Women's Health

Cervical Cancer Screening: Pap and HPV Tests by Age

Cervical cancer screening finds cell changes on the cervix before they turn into cancer. The right test and how often you need it depend mostly on your age and your past results.

Why screening matters

Cervical cancer usually develops slowly. Most cases are caused by long-lasting infection with certain types of human papillomavirus (HPV), a common virus spread through sexual contact. Screening can find abnormal cells early, when they can be watched or treated before cancer develops.

The two screening tests

  • Pap test. A sample of cells from the cervix is checked under a microscope for abnormal changes.
  • HPV test. The sample is checked for the types of HPV most likely to cause cancer.

Both tests use the same kind of sample. They can be done separately or together. Doing both at once is called co-testing.

Screening schedule by age

The U.S. Preventive Services Task Force (USPSTF) recommends the following for people with a cervix who are at average risk:

  • Under 21: Screening is not recommended.
  • Ages 21 to 29: A Pap test every 3 years.
  • Ages 30 to 65: One of three options. A Pap test every 3 years, an HPV test every 5 years, or co-testing every 5 years.
  • Over 65: Screening can usually stop if past results have been normal for several years and you are not at high risk. Your provider will review your history before you stop.

People who have had a hysterectomy that removed the cervix, for a reason other than cancer or precancer, usually do not need screening.

These schedules are for people at average risk. Your provider may recommend more frequent testing if you have had abnormal results or precancer in the past, have HIV or a weakened immune system, or were exposed to the medication DES before birth. Talk with your provider about the schedule that is right for you.

What happens during the test

Screening is usually done during a well woman visit. You lie on the exam table, and the provider places a speculum in the vagina to see the cervix. A small brush or spatula is used to collect cells. The sample is sent to a lab.

Collecting the sample takes only a few minutes. Some people feel pressure or mild cramping. Light spotting afterward is common and usually stops on its own.

How to prepare

  • Try to schedule the test when you are not having your period. If your period starts, call our office to ask if you should reschedule.
  • For 2 days before the test, avoid douching, sexual intercourse and vaginal creams, medicines or other products.
  • Bring a list of your medications and the date and results of your last Pap or HPV test, if you know them.

Understanding your results

Results usually fall into one of three groups:

  1. Normal. No abnormal cells or high-risk HPV were found. You can return at the next scheduled screening.
  2. Unclear. Some cells look slightly unusual. This is common and often clears up on its own. Your provider may recommend repeat testing.
  3. Abnormal. Cell changes or high-risk HPV were found. An abnormal result does not mean you have cancer. Your provider may recommend repeat testing or a closer look at the cervix, called a colposcopy.

Your provider will explain your results and the next step.

HPV vaccination and screening

The HPV vaccine protects against the types of HPV that cause most cervical cancers. People who have had the vaccine still need regular screening, because the vaccine does not protect against every type. Ask your provider whether the vaccine is recommended for you or your children. See our immunizations page for more about vaccines.

Symptoms that need a visit

Screening is for people who have no symptoms. If you notice bleeding between periods, bleeding after sex, bleeding after menopause, unusual discharge or pelvic pain, do not wait for your next screening. Make an appointment so a provider can check the cause.

Keeping track of your screening

Many people are not sure when they had their last Pap or HPV test. Keep a record of the date and result of each test, or ask our office to check your chart. If you are new to our practice, bring records from your previous provider so your screening schedule can continue without gaps.

Screening at Woodlands Primary Healthcare

Pap tests are part of well woman care at both our clinics: 25511 Budde Rd, Suite 3901, in The Woodlands and 2715 N Mason Rd in Katy. If you are also due for breast cancer screening, 3D mammography and ultrasound are available at our Woodlands clinic. See mammogram and ultrasound for details.

To schedule, use the Book Appointment button at the top of this page or call (281) 466-4644. Our staff speaks English and Spanish.

Frequently asked questions

How often do I need a Pap test?

For people at average risk, every 3 years from ages 21 to 29. From 30 to 65, a Pap test every 3 years, an HPV test every 5 years or both together every 5 years. Your provider may recommend a different schedule based on your history.

Does a Pap test hurt?

Most people feel pressure or mild discomfort for a few minutes. Light spotting afterward is common.

Does an abnormal Pap test mean I have cancer?

No. Most abnormal results are caused by minor cell changes or HPV infections that often clear up on their own. Your provider will recommend follow-up testing if needed.

Do I still need screening if I had the HPV vaccine?

Yes. The vaccine does not protect against every type of HPV that can cause cancer, so regular screening is still recommended.

Where can I get screened?

Pap tests are done during well woman visits at our clinics in The Woodlands and Katy. Call (281) 466-4644 to schedule.

The Woodlands

25511 Budde Rd, Suite 3901, The Woodlands, TX

Katy

2715 N Mason Rd, Katy, TX

This page is for general information and is not medical advice. Please talk with a provider about your own health. If you have a medical emergency, call 911.

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