When I was in my 60's (I'm not 72-years-old) a nurse practitioner in gynecology told me that at age 70 I no longer needed annual gynecological exams. Well, that was before I developed post-menopausal bleeding and cramps that led to a diagnosis of endometrial cancer. I was 67-years-old at that time. A gynecological exam can and should include not only an internal pelvic exam but also an exam of external genitalia. This discussion is about lichen sclerous and vulvar cancer which are both very real and certainly occur after the age of 70 years old. I agree with you @kellytzoumis that while vulvar cancer may be less common it should be part of our education and we need to continue our gynecological visits as we age.