Age to start |
Three years after initiation of sexual debut, or by the age of 21 |
Begin at 21 years of age |
Intervals |
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Conventional Pap Test |
Annually; every 2–3 years for women ≥30 years of age with three negative tests |
At least every three years |
Every 2 years for women between the ages of 21 years and 29 years; every 3 years for women ≥30 years of age with three negative tests and no history of CIN2/3, not HIV infected and not immunocompromised |
Liquid-based cytology |
Every 2 years; every 2–3 years for women ≥30 years of age with three negative tests |
Insufficient evidence |
Same as Conventional Pap Test |
If HPV testing is used as an adjunct, women ≥30 |
Every 3 years if cytology test is negative and HPV negative |
Insufficient evidence |
Every 3 years if cytology test is negative and HPV negative |
Age to stop |
Women >70 years of age with an intact cervix and ≥3 consecutive negative test in the past 10 years |
Women >65 years of age with negative cytology and at low risk for cervical cancer |
Women 65 to 70 years of age who have three or more negative cytology test results in a row and no abnormal test results in the past 10 years |