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@naturegirl5

I tried to include the summary from the Medicare site. Hopefully I did it right. So for me, I had a PAP/cervical exam at 65 but then it went to every two years. Prior to being on Medicare I had this exam annually. So maybe Medicare didn’t change during this time, but Medicare’s payment rules were more limited. My gynecologist did not suggest that this was inappropriate. In hindsight, knowing that endometrial cancer is a frequent cancer in post-menopausal women and that the occurrence rates are rising, this seems inappropriate.

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Replies to "@naturegirl5 I tried to include the summary from the Medicare site. Hopefully I did it right...."

@ffr Thank you for posting this from Medicare. I wasn't exactly sure what you were referring to and now I know. I recall my gyn telling me that I no longer needed frequent (annual) Pap Smears when I was in my late 50's as 1) the medical guidelines had changed and 2) I was not high risk. I don't know, however, if a pap smear would be useful screen for endometrial cancer. If the endometrial cancer had spread to the cervix then I'm thinking the pap smear may pick up those cells. But if the endometrial cancer had stayed in the uterine lining then what? Other than an ultrasound or D&C I don't recall any tests for endometrial cancer being offered. And for me, these were offered when I developed post-menopausal bleeding.