Stewart KA, et al. - Researchers sought to delineate the incidence of abnormal cervical and vaginal cytology results in women over the age of 65 years living with human immunodeficiency virus, with the aim to provide evidence for screening recommendations. They conducted a retrospective chart review recognizing 69 women who underwent gynecologic follow-up in a county hospital system in Houston, Texas, between 2000 and 2018 and who met study criteria. Among these women with no history of abnormal cervical cytology, 12 (17%) developed abnormal cytology results, including 3 (4%) exhibiting high-grade squamous intraepithelial lesions. In view of this comparatively high proportion of women with high-grade squamous intraepithelial lesions/cervical intraepithelial neoplasia 2+/vaginal intraepithelial neoplasia 2+ during the study period, they support following current screening recommendations for continued routine Papanicolaou examination following the age of 65 years in women with human immunodeficiency virus.