Cervical cancer screening in older women.

D.S., a 65-year-old woman, presented for a gynecologic examination stating that she wished to discontinue annual cervical cancer screening. Her physical examination was within normal limits, and a liquid-based Pap test with a broom and a cytobrush was obtained. Her medical history was signifi cant for stable multiple sclerosis, for which she takes glatiramer 20 mg subcutaneously daily. Her obstetrical-gynecologic history includes three pregnancies and three vaginal deliveries. Her menarche was at age 12, and menopause was at age 52. Her uterus and ovaries are intact. She was treated for external genital warts 15 years ago by cryotherapy.