What other tests should I take to find the cause of intermenstrual bleeding if Pap Smear and Ovarian Tumour Marker results are negative?

The oral contraceptive pill is usually very effective at treating intermenstrual bleeding for most women depending on the cause. Most oral contraceptive brands should work, but there are some brands which are supposed to be better at treating menstrual abnormalities than others. If the first brand that you have been prescribed doesn't seem to work so well at controlling your menses, then see your gynaecologist who can then prescribe you an alternative brand with perhaps a different dosage and different hormonal derivatives to try.

Pass urine before the test: Pap smears may cause mild discomfort due to a sensation of pressure in the pelvic area. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might require a urine sample for other testing purposes, thus check with the doctor or staff before going to the restroom. To perform the pap smear, your doctor will use an appropriate amount of lubricating gel to lessen any discomfort. It is also important to take deep breaths and try to relax your pelvic muscles during the procedure.