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Repeat Pap smears may be indicated 3 to 4 months following local treatment of vaginal infection/inflammation, and 2 to 3 months following a Pap test suggestive of mild dyskaryosis or if the initial Pap smear results were unsatisfactory due to inadequate sampling.

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However, some clinical centers perform anal cytology to screen for anal cancer among high-risk populations (e.g., persons with HIV infection and MSM), followed by high-resolution anoscopy for those with abnormal cytologic results (e.g., ASC-US)." Observing that HIV-infected men and women with human papillomavirus (HPV) infection are at increased risk for anal dysplasia and cancer, the HIV medicine association of the Infectious Diseases Society of America (Aberg, et al., 2013) states that MSM, women with a history of receptive anal intercourse or abnormal cervical Pap test results, and all HIV-infected persons with genital warts should have anal Pap tests.It can also find some infections of the cervix and vagina.The American Academy of Family Physicians recommends that all women who are or have been sexually active, or who have reached age 18, should have annual Pap smears.Although ACOG (2013) guidelines state that women younger than 21 years should not undergo screening, they also state that "[i]f a woman younger than 21 years is inadvertently screened and has an abnormal test result, the result should not be ignored and should be managed based on the guidelines for 21–24-year-old women.” Similarly, the American Society for Colposcopy and Cervical Pathology (ASCCP) (Massad, et al., 2012) states that ”[g]uidelines for women aged 21-24 years can be extrapolated to adolescents inadvertently screened.” After age 65, there is no clear consensus on the need for Pap smears in women who have had previous adequate screening.The American Academy of Family Physicians recommends that at age 65, screening may be discontinued if there is documented evidence of previously negative smears; however, these recommendations are currently under review.

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