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pap smears are a test for cervical cancer they now recommend that we only start screening for a cervical cancer at age 21 so that means you would should not have a pap smear before age 21 except for very rare exceptions to that rule the new recommendations state that you should get a passenger every three years from age 21 to 29 assuming all your pap smears are normal and then at age 30 until age 65 they actually recommend that you only get a pap smear plus an hpv test every five years again assuming that you have no other risk factors and all your other tests have been normal or negative to this point the new recommendations are because changes that lead up to cervical cancer are very slow and so theyve found that by doing it every five years they can still catch severe dysplasia and cancer in that amount of time and provide treatment based on each individual patients medical history and gynecologic history there are a lot of reasons that they may need to be tested more frequently