Screening Recommendations for persons at “general population risk” (refers to persons of a certain age, who are not known to have any medical conditions, family history of cancer or specific exposures that would increase the risk of developing certain type/s of cancer above that of the general population)

Beginning by age 21 years

• pap screening starting within three years of onset of sexual activity
• after age 30 years, women with three consecutive normal tests may extend screening to once every 2-3 years
• discontinue screening after age 65 years
• pap screening not needed after total hysterectomy for benign condition

Surveillance Recommendations for persons at “increased risk” * (see below for examples of "increased risk", these levels are variable; talk with your doctor)

Beginning at age 21 years

• talk with your doctor about your personal medical history and your risk of cervical cancer
• consider more frequent pap testing and/or use of new technologies such as liquid-based cytologic testing and HPV DNA testing, and a plan for on-going surveillance
• consider involvement in a prevention trial
• Cervical Cancer risk increased among
• women with a history of human papilloma virus (HPV) or a history of abnormal pap smears
• women having multiple sexual partners

*Cervical Cancer risk increased among

• women with a history of human papilloma virus (HPV) or a history of abnormal pap smears
• women having multiple sexual partners
• women with Human Immunodeficiency Virus (HIV) infection
• early age at initiation of sexual intercourse