Page 158 - Screening for Cervical Cancer: Systematic Evidence Review
P. 158

Chapter I:  Introduction






                           Age to Stop   Screening   No end date










                              Interval for High Risk   At physician discretion













                      Recommendations of Other Groups about Pap Smear for Cervical Cancer Screening



                              Definition of High Risk   Women with multiple  sexual partners or whose  male sexual partners have   had multiple partners;  sexual intercourse at an  early age; women whose  male sexual partners have  had other sexual partners   with cervical cancer;  women with current or prior  HPV or condylomata or  both; women with current  or prior herpes simplex  virus infections; women  infected with HIV; women   with a history of STDs;   women who are   immunosuppressed;  smokers and abusers of  other substances, including  alcohol; women who have   a history of cervical   dysplasia or cervical   cancer




















                           Screening   Interval   Annual; after 3   years of normal   Paps interval   may be   lengthened












                              Parameters  activity or age 18,   whichever occurs first







                              Test  Onset of sexual










                              Organization  American College of   Obstetricians and   Gynecologists, 1995






                      Table 2:







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