RecommendationsAmerican Cancer SocietyU.S. Preventive Services Task ForceAmerican College of Obstetricians and Gynecologists
Screening initiationApproximately 3 years after onset of vaginal intercourse, but no later than age 21Within 3 years of onset of sexual activity or age 21, whichever comes firstApproximately 3 years after onset of sexual intercourse, but no later than age 21
Screening intervals
Conventional Papanicolaou testAnnually, then every 2 to 3 years for women 30 years and older with three negative cytology test results*At least every 3 yearsAnnually, then every 2 to 3 years for women 30 years and older with three negative cytology test results*
Liquid-based cytologyEvery 2 years, then every 2 to 3 years for women 30 years and older with three negative cytology test results*Insufficient evidenceAnnually, then every 2 to 3 years for women 30 years and older with three negative cytology test results*
HPV testing used as an adjunct to cytologyEvery 3 years if cytology and HPV test results are negativeInsufficient evidenceEvery 3 years if cytology and HPV test results are negative