From the CDC >However, some healthcare providers do offer anal Pap tests to men who may be at increased risk for anal cancer, including men with HIV or men who

From the CDC >However, some healthcare providers do offer anal Pap tests to men who may be at increased risk for anal cancer, including men with HIV or men who receive anal sex. >I don't know if you can pay for it out of pocket if you're too old. Yes you absolutely can. You can also get the shingles vaccine even if you're too young.