you’re in the right hands.

📍 Visit us at www.centraloutreach.com or call 855-5-WE-CARE to schedule an appointment.

Is There Anything You Can Do to Prevent an Abnormal Anal Pap?

Yes, speak with your provider about an HPV vaccination if you have not received yours already. This vaccine can help prevent high-risk HPV strains that can cause anal cancer and anal warts! HPV vaccination is recommended for everyone through age 26 and it is recommended up to age 45 years in certain groups. 

https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.html

Sources & References

American Cancer Society. (2023). What Causes Anal Cancer? https://www.cancer.org/cancer/anal-cancer.html

CDC. (2022). HPV and Cancer. https://www.cdc.gov/std/hpv/stdfact-hpv.htm

National Cancer Institute. (2023). Anal Cancer—What You Need to Know. https://www.cancer.gov/types/anal

American Society for Colposcopy and Cervical Pathology (ASCCP). (2023). Anal Dysplasia Screening Recommendations.