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How Often For Pap Smear After Menopause

When Do I Need A Pap Smear

Do Women Need Pap Smears after Menopause?

In the past, doctors recommended women undergo a Pap smear screening at every annual well-woman visit. However, new guidelines recommend individualized Pap smear screenings and/or human papillomavirus testing based on your risk of developing cervical cancer.

At Wellness for Women, the womens health experts recommend Pap smears based on age, risk factors, results of testing, and gynecological history:

  • Age 21 and younger: No Pap smear
  • Ages 21-29: Pap smear every three years and HPV testing pending results of Pap test
  • Ages 30-70: Pap smear and HPV test every 3-5 years, or Pap smear only every 3 years
  • Age 70 and over: No Pap smear needed, unless history of abnormal Pap test
  • After a hysterectomy: No Pap smear if history of negative HPV and Pap testing

However, you may need more frequent Pap smear screenings if you have a history of an abnormal Pap smear, personal or family history of cervical cancer, HIV, or a weakened immune system.;

Eliminating Cervical Cancer Is Possible

Although theres been great progress in reducing the number of women diagnosed with cervical cancer and survival rates have improved in recent decades, theres still work to be done. Advances in screening, as well as the availability of the HPV vaccine, put us ever closer to eradicating cervical cancer entirely, says Romano.

We just need everyone to be proactive in educating themselves about HPV, to take steps to prevent the spread of the virus and to get screened regularly for HPV-related cancers.

Birth Control Pills Dont Cause Cervical Cancer Or Hpv; Why Is My Prescription Dependent On Getting A Pap Test

Ok, good question, this is a common misconception. Actually, your prescription for your pills is not dependent on your Pap, but on your coming in for your annual exam. The Pap is one small part of this yearly appointment.

When you come for your exam, your doctor gets updated by you on any health changes, surgeries and changes to your familys health throughout the year as well as determining what cancer screening testing is appropriate. The screening that she is tracking includes the Pap smear, but she also determines if you are up-to-date on your mammogram, are you due for a colonoscopy, etc. She also does an exam, which may or may not include a Pap smear.

Getting this information is vital to your health in many cases. I have, more than once, had someone come in for their yearly and found that they were recently diagnosed with a new medical problem and shouldnt be on birth control pills. Had I just continued to prescribe the pills without seeing the patient, she may have been at risk for complications related to the contraceptives. Some women who take birth control have their menopause delayed.

If you want to be sure you can be prescribed birth control pills, a Gennev menopause-certified gynecologist can give you a trusted opinion and medication for you. They can provide prescription support. Book an appointment with a doctor here.

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How Often Should I Get A Pap Smear Now That I Am Menopausal

You can get a Pap test every three years if both of these are true for you:

  • You have had normal Pap test results for three years in a row.
  • You have no history of a precancerous Pap test result, no HIV infection, no weakened immune system, and no history of in utero exposure to diethylstilbestrol
  • Women who have a higher risk of cancer may need a Pap test more often. Your doctor can recommend what is best for you.

    Why Might Cervical Screening Become Harder After The Menopause

    Pap Smears After Menopause

    When you go into the menopause, your body loses female sex hormones, oestrogen and progesterone, which are needed for things like periods and pregnancy. These hormones also help to lubricate your vagina and keep the tissue that makes up the vaginal walls stretchy.;

    As these hormones decrease, your vagina may become drier and less stretchy, so when you try to put something like a speculum, used during cervical screening, into your vagina, it may be uncomfortable or even painful. But, thankfully, its often easy to treat here are some of our top tips:

    As well as vaginal dryness, the menopause can have other symptoms that may make cervical screening more difficult for you. Symptoms like mood changes perhaps feeling more anxious or low can make it hard to book and attend an appointment, while regular hot flushes may make you worry about managing one if it happens during the test. While none of these symptoms are pleasant, there are ways to deal with them and dont forget there are lots of other women going through exactly the same thing so you are not alone in your experience.;

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    Why Do I Need A Pap And Hpv Test

    A Pap test can save your life. It can find cervical cancer cells early. The chance of successful treatment of cervical cancer is very high if the disease is caught early. Pap tests can also find abnormal cervical cells before they become cancer . Removing these precancers prevents cervical cancer over 95% of the time.

    An HPV test can give your doctor more information about the cells from your cervix. For example, if the Pap test shows abnormal cervical cells, the HPV test can show whether you have a type of HPV that causes cervical cancer.

    Do I Need To See A Gynecologist After Menopause

    As you age, youll notice several changes, beginning with reduced periods. This is something you should look out for after the age of 40. This is generally when female hormones begin changing, which results in several uncomfortable symptoms, including hot flashes, which usually appear during perimenopause. If you have gone a year without a menstrual period, you have likely reached the menopausal phase.;

    Your body will continue to change after menopause, and many women experience symptoms that require gynecological care. For example, if you experience irritation of the vagina and vulva, sexual intercourse may become painful. Some women experience pelvic organ prolapse when the muscles that support their bladder, rectum, and uterus become significantly weaker. You may also experience urinary incontinence, which requires care as well. At the end of the day, maintaining a solid relationship with your gynecologist can help you keep good health after menopause.;

    So, when youre asking yourself, do I need to see a gynecologist after menopause? the answer is yes. You must know the available answers when you search gynecologist for seniors near me. However, so long as your exams have been healthy in the preceding years, you will not have to visit your doctor as often as you did pre-menopause.;

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    What Is A Pap Smear

    A Pap smear is a cervical cancer screening test for women. During the test, your provider collects a sample of cells from your cervix and sends the cells out to a lab to look for abnormalities.

    Finding cervical cancer early improves your bodys response to treatment and your chances of a full remission.;

    I Have A Teenage Daughter What Are Your Thoughts On The Hpv Vaccine

    Pap Smear | Line One: Your Health Connection

    Dr. Jessie: DEFINITELY do get your daughter the HPV vaccine. The vaccine is FDA-approved for girls and boys between the ages of 9 and 26. It is worth getting your daughter vaccinated to decrease her chances of needing a colposcopy or other procedures on her cervix. Men are carriers of the virus, so vaccinating your son is also a great idea!

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    What Happens After A Mammogram

    If you feel any discomfort after the mammogram, ask your doctor if you can take aspirin or ibuprofen to relieve it. Generally, you will be able to resume your usual activities immediately.

    The results of your mammogram will be given to your doctor, who will discuss with you what the test results could mean and what further tests might be recommended.

    If you do not receive your results within two weeks, do not assume the results are normal. Contact your doctor and the mammogram facility to get confirmation of the results.

    According to the American Cancer Society, only two to four mammograms out of every 1,000 lead to a diagnosis of cancer. Approximately 10% of women will require additional imaging, such as additional views or ultrasound. Don’t be alarmed if this happens to you. Only 8% to 10% of those women will need a breast biopsy , and 80% of those biopsies will not show evidence of cancer. Those odds may improve with more widespread use of three-dimensional mammography.

    Age Health And Past Tests Dictate Frequency

    While the official recommendations on Pap test frequency may differ among organizations and individual doctors, the most common belief is that once a woman turns 21 and has a negative Pap smear, she should have a Pap test every three years, regardless of whether she is sexually active or has had the HPV vaccine.

    If all results come back normal throughout her 20s, she can begin having Pap tests once every five years after she turns 30. From ages 30 to 65, women should also be tested for HPV, a disease that can lead to cervical cancer if it isnt treated.

    After age 65, she can talk with her doctor about stopping Pap tests if she has consistently had normal results over the past 10 years.

    At every stage, the doctor may alter the recommendations for patients based on several factors, but mainly their overall health and their family history of cervical cancer. Women at high risk, such as those who have had abnormal results on previous Pap tests or have been infected with HPV or HIV, should be tested more often.

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    What Are The Long

    There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.


    Osteoporosis, a √Ębrittle-bone√Ę disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.

    Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.

    If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.

    Coronary artery disease

    Who Needs Pap And Hpv Tests More Often

    The Pap Smear Demystified: What is It, When Do You Need It ...

    Your doctor or nurse may recommend getting Pap and HPV tests more often if:

    • You have had treatment for abnormal Pap results or cervical cancer in the past. Women with a medical history of precancerous cells or cervical cancer may need to be tested more often, because their medical history puts them at higher risk in the future.
    • You are living with HIV. Women who are living with are at higher risk of cervical cancer and other cervical diseases because of a weakened immune system. All women living with HIV should get an initial Pap test at the time of the HIV diagnosis and a second Pap test 12 months later. Some experts recommend a second Pap test or Pap and HPV test 6 months later, so talk to your doctor or nurse. After three normal Pap tests in a row, women living with HIV can get follow-up Pap tests every 3 years.
    • Your mother was exposed to diethylstilbestrol while pregnant with you. Daughters, and possibly granddaughters, of women who took DES while pregnant with them have a higher risk of cervical cancer and some other types of cancer. Learn more about DES and cancer from the National Cancer Institute website.
    • You have a weakened immune system because of organ transplant, chemotherapy, or steroid use. HPV may not go away on its own in a person with a weakened immune system.

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    When Will I Get My Pap And Hpv Test Results

    Usually, it takes 1 to 3 weeks to get Pap and HPV test results. Most of the time, test results are normal.

    If you do not get the results of your Pap and HPV tests 3 weeks after the test, call your doctors office to get the results. If the doctor or nurse tells you to schedule another appointment to follow up on abnormal results, be sure to go to the appointment.

    Are There Other Tests For Breast Cancer Besides Mammograms

    This is another area where the experts do not agree. The USPSTF recommends against self breast exams. The American Cancer Society , however, states women should be familiar with how their breasts normally look and feel and report changes to a doctor right away. The American Congress of Obstetricians and Gynecologists states that women in their 20s and 30s should get a clinical breast exam with their doctor at least every three years, and annually after the age of 45. The USPSTF does not feel that there is enough evidence to make a recommendation regarding clinical breast exam in women age 40 or older.

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    What Is An Hpv Test

    An HPV test looks for DNA from HPV in cells from your cervix. The cervix is the lower part of the uterus , which opens into the vagina. HPV is a sexually transmitted infection that goes away on its own in most people. If it does not go away, HPV can cause abnormal cervical cells that can lead to cervical cancer.

    Certain types of HPV are more likely to cause cervical cancer. The HPV test can tell your doctor if you have HPV and which type it is.

    , your doctor or nurse puts a speculum into your vagina and uses a soft brush to collect cells from the outside of your cervix. The cells are tested in a laboratory.

    Pap tests and HPV tests can be done at the same time .

    Can We Stay Clear Of Gaining Weight

    Menopause and You: The Pap Smear

    Yes, given you take the bull by the horns! Preferably, from the age of 40, the lady that intends to protect against the common weight gain of menopause has all passion to require herself to excellent hygiene of life.This indicates working out and closely checking her diet plan. How Often For Pap Smear After Menopause

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    How Long Does The Transition To Menopause Last

    Perimenopause, the transition to menopause, can last between two and eight years before your periods stop permanently. For most women, this transition to menopause lasts about four years. You will know you have reached menopause only after it has been a full year since your last period. This means you have not had any bleeding, including spotting, for 12 months in a row.

    Can I Get A Pap Or Hpv Test If Ive Been Sexually Assaulted In The Past

    Yes. If you were sexually assaulted or abused in the past, and this experience makes medical exams difficult for you, talk to your doctor or nurse first.

    Before the test, while you are still fully clothed, tell your doctor or nurse that youve been assaulted in the past and that you have concerns about the test. It may be difficult to lie on an exam table with your legs in footrests or to have a doctor or nurse put a speculum into your vagina. Your doctor or nurse will talk with you about ways to make the Pap or HPV test easier.

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    What Symptoms Should I Watch For Between Pap Smears

    Pre-cancerous conditions of the cervix seldom cause symptoms. For problems to be detected, a pelvic examination and a Pap smear are usually required.

    When cancer is present in the cervix, the most common symptom is abnormal bleeding. Bleeding may start and stop between regular menstrual periods, or it may occur after sexual intercourse or douching . Abnormal vaginal discharge is another symptom. Pain is NOT an early warning sign of the disease. These symptoms can be caused by other conditions and are not sure signs of cancer; but be sure to see your doctor if any of these symptoms occur.

    How Often Do I Need To Get A Pap Test Or Pap And Hpv Tests Together

    Do I Need a Pap Smear If I Had a Hysterectomy?

    It depends on your age and health history. Talk with your doctor or nurse to find out how often you need to get a Pap test or Pap and HPV tests together. Most women can follow these current recommendations from the U.S. Preventive Services Task Force:

    • If you are 21 to 29 years old, you should get a Pap test every 3 years.
    • If you are 30 to 65 years old, you should get:
    • A Pap test every 3 years, or
    • An HPV test every 5 years, or
    • A Pap test and HPV test together every 5 years
  • If you are older than 65, ask your doctor whether you can stop having Pap and HPV tests.
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