Most women should start getting regular Pap smears at age Pelvic exams are also commonly performed during pregnancy. Some use a tool called a spatula, some use a spatula and a brush, and others used Pelvic exam and pap test device called a cytobrush, which is a combination spatula and brush. All sexually active women are at risk for contracting HPV and should get a Pap smear at least every three years. Ask your doctor what he or she recommends. Your HCP will make you feel at ease.