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How often should menopausal women get pelvic exams?

Kevin W. Windom, MD
OBGYN (Obstetrics & Gynecology)
This is a debatable question and there are numerous theories on how often a menopausal woman should have a pelvic exam. In my experience, I believe that if a menopausal woman is in a monogamous relationship and has had three normal Pap smears in a row then she can go to an every three-year Pap smear. If a patient has a history of abnormal Pap smears in the past or is not in a monogamous relationship, I would recommend them having yearly Pap smears and pelvic exams. Lastly, a patient who has had a hysterectomy and her ovaries removed, if she is in a monogamous relationship and is not having any types of vaginal discomfort or vaginal or pelvic problems, I believe it is not necessary for her to have a pelvic exam, and she could be better suited by seeing an internist for health maintenance.

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