To the Editor: Drs Sirovich and Welch1 show clearly that the recommendations of the 1996
US Preventive Services Task Force are not being followed. However, I believe
that patients may equate not needing a Pap smear with not needing a pelvic
examination. The authors did not address the value of pelvic examinations
in women who have had hysterectomies for benign reasons and are asymptomatic,
and whether this would change based on their ovarian status.
Richardson CW. Cervical Cancer Screening Among Women Without a Cervix. JAMA. 2004;292(13):1550–1552. doi:10.1001/jama.292.13.1551-a