Children's Health and Wellness

Pap Test for Adolescents

In the past, a Pap test to screen for cervical cancer was recommended for adolescents after they had been sexually active for three years, or at age 21, whichever came first. But the American College of Obstetricians and Gynecologists and the American Cancer Society now recommend that all women have their first screening at age 21. Sexually active adolescents are at high risk for infection with the human papillomavirus (HPV), the virus that causes most cervical cancers, as well as other types of cancer, but research has shown that their bodies are able to clear the virus within one to two years. Even though adolescents may have precancerous cervical lesions from HPV, these usually go away on their own. By delaying a first Pap test until age 21, teen girls can avoid unnecessary invasive procedures to treat HPV precancers. Women between the ages of 21 and 30 should have a Pap test every two years, according to the American College of Obstetricians and Gynecologists, and every three years according to the American Cancer Society. Talk to a health care provider about the schedule that is best for you.

It is recommended that adolescents receive the HPV vaccination. This vaccine is highly effective in protecting men and women from the types of HPV that can cause cancer. The vaccine should be given before an adolescent has become sexually active. 

Print Source: Screening for Cervical Cancer. Practice Bulletin. 2012, is. 131, pp. 1-17.
Online Source: American College of Obstetricians and Gynecologists http://www.acog.org/~/media/For%20Patients/faq085.pdf?dmc=1&ts=20120317T2121202858
Online Source: American Cancer Societyhttp://www.cancer.org/Cancer/CervicalCancer/DetailedGuide/cervical-cancer-prevention
Online Source: CDChttp://www.cdc.gov/cancer/cervical/basic_info/screening.htm
Online Source: Patient information: Pap tests (The Basics), Patient information: Cervical cancer screening (Beyond the Basics), Screening for cervical cancer: Rationale and recommendations, UpToDatehttp://www.uptodate.com
Online Editor: Geller, Arlene
Online Medical Reviewer: Bowers, Nancy, RN, BSN, MPH
Online Medical Reviewer: Freeborn, Donna, PhD, CNM, FNP
Date Last Reviewed: 1/8/2013
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