What are the ACOG guidelines 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

ACOG guidelines for cervical cancer screening in HIV-positive women are as follows [2] :

  • HIV-positive women represent an exception to the recommendation against starting screening before age 21
  • HIV-positive women younger than 30 yr can undergo cytology testing once every 3 yr instead of annually if they have had three consecutive normal annual cytology tests
  • ACOG recommends against cotesting for women younger than 30 yr
  • Women with HIV who are 30 yr of age or older can undergo either testing with cytology alone or cotesting with cytology and HPV testing; 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

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