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Office management of the gynecologic problems of elderly female patients requires sensitivity to the special needs of this group. The general gynecologist can expect to see more geriatric women as the U.S. population continues to age. In 1990, 12.6% of the population was older than 65 years of age. Gynecological Exams in Older Women Print When the U.S. Preventive Services Task Force issued guidelines in 2012 stating that most women over age 65 no longer need an annual Pap test to screen for cervical cancer, many women viewed that as reason not to keep their yearly gynecologist appointment.