HPV Testing

In March, the Ontario Ministry of Health changed the way we screen for cervical cancer to move from doing pap smears only to adding in the test for HPV. In part one of this article in the March issue, we discussed the role of the human papilloma virus (HPV) in causing most cervical cancer. When you next present to your primary care provider for your pap smear, the process will feel very much the same as a regular pap smear. 

The important things to know with this change in screening are as below:

 

1. Screening for cervical cancer begins at the age of 25, regardless of the age that sexual activity begins.
2. If the HPV test is negative, you can get your next cervical screen test in five years (instead of the three years currently advised for pap smears).
3. If you are immune compromised the cervical screening will be done at three years.
4. If there is an abnormality you will be referred to colposcopy, which is a further test done by a gynecologist. 

 

We know that it takes a very long time for cervical cancer to develop and this is the science that informs the change in screening interval. HPV testing will be more accurate and help to channel resources to those who need it and avoid unnecessary repeated screening.

Above all, check to see if you might be a candidate for the HPV vaccine. Ultimately, prevention is the key to reducing your risks of getting cervical cancer.

 

 

Dr. Bhooma Bhayana is a family physician in London and the mother of two young men and proud grandmother of three! She continues to find wonder and enjoyment in family practice despite more than 30 years on the job!