What's New

Dr. Nancy Carlson Fisher has changed her name back to Dr. Nancy A Carlson, which is her maiden name and the name on her medical license. She apologizes for any confusion.

New cervical cancer guidlines have recently been released. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. The following is a summary of the scientis'ts key recommendations:

•Cervical cancer screening should begin at age 21.

•Women 21 to 29 years old should be screened with Pap test alone every three years.

•Women 30 to 65 years old should be screened with Pap and HPV tests (co-testing) every five years (preferred) or with Pap test every three years (acceptable).

•Women who co-test HPV positive but cytology negative should be followed with either (1) repeat co-testing within 12 months or (2) immediate HPV genotype-specific testing for HPV 16 alone or for HPV 16 and HPV 18. If co-testing is repeated at 12 months, women testing positive on either test should be referred to colposcopy; women testing negative on both tests should return to routine screening.

•In most clinical settings, women ages 30 to 65 years old should not be screened with HPV testing alone as an alternative to co-testing at five-year intervals or Pap test alone at three-year intervals.

•Women at age 65 with adequate negative screening in the last 10 years and no history of cancer may stop screening.

•Women at any age following a hysterectomy with removal of the cervix who have no history of CIN2+ should not be screened for vaginal cancer using any modality.

•Recommended screening practices should not change on the basis of HPV vaccination status.

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Women's Healthcare & Aesthetics