Cervical cancer screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor-in-Chief: Sarthak Sachdeva

Screening

You should start getting regular Pap tests at age 21, or within three years of the first time you have sex—which ever happens first. The Pap test is one of the most reliable and effective cancer screening tests available. It also can find other conditions that might need treatment, such as infection or inflammation. In addition to the Pap test—the main test for cervical cancer—the HPV test may be used for screening women aged 30 years and older, or women of any age who have unclear Pap test results. If you are 30 or older, and your screening tests are normal, your chance of getting cervical cancer in the next few years is very low. For that reason, your doctor may tell you that you will not need another screening test for up to three years. But you should still go to the doctor regularly for a check-up that may include a pelvic exam. It also is important for you to continue getting a Pap test regularly—even if you think you are too old to have a child, or are not having sex anymore.

Types of Screening

1. Conventional cytology
2. Liquid based monolayer cytology
3. Human papillomavirus testing
4. Tests for resource poor areas
5. Visual inspection

The table's caption

Column	Column American Cancer Society (ACS), American Society for Colposcopy and Cervical Pathology (ASCCP), and American Society for Clinical Pathology (ASCP)1	Column U.S. Preventive Services Task Force (USPSTF)2 2012	Column American College of Obstetricians and Gynecologists (ACOG)
When to start screeningb	Cell 2	Cell 3
Statement about annual screening 2	Cell B	Cell C
Screening method and intervals 3	Cell B	Cell C
When to stop screening 4	Cell B	Cell C
When to screen after age 65 years 5	Cell B	Cell C
Screening post-hysterectomy 6	Cell B	Cell C
The need for a bimanual pelvic exam 7	Cell B	Cell C
Screening among those immunized against HPV 16/18 7	Cell B	Cell C References