Pap Smear

Current Pap Smear Screening Guidelines are endorsed by the following organizations: American Cancer Society (ACS), American Society for Colposcopy and Cervical Pathology (ASCCP), United States Preventive Services Task Force (USPSTF), American College of Obstetrics Gynecology (ACOG).

 

Definitions:

Pap smear– test that collects cells from the surface of your cervix and inside its opening.  These cells are evaluated by a pathologist under a microscope for abnormalities.

High Risk Human Papilloma Virus (HR-HPV) Testing– test that determines the presence of one or more strains of HR-HPV which increase a woman’s risk of cervical cancer.

Co-testing– Collection of Pap Smear and HR-HPV at the same office visit.

Reflex HR-HPV testing– HR-HPV testing performed on an abnormal pap smear result.

 

Under age 21 Recommendations:

– No pap smear

– No HR-HPV testing

– No Co Testing for pap and HR-HPV

– No HR-HPV Reflex testing on abnormal pap smears

 

Age 21-29 Recommendations:

– Pap smear every 3 years

– No HR-HPV testing

– No Co-testing for pap and HR-HPV

– Reflex testing for HR-HPV on abnormal pap smears acceptable

– Exceptions are based on patient history and clinical judgement

 

Age 30-65 Recommendations:

– Co-testing for pap and HR-HPV every 5 years or

– Pap smear with Reflex HR-HPV typing every 3 years

– Exceptions are based on patient history and clinical judgement

 

Over age 65 Recommendations:

– May stop pap smears and co-testing after 3 consecutive normal paps or 2 consecutive co-testing in last 10 years

– Exceptions are based on patient history and clinical judgement

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