Cervical Cancer Awareness

Screening Guidelines

The American Cancer Society recommends the following guidelines for early detection:
  • All women should begin cervical cancer testing (screening) at age 21. Women aged 21 to 29, should have a Pap test every 3 years. HPV testing should not be used for screening in this age group (it may be used as a part of follow-up for an abnormal Pap test).
  • Beginning at age 30, the preferred way to screen is with a Pap test combined with an HPV test every 5 years. This should continue until age 65.
  • Another reasonable option for women 30 to 65 is to get tested every 3 years with just the Pap test.
  • Women who are at high risk of cervical cancer because of a suppressed immune system (for example from HIV infection, organ transplant, or long term steroid use) may need to be screened more often. They should follow the recommendations of their health care team.
  • Women over 65 who have had regular screening in the previous 10 years should stop cervical cancer screening as long as they haven't had any serious pre-cancers in the last 20 years. Women with a history of these pre-cancers should continue to have testing for at least 20 years after the abnormality was found.
  • Women who have had a total hysterectomy (removal of the uterus and cervix) should stop screening (such as Pap tests and HPV tests), unless the hysterectomy was done as a treatment for cervical pre-cancer (or cancer). Women who have had a hysterectomy without removal of the cervix (called a supra-cervical hysterectomy) should continue cervical cancer screening according to the guidelines above.
  • Women of any age should NOT be screened every year by any screening method.
  • Women who have been vaccinated against HPV should still follow these guidelines.

Talk to your doctor about how you should be screened for cervical cancer.

Source: American Cancer Society Cervical Cancer: Prevention and Early Detection.

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