Cervical Cancer Screening

TestAge <21Age 21-24Age 25-29Age 30-65Age >65
PAPNot recommended for screeningScreen every 3 yearsScreen every 3 yearsScreen every 3 yearsScreening should be discontinued if patient has had adequate negative prior screening results and no history of CIN2+. See ACOG Practice Bulletin No. 168 for management of patient with history of CIN2+.
HPVNot recommended for screeningReflex to high-risk HPV when Pap is ASCUS is acceptableReflex to high-risk HPV is preferred when Pap is ASCUSScreen every 5 years if both HPV and Pap are negative
HPV genotypingNot recommended for screeningNot recommended for screeningNot recommended for screeningIf Pap is normal and HPV positive, reflex to HPV genotypingIf Pap is normal and HPV positive, reflex to HPV genotyping
Ct/NgIf 24 years of age or younger and sexually activeIf 24 years of age or younger and sexually activeIf 25 years of age or older and have risk factorsIf 25 years of age or older and have risk factorsNot recommended for screening

Screening guidelines can be complex – Labcorp’s age-based test protocol for cervical cancer and STD screening can help individualize patient care.

Our age-based protocol follows the current ACOG guidelines. As ACOG guidelines evolve and change, if the test or age protocol is affected, Labcorp will update its test protocol in accordance with the guidelines.

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For more information, please download the following brochures:

Reference

  1. American College of Obstetricians and Gynecologists. Cervical Cancer Screening and Prevention. ACOG Practice Bulletin. No. 168, October 2016. Obstet Gynecol. 2016 Oct; 128(4): 1-20
  2. American College of Obstetricians and Gynecologists. Annual Women’s Health Care Ages 19-39: Exams and screening tests. https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Ca.... Accessed August 22, 2017
  3. American College of Obstetricians and Gynecologists. Management of abnormal cervical cancer screening test results and cervical cancer precursors. ACOG Practice Bulletin. No. 140, December 2013. Obstet Gynecol. 2013 Dec;122(6):1338-1367