Hi
Your concern is understandable. There are a couple of points to consider. 1). The pap smear now is recommended every 3 years. If your previous paps were normal then there isn't a need to have it done yearly and the pelvic exam can be deferred if you don't have any urogenital complaints. If you are over 30 years, the pap can be combined with the HPV test and if both are negative then the next tests can be done in 5 years. 2). There are other contraceptives to consider that don't require a yearly renewal. There is the intrauterine devices which last 5-10 years or the sub dermal implants. Hope this is helpful.