Cervical Cancer Screening

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Part 2 of Cervical Cancer Screening.

Screening intervals (after initial screen) Patients age less than 30: * every two years or at provider discretion. Patients age 30 and older: * With normal cervical cancer screenings and negative HPV, every 2 years * With normal cervical cancer screenings and positive HPV, every 6-12 months * With abnormal cervical cancer screenings -- see Management of Initial Abnormal Pap Smear guideline. A Previous initial adequate screening 3 consecutive normal (no dysplasia or atypia), technically satisfactory cervical cancer screenings within the last 5 years. A Initiation and cessation of screening * Screening should begin 3 years post onset of sexual activity or by age 21 * Cessation of screening may be considered for women age 65 and older who have had 3 consecutive normal cervical cancer screenings in the last 10 years * Cervical cancer screening should resume for women age 65 and older who have a new sexual partner. A Out of guideline Was CIS or cervical carcinoma present at the time of hysterectomy? A Has patient had a total hysterectomy? A Out of guideline -- follow USPHS/IDSA guidelines -- annual cervical cancer screening is recommended after 2 normal cervical cancer screenings six months apart after initial diagnosis of HIV Any history of CIN 2/3? A Perform vaginal cytological examinations. A Source: Institute for Clinical Systems Improvement (ICSI). Cervical cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2005 Jun. 32 p. All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc. A = Annotation Does patient have HIV? A Cervical cancer screening not required. A Prescreening educational and counseling activities. A Cervical Cancer Screening