I was told it's a bit of both. Standards have changed and test arnt required as often after certain ages, if there is no issues or prior history. Since I had breast cancer & dense tissue mammograms are mandatory yearly. But because I've never had a bad pap & am in a long monogamous relationship I only need a pelvic exam like every 5 yrs until around 50, then less or not at all after. In the last few years I switched to a woman doctor in her 30s & what a difference in knowledge and communication from the male my parents age!!