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Older Women and Pap Smears
Pap Smears are not just for the young

By , About.com Guide

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The Pap smear is a vital test for all women. The test can detect abnormal cervical changes long before they become cancerous. There are many myths and misconceptions about the Pap smear, including the myth that older women do not need to have the test done. However, this is untrue; most older women do need to continue with regular Pap smears.

The Average Age a Women is Diagnosed with Cervical Cancer is 35-55.

Women between the ages of 35 and 55 are more commonly diagnosed with cervical cancer than any other age. Cervical cancer is a slow progressing disease, and can take years to develop. Remember, a Pap smear can detect these changes before they turn into cancer. This makes cervical cancer highly preventable.

The Pap Smear is Covered by Most Insurance Plans, Including Medicare

Medicare allows for a Pap smear to be performed ever 24 months for beneficiaries. If previous Pap smears were abnormal or you are at high risk for cervical cancer, a Pap test is covered every 12 months.

Medicare recipients do not have to pay lab fees, but they are responsible for 20 percent of the Medicare-approved amount with no Part-B deductible for the exam and smear collection.

Most private insurance companies cover the cost of having a Pap smear, depending on your plan. Check with your insurance company for coverage details.

Women Who Have Gone Through Menopause May Still Need a Pap Smear

Post-menopausal women may need to have a regular Pap smear. This depends on age, risk factor, and findings from previous Pap smears.

The American College of Obstetricians and Gynecologists (ACOG) recommend that women ages 65-70, who have have three consecutive normal Pap tests and no abnormal findings in 10 years, can discontinue screenings altogether if they choose.

Women Who Have Had A Hysterectomy May Also Need Pap Smears

If you have had a partial or total hysterectomy, you may need to continue having regular Pap smears. This is especially true if you had a hysterectomy because of cancer. ACOG recommends that women who have undergone a total hysterectomy due to a noncancerous condition and have not had previous abnormal Pap smears can discontinue screenings.

Now is the Time to Get a Pap Smear if You Have Never Had One

If you have never had a Pap smear, or it has been years since your last test, a Pap smear is highly recommended. The Pap smear is a highly effective screening tool for cervical cancer. Changes can occur within the cervix without your knowledge. Cervical dysplasia and early cervical cancer do not usually produce any noticeable symptoms. This is why the Pap smear is essential for cervical health and the prevention/detection of cervical cancer.

Sources:

American College of Obstetricians and Gynecologists. New ACOG Cervical Cancer Screening Recommendations. November 20, 2009.
http://www.acog.org/departments/dept_notice.cfm?recno=20&bulletin=5021

U.S. Department of Health and Human Services. Your Medicare Benefits. August 2009. Accessed November 2009.
http://www.medicare.gov/Publications/Search/Results.asp?PubID=10116&Type=PubID&Language=English

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