Cervical Cancer Screening
Cervical Cancer Screening (Text Version)
What Is It?
Your ob-gyn or other health care professional takes cells from the cervix and sends them to a lab for testing:
- A Pap test looks for abnormal cells.
- An HPV test looks for infection with the human papillomavirus (HPV) types that are linked to cervical cancer.
Follow these Guidelines:
- If you are younger than 21 years—You do not need screening.
- If you are aged 21–29 years— Have a Pap test every 3 years.
- If you are aged 30–65 years—You can choose one of three options:
- Have a Pap test and an HPV test (co-testing) every 5 years
- Have a Pap test alone every 3 years
- Have an HPV test alone every 5 years
If you are 65 years or older—You do not need screening if you have no history of cervical changes and either three negative Pap test results in a row or two negative co-test results in a row within the past 10 years, with the most recent test performed within the past 5 years.
- You still need to have screening if you have been vaccinated against HPV.
- You still need to have screening if you have had a hysterectomy and your cervix was not removed.
Exceptions to these Guidelines
If any of these apply to you:
- You have human immunodeficiency virus (HIV).
- You have a weakened immune system.
- You have a history of cervical cancer.
- You were exposed to diethylstilbestrol before birth.
You may need more frequent screening.
If you have had a hysterectomy in which your cervix was removed and:
- You have a history of cervical cancer or moderate to severe cervical changes—Continue to have screening for 20 years after your surgery.
- You have no history of cervical cancer or cervical changes—You do not need screening.
See Your Ob-Gyn Annually for a Well-Woman Exam.
Even if you are not due for cervical cancer screening, you should still see your ob-gyn each year for birth control counseling, vaccinations, health screenings, preconception care, and the latest information about your reproductive health.
PFSI009: This information was designed as an educational aid to patients and sets forth current information and opinions related to women’s health. It is not intended as a statement of the standard of care, nor does it comprise all proper treatments or methods of care. It is not a substitute for a treating clinician’s independent professional judgment. Please check for updates at www.acog.org to ensure accuracy.
Copyright December 2018 by the American College of Obstetricians and Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.