Word: papping
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...guidelines issued Friday, the American College of Obstetricians and Gynecologists (ACOG) recommended that adolescent girls wait until age 21 to get their first Pap smear. The College also recommended less frequent screening for older women: every two years for women in their 20s instead of yearly, and every three years for women 30 and older. Previously, the ACOG - along with other national groups, including the American Cancer Society and the U.S. Preventive Services Task Force (or USPSTF, the same group that revised its mammography screening advice) - had advised girls to begin yearly Pap tests within three years of their first...
Days after a government advisory panel rolled back its recommendations on mammography screening for breast cancer, another influential group issued revised guidelines on the use of Pap smears to detect cervical cancer, recommending that young women delay getting their first test...
Citing a drop in cervical cancer rates, the ACOG is now loosening its guidelines. The group also took into account recent studies on the risks of screening. Risks include the removal of abnormal lesions found during Pap smears, which are common in young women and teens, but often go away on their own if left untreated. The procedures used to remove the lesions may be linked to long-term reproductive harms, such as premature birth, underweight babies and an increased risk of cesarean section birth. Weighing the risks, the ACOG determined that the evidence supported later, and less frequent screening...
Since the 1970s, when Pap testing became a part of routine gynecological exams, the rate of cervical cancer in the U.S. has fallen more than 50% - in 1975 there were 14.8 cases per 100,000 women, and by 2006, only 6.5 per 100,000 women. But the cancer, which is primarily caused by infection with the sexually transmitted human papillomavirus (HPV), is rare among teens under 20. Only about 14 cases are reported each year in the U.S. in teenagers, compared with 123 cases among women ages 20 to 24, according to the Centers for Disease Control and Prevention...
...guidelines advise women between the ages of 21 and 30 to be screened once every two years for cervical cancer. In women over 30, the guidelines allow for three years between screenings, if patients have three consecutive normal Pap smears and no prior history of abnormalities. Between 65 and 70, women may stop have Pap smears altogether, if they have had three normal tests in a row and negative results over the last 10 years. However, women with HIV, previously abnormal Pap tests, or other problems that would suppress the immune system or increase the risk of aggressive cervical cancer...