The Pap smear is a screening test for cervical cancer that involves the collection and examination of exfoliated cervical cells during a speculum exam.
Use the Pap smear as a screening test to detect preinvasive cervical intraepithelial neoplasia and invasive cervical cancer.
High -value care: Initiate cervical cancer screening in women at age 21, regardless of sexual activity history, and avoid screening before age 21.
Perform cervical cancer screening with cervical cytology every 3 years in women aged 21 to 65 if routine HPV testing is not done.
Do cervical cytology plus HPV testing (co-testing) or just HPV testing every 5 years in low-risk women aged 30 to 65 who wish to lengthen their screening interval.
Discontinue cervical cancer screening at age 65 in women who have been adequately screened with normal Pap smear results and are not otherwise at high risk for cervical cancer.
Discontinue cervical cancer screening in women who do not have a cervix, including those who have undergone a hysterectomy for benign disease.