Tuesday, December 22, 2009

New Pap Smear Guidelines

Just as we hear that mammograms are no longer necessary before age 50, we learn that the ACOG has changed their guidelines for Pap Smear frequency and age at first Pap. According to the New York Times, Pap smears are unnecessary before age 21. Prior guidelines suggested that first Pap Smears be performed at age 21, unless sexually active when Pap smears were recommended starting three years after becoming sexually active. One reason for this change is that having Pap smears earlier may lead to difficulty maintaining a pregnancy later in life.

The recommendations also advise women over 30 only need a Pap smear every three years when they have a three year history of normal Pap smears.

Additionally, women who have had a hysterectomy for a non-cancer reason can stop having Pap smears altogether. Of course, this includes only women who have had both their uterus and cervix removed -- women who have opted to keep their cervix during hysterectomy will need to follow their doctor's recommendation on future Pap smears. The sad fact is that 15 million unnecessary Pap are performed annually in the US on women who have had hysterectomies that included removal of the cervix.

Another recommendation is for women between ages 65 to 70, who can stop having Pap smears if they have had normal Pap smears for three consecutive years and no abnormal Pap smears over the last ten years.

See: How To Prepare For Your Pap Smear

What do you think about these new guidelines? Will these new guidelines affect the frequency of your Pap smears?

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