For how long should women who had hysterectomies in the 1960s and 1970s for cervical cancer and dysplasia continue to have yearly Pap smears?
—Anne Brockman, MD, Conifer, Colo.
A woman who has had a hysterectomy for cervical dysplasia or cancer should have annual Pap smears of the vaginal fornices for 10 years. If all these cytologic examinations are negative, the interval between Pap smears may be extended to three years. Whatever the requirement for Pap testing, these patients should have annual bimanual pelvic examinations if their ovaries have not been surgically removed.
—Daniel R. Mishell Jr, MD (115-8)