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Cervical Cancer Health Center

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Guidelines Suggest Less Frequent Screening for Cervical Cancer

Draft Federal Guidelines Say Screening Every Three Years May Be All That Most Women Need
WebMD Health News
Reviewed by Laura J. Martin, MD

Oct. 19, 2011 -- New federal guidelines are urging doctors to back off annual cervical cancer screening for most women. Instead the recommendations say most women between 21 and 65 years old should only be screened every three years, and that more frequent screening may do more harm than good.

The draft guidelines come from the U.S. Preventive Services Task Force (USPSTF). They're the first new recommendations on cervical cancer screening to come from the agency since 2003.

Meanwhile, several other organizations, including the American Cancer Society, have issued their own similar recommendations.

In all, they still strongly urge regular cervical cancer screening using Pap tests or similar methods for women 21 and over.

Cervical cancer deaths have been falling steadily for decades. There were about 12,200 new cases of cervical cancer and 4,210 deaths from the disease in the U.S. in 2010, according to the National Cancer Institute.

What Has Changed?

The USPSTF now recommends that women age 21 to 65 who are at average risk for cervical cancer get screened every three years for cervical cancer. That's a change from their previous recommendations.

"There's an emerging consensus among professional organizations that look at the science to say we can get by with less and do just as much good," says Michael LeFevre, MD, the co-vice-chair of the USPSTF panel issuing the guidelines. LeFevre is a professor of family and community medicine at the University of Missouri, Columbia.

Why less frequent screening? According to the task force, a Pap test every three years detects potentially dangerous cell abnormalities just as well as annual screening. But it reduces the chance of false-positive results, which can lead to unnecessary and potentially risky further testing and surgical treatment.

"I see women who've been told for so long that you must have an annual Pap. They're a little caught off guard when they hear it might not be needed as often. But most are happy," LeFevre says.

Another big change is that cervical cancer screening is no longer recommended for women and girls under 21 years of age. Previous recommendations urged women to start screening at age 21 or within three years of beginning sexual activity, whichever came first.

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