How Often Should I Have a Pap Test?
Among the various cancer screening tools available, the Pap test (Pap smear) is crucial in preventive health care for biological females. January is Cervical Health Awareness Month, providing an excellent opportunity to review the benefits of routine screening with Pap tests.
Our internal medicine specialist, Dr. Kadie E. Leach, provides primary care services for adults in Washington, DC. She’s passionate about preventive care and focused on helping you live your healthiest life possible.
Here’s why Dr. Leach considers routine cervical cancer screening essential and how often she recommends her patients schedule a Pap test.
Understanding cervical cancer and Pap tests
Cervical cancer occurs in the cells of the cervix, which is the lower part of the uterus (womb) that connects to the vagina. The cervix allows the passage of the baby from the uterus to the vagina during delivery.
Most often caused by persistent infection with high-risk types of human papillomavirus (HPV), cervical cancer is treatable and even curable when detected early. Cervical cancer typically develops slowly, starting with precancerous changes (dysplasia) that are detectable through routine screenings with Pap tests.
Frequency of Pap tests
The recommended frequency for Pap tests varies based on individual factors, including your age, medical history, and risk factors. If your risk factors are low, Dr. Leach may recommend a Pap test every three to five years, while women at high risk may require annual screening.
The American Cancer Society suggests the following schedule for cervical cancer screening:
Ages 21-29
Pap tests every three years.
Ages 30-65
Pap tests combined with HPV testing every five years or Pap tests alone every three years.
Age 65 and older
Some women may stop Pap testing if they have a history of regular screenings and no abnormal results.
Should I consider more frequent Pap tests?
Dr. Leach considers several factors regarding more frequent Pap tests, including:
High-risk individuals
Women with a history of cervical dysplasia (abnormal cell growth), compromised immune systems, or exposure to diethylstilbestrol (DES) may need more frequent screenings.
Other risk factors include:
- Smoking history
- Family history
- Multiple sexual partners
- Previous chlamydia infection
During your initial evaluation, Dr. Leach carefully reviews your family and medical history before developing a schedule for Pap tests and other cancer screenings.
History of hysterectomy
Women who have had a hysterectomy may need continued screenings if the procedure did not include removal of the cervix or if the hysterectomy was performed due to cancer.
HPV vaccination
The availability of HPV vaccines has transformed cervical cancer prevention. However, women who have received the HPV vaccine should still undergo regular Pap tests, as the vaccine does not cover all high-risk HPV types.
Take charge of your health. Schedule an evaluation with Dr. Leach today for more information about Pap tests and other preventive screening tests. Call the office or request an appointment online.