Short answer
Pap tests every 3 years for ages 21–29. For ages 30–65: a primary HPV test every 5 years, co-testing every 5 years, or a Pap every 3 years. Pelvic exams for symptoms are done as needed.
Pap Smear and HPV Test: How Often
| Age | Recommended cervical screening |
|---|---|
| Under 21 | No routine screening |
| 21–29 | Pap test every 3 years |
| 30–65 | Primary HPV test every 5 years, Pap + HPV co-test every 5 years, or Pap every 3 years |
| Over 65 | Stop if prior screening was adequate and normal and you aren’t high risk |
People with certain risk factors, such as HIV, a weakened immune system or prior abnormal results, may need more frequent screening.
USA Pelvic Exam: Quick Facts
- Length
- Usually under 5–10 minutes
- Screening starts
- Age 21
- Ages 21–29
- Pap every 3 years
- Ages 30–65
- HPV every 5 yrs, co-test every 5, or Pap every 3
- Needed for birth control pills?
- Generally no
- ACA coverage
- Cervical screening $0 in-network
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.