Well-Woman Preventative Screening, HPV Testing & Colposcopy in Mahikeng

Preventative gynaecological screening is the cornerstone of lifelong women's health, enabling early detection of pre-cancerous cervical changes, benign ovarian cysts, fibroids, breast lumps, and sexually transmitted or vaginal infections long before symptoms develop.

During an annual well-woman consultation in Suite D, Room 2, Dr Tebo Rasenyai conducts a structured health review covering menstrual health, contraceptive needs, bone and cardiovascular screening, a clinical breast examination, a gentle speculum and bimanual pelvic examination, and a pelvic ultrasound assessment.

• Cervical Cancer Prevention: Liquid-based Pap smear cytology, primary high-risk HPV DNA typing (types 16, 18, and pooled high-risk genotypes), and HPV vaccination counselling.
• Breast Health Surveillance: Clinical breast examination and age-appropriate referral for screening mammography or breast ultrasound.
• Pelvic & Reproductive Screening: Evaluation of the uterus, endometrium, and ovaries, alongside confidential STI and vaginal microbiome screening when requested.

Cervical cancer is one of the most preventable cancers in women when pre-cancerous cervical intraepithelial neoplasia (CIN) is identified and treated early through regular screening. Persistent infection with high-risk strains of Human Papillomavirus (HPV) is the primary driver of cervical cell changes.

If your Pap smear or HPV test shows abnormal cells (such as ASC-US, LSIL, ASC-H, or HSIL), Dr Rasenyai performs a specialist colposcopy examination — using a binocular magnifying colposcope to inspect the cervix gently and perform a targeted biopsy or LLETZ procedure to remove pre-cancerous tissue safely.

To ensure the pathology laboratory receives an optimal cellular sample and to avoid an inadequate or false-negative smear result, please follow our clinical preparation rules before your appointment:

Book your Pap smear on a day when you are not menstruating (ideally between day 10 and day 20 of your cycle). For 24 to 48 hours prior to the examination, please avoid vaginal intercourse, vaginal douching, tampons, spermicides, vaginal lubricants, and intravaginal antifungal or hormonal creams.

Most South African medical aid schemes — including GEMS, Discovery Health, Bonitas, Momentum, Polmed, and Medihelp — fund regular Pap smears and HPV screening directly from their Risk / Preventative Screening Benefit rather than deducting the pathology cost from your personal Medical Savings Account.

Our practice uses the correct preventative ICD-10 screening codes on your pathology request form so that your scheme's wellness benefit is triggered automatically.