Table 1.
Population | Pages | Recommended Screening Method** | Management of Screen Results | Comments |
---|---|---|---|---|
< 21 Years | xx-yy | No Screening | HPV testing should NOT be used for screening or triage of ASC-US in this age group. | |
21–29 Years | xx-yy | Cytology alone every 3 years | HPV-Positive ASC-US or cytology of LSIL or more severe: Refer to ASCCP Guidelines2 | HPV testing should NOT be used for screening in this age group |
Cytology Negative or HPV-Negative ASC-US*: Rescreen with cytology in 3 years | ||||
30–65 Years | xx-yy | HPV and Cytology “Cotesting” every 5 years (Preferred) | HPV-Positive ASC-US or cytology of LSIL or more severe: Refer to ASCCP Guidelines2 | Screening by HPV testing alone is not recommended for most clinical settings. |
HPV Positive, Cytology Negative:
| ||||
Cotest Negative or HPV-Negative ASC-US: Rescreen with cotesting in 5 years | ||||
Cytology alone every 3 years (Acceptable) | HPV-Positive ASC-US* or cytology of LSIL or more severe: Refer to ASCCP Guidelines 2 | |||
Cytology Negative or HPV-Negative ASC-US*: Rescreen with cytology in 3 years | ||||
>65 Years | xx-yy | No Screening following adequate negative prior screening | Women with a history of CIN2 or a more severe diagnosis should continue routine screening for at least 20 years. | |
After Hysterectomy | xx-yy | No Screening | Applies to women without a cervix and without a history of CIN2 or a more severe diagnosis in the past 20 years or cervical cancer ever. | |
HPV Vaccinated | xx-yy | Follow age-specific recommendations (no changes) |
ASC-US cytology with secondary HPV testing for management decisions
Women should not be screened annually at any age by any method