MCI Guideline for Cervical Cancer Screening with Pap Smears is:

1. Begin screening at the onset of sexual activity or age 18.
2. Screen yearly until 3 or more normal results then every 3 years.
3. Women age 70 and older may stop screening if:
   • They have had three or more normal pap test in a row, and
   • No abnormal pap test in the last 10 years
4. Re-initiate screening on any woman with a new sexual partner.
5. Women who have had a total Hysterectomy for benign disease do not need pap smears, but still should have pelvic exams.

MCI Guideline for Pelvic Exams is:

1. Begin Pelvic exams at the onset of sexual activity or age 18
2. Chlamydia and Gonorrhea Screening should be done routinely at each pelvic exam for sexually active women age 25 and less.
3. The Interval for Pelvic exams depends on the patient’s risk as outlined in the table below:

Variation from this guideline is always acceptable if, in the opinion of the attending physician, individual circumstances require it.