Pono ka wahine maʻi maʻi e ʻike i ke kauka no ka nānā ʻana i ka pelvic smear ʻelua i loko o ka makahiki, a laila ma ka liʻiliʻi i kēlā me kēia ʻekolu makahiki. ʻO ka manawa kēia e kamaʻilio e pili ana i kahi manawa kaumaha loa inā ʻo ia ka hihia. Akā ʻoiaʻiʻo, pono e kūkākūkā no kēia pilikia kikoʻī:

• ināʻo kaumaha loa nā manawa, ʻeha loa, pinepine pinepine a i hele pū ʻia me ka anemia, mai ka wā ʻōpio i kahi kaikamahine ʻōpio a i ʻole kekahi mau pule i kahi wahine makua;
• i mua o ʻike ʻole ʻia a me nā hōʻailona maʻamau (ka ʻeha o ka ʻōpū a i ʻole ke pelvic, nā maʻi pōʻai, ka ʻeha i ka wā o ka moekolohe, nā hōʻailona o ka maʻi, etc.);
• i cas o kaumaha a i ʻole ke koko maʻamau, o ka ike hou ia.

ʻO ka pale ʻana i ka menorrhagia a me ke kahe koko ʻokoʻa e pili ana i ke kūlana.

• I na wahine me menorrhagia mai ka wā ʻōpio me ka ʻole o ke kumu i ʻike ʻia (lōʻihi a ʻoi aku paha ka ʻeha ʻeha), hiki ke mālama ʻia ka menorrhagia me nā lāʻau anti-inflammatory (ibuprofen) i nā lā 5 mua o ka pōʻai. ʻO ka lawe ʻana i ka lāʻau pale hāpai e hoʻopau i nā manawa a hoʻololi iā lākou me ka liʻiliʻi o ke kahe hemo ʻana. ʻO ka mea hana intrauterine (IUD) Hiki ke hāʻawi ʻia ʻo Mirena hormonal i nā wahine ʻōpio loa e loaʻa ana ka ʻeha nui a i ʻole ke kaumaha (hōʻailona o ka endometriosis). 
• I na wahine me menorrhagia hou loa ma hope o kekahi mau mahina a i ʻole mau makahiki o ka menstruation maʻamau, pono e ʻimi ʻia ke kumu o ke koko (e ʻike i luna) ma mua o ka hāʻawi ʻana i ka lāʻau lapaʻau;
• ka nā mea hoʻohana i nā mea hana keleawe intrauterine hiki ke lō'ihi a 'oi aku paha ka lō'ihi o ka manawa ma hope o ka ho'okomo 'ana i ka mea hana; ʻo ka mālama ʻana i nā lāʻau anti-inflammatory nonsteroidal (ibuprofen) a me ka hao (no ka pale ʻana i ka anemia);
• ka ka hoʻopaʻa ʻana hormonal (pill, injections, patch, vaginal ring, Mirena) hiki ke hui pū ʻia me ka "spotting" (māmā a me ke kahe ʻana i kekahi manawa, akā hoʻihoʻi hou ʻia i kekahi manawa) a inā he pinepine loa ia, e hōʻoia i ka lawe ʻana i ka ibuprofen a i ʻole ke kūkākūkā e hoʻololi i ka contraception.