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What is the most common reason for an unsatisfactory Pap test submitted to the SLPH?

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• The vast majority of unsatisfactory ThinPrep specimens are visibly bloody. It is advisable to collect the Pap specimen between days 12-15 of the patient´s menstrual cycle to avoid excessive blood. • Turning the cytobrush more than one half turn in one direction when collecting the specimen can be another source of bloody specimens. The Preservcyt solution can break down only a reasonable number of red blood cells. Those that are left will clog the pores of the ThinPrep filter before the epithelial cells reach the slide. • Cervical brooms can reduce the chances of a bloody specimen when the bleeding is the result of a friable cervix. Please call Susie Lavender at 919-733-7146 to receive a sample of the brooms. • Excessive mucus is another cause of unsatisfactory specimens. Always remove the mucus before taking the Pap. Please refer to the Cytyc Training Bulletin on Collection for technique. • The other major cause of unsatisfactory specimens is improper labeling of the vial and/or for

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