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hello iamp;#39;m dr christina butler a gynecologic oncologist at mayo clinic and iamp;#39;m here to answer some of the important questions you might have about cervical cancer pap smear screenings begin at age 21 and continue varying by age every three to five years having an abnormal pap smear is very common so donamp;#39;t feel alone it just means that additional tests are needed to prove that cervical cancer isnamp;#39;t present most people with abnormal pap smear do not end up having a diagnosis of cervical cancer most recently the hpv vaccination has been increased to include all adults male and female to age 45. absolutely after cervical pre-cancer or even hpv exposure the vaccine remains to provide benefit we have good evidence to support this so i recommend hpv vaccination after pre-cancer or even after cervical cancer certainly we aim to detect cervical cancer as early as possible early stage cervical cancer has much improved overall