HPV Risk Deserves Attention in Older Women
A recent study indicates that women 65 and older are seeing the fastest growth in HPV cases compared with other age groups. HPV often produces no symptoms, can remain inactive for years, and spreads through skin-to-skin contact. The article suggests older women who are sexually active may want to discuss whether current screening guidelines, which often stop Pap tests at 65, still fit their circumstances.
HPV is common among sexually active adults, affecting most women and men at some point. It usually causes no visible signs, though low-risk strains can produce genital warts, and it passes through skin-to-skin contact rather than semen or vaginal fluids. It can remain inactive for decades before reappearing.
A study of over two million women found severe cervical changes in nearly 14% of those over 65, compared with under 9% of younger women. Pap tests can detect HPV and identify strains. Vaccines protect against additional strains but are not approved for adults over 60.
The story may prompt older women, especially those sexually active with new partners, to ask clinicians about HPV testing and Pap smears beyond age 65. It could also encourage providers to revisit blanket screening cutoffs and discuss sexual health with aging patients. Broader effects may include greater awareness of HPV's asymptomatic spread and vaccine limits, though changes in practice would depend on further evidence and individual circumstances.