Choosing Wisely:

Don’t perform Pap tests in patients younger than 21 years or in women after hysterectomy for benign disease.

Rationale and Comments: Most dysplasia in adolescents regresses spontaneously; therefore, screening Pap tests in this age group can lead to unnecessary anxiety, morbidity, and cost. Pap tests have low yield in women after hysterectomy for benign disease, and there is poor evidence for improved outcomes.
Sponsoring Organizations:
  • American Academy of Family Physicians
  • Sources:
  • American College of Obstetricians and Gynecologists guidelines
  • U.S. Preventive Services Task Force
  • Disciplines:
  • Gynecologic
  • Oncologic
  • Preventive Medicine
  • References: • U.S. Preventive Services Task Force
    • American College of Obstetricians and Gynecologists

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