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Pap smears and menopause

From: Callie Baker (callie_baker@und.nodak.edu)
Mon, 08 Apr 2002 13:20:58 -0500

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Hello, my name is Callie Baker. I am a junior nursing student at the University of North Dakota. I have currently developed an interest in postmenopausal women and conflicting recommendations for pap smears. I have reviewed several journal articles stating pap smears are unecessary every year after menopause.

According to Hwang (1999), if you are not at risk for cervical changes and you have three normal tests in a row you may be able to have the test less often.

In another article a pap test is generally advisable every 1 to 3 years, according to Aschgoodkin (2001).

According to Boyd (2001), doing pap smears every two years after menopause would cut down on unnecessary testing.

My question to you is in your facility what are your policies in conducting pap smears after menopause?

Thank You, Callie Baker, College of Nursing Student, University of North Dakota

Aschgoodkin, J.,(2001). Complete care of the older woman. Patient Care, May 15, 2001 v35 i9 p23

Boyd, L.,(2001). After menopause, pap smears can be done every two years. RN, Feb 2001 v64 i2 p18

Hwang, M., (1999). The importance of a pap test. The Journal of the American Medical Association, May 5, 1999 v281 i17 p166

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