Pap smear: Still necessary after hysterectomy?

It depends on what type of hysterectomy you've had. If you've had your uterus and cervix removed (vaginal hysterectomy) for a noncancerous condition, you usually don't need Pap smears. However, if you've had your uterus removed but your cervix remains intact (abdominal hysterectomy), you still need regular Pap smears. In either case, regular pelvic exams and mammograms are recommended.

A Pap smear is an important, reliable screening test for early diagnosis of cervical cancer. Current guidelines recommend that women have regular Pap smears within three years of the start of sexual activity but no later than age 21.

You do not need a Pap smear if you:

• Are younger than 18 years old and aren't sexually active
• Are age 70 or older and have had normal Pap tests over the past 10 years
• Have had a vaginal hysterectomy for a noncancerous condition, such as fibroids

If you've ever had an abnormal Pap smear or if your hysterectomy was for a cancerous condition, regular Pap smears and pelvic exams are recommended. Ask your doctor what's best for you.