The American College of Obstetricians and Gynecologists (ACOG) has published new guidelines for screening women for cervical cancer, and they align with guidelines from several other organizations published earlier this year, including the American Cancer Society (ACS) and the U.S. Preventive Service Task Force (USPSTF). Specifically, ACOG now recommends the following:
- Screening with a Pap smear for women ages 21 to 29 every 3 years
- Screening with a Pap smear and HPV DNA test for women ages 30 to 65 every 5 years (preferable), or every 3 years with Pap smear alone (also acceptable)
More frequent screening is recommended for women with risk factors, such as exposure to DES (diethylstilbestrol) in utero, previous diagnosis of cervical cancer, HIV infection, or a compromised immune system.
Pap smears for women younger than 21 are not recommended because the incidence of cancer in this age group is very low. ACOG as well as ACS and USPSTF also recommend against screening for cervical cancer for women over the age of 65 who have had negative results on adequate prior screening. Guidelines define adequate prior screening as 3 consecutive negative Pap smears or 2 consecutive negative HPV tests in the prior 10 years, with the most recent within 5 years.
With the recent changes to cervical cancer screening guidelines, patients and providers will need to change their thinking about the Pap smear, which for a long time had been recommended as an annual test. ACOG emphasizes, however, that yearly well-woman exams are still a very important part of women's health care and should be continued.
On this site
Tests: Pap Smear, HPV
Conditions: Cervical Cancer
Screening: Cervical Cancer – Young Adults, Adults, Adults 50 and Up
In the News: Task Force and Other Health Organizations Revise Cervical Cancer Screening Guidelines (2012)
Elsewhere on the web
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Reuters. Wait longer between Pap tests, doctors say. October 22, 2012. Available online at http://www.reuters.com/article/2012/10/22/health-cancer-papsmear-idUSL3E8LM84D20121022 through http://www.reuters.com. Accessed November 2012.
ACOG. Ob-Gyns Recommend Women Wait 3 to 5 Years Between Pap Tests. October 22, 2012. Available online at http://www.acog.org/About_ACOG/News_Room/News_Releases/2012/Ob-Gyns_Recommend_Women_Wait_3_to_5_Years_Between_Pap_Tests through http://www.acog.org. Accessed November 2012.