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Cervical Cancer Screening:What You Need to Know

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Cervical Cancer Screening:What You Need to Know

When to do cervical cancer screening? How is the inspection conducted? This article will help you understand the appropriate age for cervical cancer examination and the relevant test standards.


What is the pasteurization test?

Pap test, also known as "Pap smear examination", is a cervical cancer screening examination method proposed by Dr. George Papanicolaou in 1943. The Pap test involves using a small Cervical Smear Brush or other tools to extract cells from the cervix at the top of the vagina. Samples are sent to the laboratory, where they are checked for abnormal cervical cells. A small number of abnormal cells can become cancer.


When to do cervical cancer screening?

The American Cancer Society recommends guidelines for cervical cancer screening:

All women should start cervical cancer screening at the age of 25.

Women aged 25 to 65 should have:

  • HPV was tested every 5 years. Many centers/agencies have not yet provided this test.

  • If this test is not available, you should screen with a combination test, which is a combination of HPV and Pap tests. This should be done every five years.

  • If there is no HPV test, a separate Pap test should be performed every three years.

  • Women over 65 years old should not be screened for cervical cancer if their regular cervical cancer screening results are normal.


Women diagnosed with cervical precancerous lesions should continue to be screened until they have met one of the following criteria in the past 10 years:

  • Two negative, continuous HPV tests.

  • 0 or 2 negative, continuous co-test.

  • In the past 3-5 years, three consecutive Pap tests were negative.

  • Women who have had their uterus and cervix removed during hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.

  • Women who have received the HPV vaccine should still follow the screening recommendations of their age group.

Although the American Cancer Society does not recommend annual cervical cancer screening, women should still go to the hospital for a health examination.

Women at high risk of cervical cancer may need to be screened more frequently. High-risk women may include women infected with HIV, organ transplants, or in utero exposure to DES drugs. They should discuss specific recommendations with their doctor or nurse.


How is the screening done?

In the gynecological examination, a speculum should be inserted into the vagina to see the cervix and vagina. A doctor or nurse inserts a swab or a small cervical brush into the cervix (cervix OS) to collect samples of cervical cells from the areas most vulnerable to cervical cancer.

Normal vaginal secretions contain cells that come off the cervix and uterus. Samples of these cells were taken for a Pap test. Therefore, you should not flush, have vaginal intercourse, use tampons or vaginal medication for 48 hours before the Pap test.

Samples were sent to a pathologist for detailed examination under a microscope. A report will be sent to your doctor, including a classification of the test results and a description of the cell changes. It may take three weeks to get the results. HPV detection, looking for certain HPV strains related to cervical cancer, can also use the same sample to send.

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