These are new guidelines for having a PAP smear: • Under 21: No Pap test or screening for HPV, regardless of sexual activity.
• 21–29: Pap test once every three years. • 30-65: Pap test once every three years. Preferably, Pap and HPV test together, once every five years. • Over 65: No testing at all if there is no history of cervical intraepithelial neoplasia (CIN) 2, CIN 3 or cervical cancer and if there have been either three consecutive negative Pap test results or two consecutive negative Pap/HPV co-test results within the previous 10 years, with the most recent test performed within the past five years.
Exceptions: Women who have had a total hysterectomy (including removal of the cervix) and no history of neoplasia should stop screening. Women with a history of cervical cancer, or who are HIV-positive, immunocompromised, or were exposed to diethylstilbestrol (DES) in utero; may need more frequent screening. Source: American College of Obstetricians and Gynecologists