What are the recommendations for cervical cancer screening in women with HIV infection?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

The ACOG also issued the following recommendations on cervical cancer screening in HIV-positive women [1, 2] :

  • HIV-positive women younger than 30 yr can undergo cytology testing once every 3 yr instead of annually if they have had thre3 consecutive normal annual cytology tests; ACOG recommends against cotesting for women younger than 30 yr
  • Women with HIV who are aged 30 yr or older can undergo either testing with cytology alone or cotesting; those with three consecutive normal annual cytology tests can then be screened annually, and those with one normal cotest result can also be screened annually
  • ACOG recommends against starting screening before age 21 yr unless a woman is HIV-positive, regardless of the age of onset of sexual intercourse, as only 0.1% of cases of cervical cancer occur before age 20 yr, and evidence that screening is effective in this age group is lacking

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