 [ Symptoms ] i was shaking and dripping with sweat feeling like my insides was going to come out [ Disease ] i do not know i would need to know your medical history age blood pressures hx of stds etc in our office you do not need an annual pap smear in most cases but each medical practice sets their own parameters birth control pills may be over the counter in a few more years but now you need the okay from your medical provider to get a refill