Table 1.
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.
With the American Society of Colposcopy and Cervical Pathology and the American Society of Clinical Pathologists.
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.
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.