Most adults with a cervix need a smear (Pap/cervical screening) test every 3–5 years, depending mainly on age, where you live, and whether HPV testing is used.

Typical screening schedule

• Under 21: Routine cervical screening is not generally recommended because cervical cancer risk is very low before 21.

• Ages 21–29: A Pap smear about every 3 years if results are normal.

• Ages 30–65:
  • Pap test alone every 3 years, or
  • HPV test alone every 5 years, or
  • Combined Pap + HPV (“co‑test”) every 5 years, when available.

When you might need it more or less often

• After 65: Many people can stop screening if they have had regular normal results and no history of cervical cancer or serious cell changes; this should always be confirmed with a clinician.

• More frequent tests may be recommended if you have had abnormal smears, cervical cancer or precancer, are HPV‑positive with high‑risk types, have HIV, or have a weakened immune system.

Country-specific notes

• UK and Ireland programmes generally invite people aged 25–64 every 3–5 years, with exact intervals depending on age, region, and whether primary HPV testing is used.

• Always follow the recall interval on your result letter and discuss with your GP or gynae if you are unsure, pregnant, or have symptoms such as bleeding between periods, after sex, or pelvic pain.