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US guidance on HPV primary screening now supported by ACOG

ACOG Practice Bulletin reinforces 2015 interim guidance issued by SGO and ASCCP.                                                                                                                         

New Guidance 

A new paradigm in the fight against cervical cancer

HPV primary screening algorithm identifies more high grade disease than a Pap test alone and maintains screening efficiency.

The Case for Primary Screening 

Normal cytology doesn't always mean cancer free.

Up to one third of cervical cancers occur in screened women.1,2 Invasive cervical cancer occurs in women with normal Pap cytology.

Understand the Limitations of Pap 
  • Acronyms:


1. Leyden WA, Manos MM, Geiger AM, et al. Cervical cancer in women with comprehensive health care access: attributable factors in the screening process. J Natl Cancer Inst. 2005;97(9):675-683.

2. Andrae B, Kemetli L, Sparén P, et al. Screening-preventable cervical cancer risks: evidence from a nationwide audit in Sweden.J Natl Cancer Inst. 2008;100(9):622-629.