I had cervical dysplasia, laser surgery more than 25 years ago. intact overies, uterus. 69 y.o. do i need pap tests, pelvic exams now? how often?

Every two years: You should get a pap smear every two years, and a pelvic exam annually.

Pap,pelvic every 2 y: Your risk of recurrent dysplasia is very low, not much more than if you had never had dysplasia. You should have routine screening which would be a pap smear, pelvic exam, and breast exam every 2 years.

You can stop: Current acog and asccp guidelines recommend repeating pap smears yearly for the first 20 years for people that have been treated for moderate to severe cervical dysplasia. After that one should go to every 3 years if they have been normal and usually by age 70 pap smears are no longer needed. You should continue to have yearly exams and a pap smear if something looks abnormal thereafter.

No Pap: New guidelines state that women with no history of moderately abnormal cells or worse (cin 2+) in 20 years may stop having pap tests. You still need an annual pelvic exam, however.

HPV is the key: Have a pap smear with a high risk human papillomavirus screen. If the hpv screen is positive, have an annual pap. If negative, have a pap smear every 2 years. You need an annual pelvic & breast exam in either case.

Probably not: If your last three paps smears have been normal and there are no other complaints such as bloating, pelvic or abdominal pain or abnormal bleeding, then after 65 you don't need any further pap smears. Pelvic exams without a focus such as a symptoms apperar not to have great value. Probably most important in your situation is to receive annual clinical breast exams and mammograms (until 75).