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Well Woman Exam

By March 5, 2017 - 10:46am
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I am 58 years old and had a total hysterectomy in September, 2000 where my uterus and ovaries were removed. My CRNP says that I only need a pap smear every 5 years but I need to have a pelvic exam every year. I am wondering is that correct and if so why?

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Hi, Leslie.

Thank you for your question.

According to the American Cancer Society:

*Beginning at age 30, the preferred way to screen is with a Pap test combined with an HPV test every 5 years. This is called co-testing and should continue until age 65.
Another reasonable option for women 30 to 65 is to get tested every 3 years with just the Pap test.

Pap smears may be discontinued after a total hysterectomy unless the surgery was performed for cervical pre-invasive or invasive cancer or other uterine cancers, or if you are considered to be at high risk for other reasons; for example, if you are HIV positive (carry the virus that causes AIDS), or have a weakened immune system. In these situations, Pap smears should be continued as determined by your doctor. Women who have had a hysterectomy and no longer need Pap smears should continue to have routine pelvic exams performed by their doctor.*

You can find more information here:



March 5, 2017 - 2:19pm
(reply to Helena)

Thanks so much for the response and additional information.

March 5, 2017 - 5:55pm
Guide (reply to Leslie Friedman)

You're welcome :)

March 5, 2017 - 6:01pm
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