Pap Smear After Hysterectomy
Do I still need to get a PAP test and gyn exam if I had a hysterectomy?
Stephen Rubin, MD, Gynecologic Oncologist at Penn Medicine, responds:
Current recommendations are that women who have had a total hysterectomy (both uterus and cervix removed) for benign conditions and have no history of abnormal Paps do not need Paps. Gynecology exams should still be done periodically to focus on other issues.
If the hysterectomy was done for treatment of a cancer or the cervix remains (partial hysterectomy), then pap tests should be continued. These tests can detect abnormalities in vaginal tissue, which can be caused by HPV. Women over 65 should discuss their options with their gynecologist as some can stop testing.
This question and answer was part of the OncoLink Brown Bag Chat Series. View the entire Focus on Gynecologic Cancers transcript.
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