12 doctors weighed in:
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?
12 doctors weighed in

Dr. Carolyn Quist
Gynecology
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Carolyn Quist
Dr. Carolyn Quist
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Dr. Gregory Hines
Family Medicine
3 doctors agree
In brief: Every two years
You should get a pap smear every two years, and a pelvic exam annually.

In brief: Every two years
You should get a pap smear every two years, and a pelvic exam annually.
Dr. Gregory Hines
Dr. Gregory Hines
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1 comment
Dr. Kevin Daus
Remember that a pap smear is just a test like getting your cholesterol checked. At your age, your prior paps play a part on if you need to have the pap smear sent to the lab. After 3 neg screens you may not need a pap sent if your risk factors do not change. You still need your pelvic exam done.
Dr. John Kirk
Obstetrics & Gynecology
1 doctor agrees
In brief: 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).

In brief: 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).
Dr. John Kirk
Dr. John Kirk
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Dr. Bryan Treacy
Gynecology
In brief: 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.

In brief: 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.
Dr. Bryan Treacy
Dr. Bryan Treacy
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Dr. Carolyn Thompson
Obstetrics & Gynecology
In brief: 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.

In brief: 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.
Dr. Carolyn Thompson
Dr. Carolyn Thompson
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Dr. Margot Watson
Gynecology
In brief: 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.

In brief: 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.
Dr. Margot Watson
Dr. Margot Watson
Thank
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