Journal of Women's Health Care
Open Access

Abstract

Discontinuation of Pap Smears at Age 65: A Critical Analysis of the Impact on Women’s Health

Ayasha P. Thomason, Natalie Capps, Leanne Lefler and Gloria Richard-Davis

Purpose: Guidelines for screening for cervical cancer and pelvic exams for women over age 65 have recently changed. Goals of these guidelines have shifted from yearly Pap smears and exams to longer intervals or discontinuation in this age group. This manuscript analyzes the implications for practice as this population of women lives longer without gynecologic care. Data Sources: Published and peer reviewed guidelines from the American College of Obstetrics and Gynecology, U.S. Preventative Task Force Services, the American Cancer Society, The Centers for Disease Control, and multiple original research articles and reviews were used for this manuscript. Conclusions: The potential for women to develop later stage diagnoses of cancers, pelvic organ issues, incontinence, and infections is of great concern, especially as women over the age of 65 will be the greatest proportion of the American population in years to come. Implications for Practice: Practitioners need to be aware of new guidelines and best practices to improve the overall health of women. Practitioners of primary care should include gynecologic health as part of annual exams in all women of all ages.