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Old 11-15-2020, 07:40 PM
 
611 posts, read 791,788 times
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I have a question for you ladies over 70 years old ....I’m 74 and have received conflicting medical advice regarding Pap smear exam at my age. What does your doctor advise? Thanks in advance!
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Old 11-15-2020, 08:12 PM
 
Location: Austin
14,013 posts, read 8,081,525 times
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i quit having pap smears at 60. i'd never had an abnormal annual pap or sexually transmitted disease for 44 years and only one sex partner, as has my husband, for 30 years. my doctor hasn't pushed a pap test after 60 given my sexual history. if I had a different sexual history, i would gladly have continued pap smears.

Last edited by texan2yankee; 11-15-2020 at 08:28 PM..
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Old 11-15-2020, 09:38 PM
 
Location: Southern MN
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Is the conflicting advice from two different doctors or from friends? If one is from a doctor and one from a friend I'd get a second doctor's opinion.
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Old 11-16-2020, 09:41 AM
 
Location: Scottsdale, AZ and Redwood City, CA
10,522 posts, read 6,785,118 times
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"Pap smears typically continue throughout a woman’s life, until she reaches the age of 65, unless she has had a hysterectomy. (If so, she no longer needs Pap smears unless it is done to test for cervical or endometrial cancer.) At that point, if a patient has had two normal Pap smears in the past 10 years and she has not had any seriously precancerous cells in the past 20 years, she can stop screening altogether."

https://www.hopkinsmedicine.org/sign...pap-smear.html

I had my last Pap at age 65. I had had a cone biopsy in 1993 after abnormal cells were detected. My Paps from 1994 through 2018 (age 65) were all normal.
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Old 11-17-2020, 06:56 AM
 
Location: Central IL
17,348 posts, read 10,618,719 times
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A pap smear is typically done while doing a pelvic exam but the two are different things and done for different purposes. You can have a pap smear done and NOT a pelvic exam:

http://https://reverehealth.com/live-better/whats-the-difference-between-a-pap-smear-and-a-pelvic-exam/#:~:text=What's%20the%20Difference%20Between%20a%2 0Pap%20Smear%20and%20a%20Pelvic%20Exam%3F,-posted%20by%20OB&text=Pap%20smears%20and%20pelvic% 20exams,to%20screen%20for%20cervical%20cancer.

In fact, I believe pelvic exams are being phased out if there are no particular symptoms or issues whereas a pap smear may still be called for.
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Old 11-17-2020, 09:42 AM
 
Location: Wisconsin
2,895 posts, read 2,027,503 times
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I was around age 60-61 when my physician told me I didn't need them any longer.
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Old 11-17-2020, 06:13 PM
 
8,217 posts, read 12,490,316 times
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I've never understood why the need for pelvic exams and paps quits at 65. Its like "shrug, so you die after 65, not so bad"

I'm 64 and now they want me to have a hysterectomy because of uterine wall thickening. When I ask questions I get "well then you won't have to worry about it anymore".

All I can say is google and read the medical articles if you can figure them out in terms of percentages for lady part deaths after 65 and see what comes up. Of course thats assuming there have been good studies.
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Old 11-17-2020, 06:45 PM
 
4,290 posts, read 2,041,685 times
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I had a friend whose mother sought a pap smear as part of her regular medical maintenance routine. She was on Medicare, so of a similar age to what's being discussed. She was told point blank that Medicare would not pay for a smear at her age because statistically she could die of all kinds of things before cervical cancer would do her in. If she had it, which she wouldn't be able to find out with the smear...?
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Old 11-17-2020, 11:49 PM
 
32,301 posts, read 50,614,555 times
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Quote:
Originally Posted by Giesela View Post
I've never understood why the need for pelvic exams and paps quits at 65. Its like "shrug, so you die after 65, not so bad"

I'm 64 and now they want me to have a hysterectomy because of uterine wall thickening. When I ask questions I get "well then you won't have to worry about it anymore".

All I can say is google and read the medical articles if you can figure them out in terms of percentages for lady part deaths after 65 and see what comes up. Of course thats assuming there have been good studies.
Three points
1–OBGYN doctors are not involved in CoVid treatment so they have had their hours go DOWN because of CoVid activity
2–doctors who have had their practices curtailed because of CoVid and people’s reluctance to have checkups and treatments in times of contagious are suffering from monetary reduction
Their practices are losing money
3–doctors have to stay in business and so do hospitals
As impossible as it might seem, hospitals that are not treating CoVid patients have seen loss in income too

To me “a thickening of the uterine wall” is dangerous only if it comes with other symptoms—-
Irregular and heavy bleeding being the most obvious and debilitating

If you have no history of cancer in your family in that area I think I would take a watch and see response
I would not want to go into hospital for surgery after menopause w/o some serious indications of need
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Old 11-18-2020, 02:39 AM
 
Location: San Francisco
18,175 posts, read 6,179,494 times
Reputation: 56635
A Kaiser GYN told me when I reached 65 that I would no longer need to have Pap smears. Then last year, at age 70, I had a problem with atrophic vaginitis and saw a (different) GYN. He did a pelvic, diagnosed the problem and prescribed estrogen cream, which resolved the issue. The other day I went in for a follow-up appointment, but this time the GYN didn't do a pelvic. It was just an office consultation. Based on these experiences with two different gynecologists, I'm going to assume that pelvics are not necessary for women over 65 unless there is a problem.
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