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. Author manuscript; available in PMC: 2019 Jun 20.
Published in final edited form as: Med Clin North Am. 2017 Apr 21;101(4):743–753. doi: 10.1016/j.mcna.2017.03.006

Table 1.

Current recommendations for cervical cancer screening by the US Preventive Services Task Force (2012), American Cancer Societya (2012), and/or American Congress of Obstetricians and Gynecologists (2016)

Average-risk Womenb
 Age to begin 21 y

 Method and intervals, by age Ages 21–65 y: cytology every 3 y
Or
Ages 21–29 y: cytology every 3 y, then
Ages 30–65 y: cytology plus hrHPV testing every 5 y

 Age to end 65 yc

Higher-risk Women (ACOG 2016)

 Infected with HIV Age to begin: initiation of sexual activity, but no later than age 21 y
Ages 21–29 y: cytology every year until 3 normal tests, then every 3 y
Ages 30–65 y: cytology every year until 3 normal tests, then every 3 y, or: cytology plus hrHPV testing every 3 y
Age to end: none

 Immunocompromised for non-HIV reasons Screening beginning at age 21 y, then as for women infected with HIV

 In utero exposure to diethylstilbestrol Annual cytology screening

Low-risk Women (ACOG 2016)

 After total hysterectomy, no prior CIN2 + Screening should not be performed

Abbreviation: HIV, human immunodeficiency virus.

a

With the American Society of Colposcopy and Cervical Pathology and the American Society of Clinical Pathologists.

b

Recommendations apply to women with no prior diagnosis of CIN2 or a more severe lesion or cervical cancer (CIN21), women who are not immunocompromised (eg, HIV infected) and women with no in utero exposure to diethylstilbestrol.

c

Only among women with 3 consecutive negative cytology results or 2 consecutive negative cytology plus hrHPV tests within 10 years before cessation of screening, with the most recent test performed within the last 5 years.