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The recommended follow-up after an abnormal Pap smear depends on the findings, any treatment you receive, your age, your history of Pap smears and HPV testing in the past, and more. Follow-up usually includes more frequent screening, such as HPV/Pap testing and colposcopy.. Itamp;#39;s important to note that for people who have docHubly abnormal Pap smears (such as those that are HSIL or precancerous) and after the initial period of increased screening, HPV testing or HPV testing plus a Pap smear will be required every three years for a full 25 years. The reason for this is that the risk of cervical cancer with these findings persists for at least 25 years..