The algorithm contains tabs with videos and links to additional resources designed to make it easier to guide your next visit. ACS recommends cervical cancer screening with an HPV test alone every 5 years for everyone with a cervix from age 25 until age 65. incorporation of future technologies as well. If youve had an abnormal Pap smear in the past three years, talk with your doctor about when you should be rescreenedit may be earlier than whats recommended above. If you are 30 to 65You can choose one of three options: Have a Pap test and an HPV test (co-testing) every 5 years. Cervical Cytology. In the case of permitted digital reproduction, please credit the National Cancer Institute as the source and link to the original NCI product using the original product's title; e.g., ACSs Updated Cervical Cancer Screening Guidelines Explained was originally published by the National Cancer Institute., February 23, 2023, %%EOF In addition, if youre age 30 or older and have never had an abnormal Pap smear result before, talk with your healthcare provider about when it is appropriate to begin screening for cervical cancer by having a baseline test called a liquid-based cytology (LBC). high quality evidence, and in these situations the guidelines have, by necessity, been based on consensus expert By using this site, you agree to the Privacy Policy and acknowledge the use of cookies to store information, which may be essential to making our site work properly or enhancing user experience. But, over time, as rates of HPV vaccination increase among people who are eligible for cervical cancer screening, we may see more changes in screening recommendations down the road. Given these significant health equity concerns and the current suboptimal rates of cervical cancer screening and HPV vaccination, ACOG, ASCCP, and SGO continue to recommend initiation of cervical cancer screening at age 21 years. Washington, DC: American College of Obstetricians and Gynecologists; 2020. Curry SJ, Krist AH, Owens DK, Barry MJ, Caughey AB, Davidson KW, et al. Available at: MacLaughlin KL, Jacobson RM, Radecki Breitkopf C, Wilson PM, Jacobson DJ, Fan C, et al. Colposcopy should be performed if cytology results are abnormal or high-risk HPV results are positive. Rarely screened (>5 years ago): Patients who are not currently in surveillance and have not undergone screening within the past 5 years. The application uses data and recommendations from the following sources: Management of abnormal cervical cancer screening results should follow current ASCCP guidelines 3 4 . The ASCCP Risk-Based Management Consensus Guidelines represented a consensus of 19 professional organizations and patient advocates, convened by ASCCP; they are designed to safely triage individuals with abnormal cervical cancer screening results.

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