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Screening Guidelines

	American Cancer Society (ACS), American Society for Colposcopy and Cervical Pathology (ASCCP), and American Society for Clinical Pathology	U.S. Preventive Services Task Force (USPSTF)2	American College of Obstetricians and Gynecologists (ACOG)
When to start screening	Age 21. Women aged <21 years should not be screened regardless of the age of sexual initiation or other risk factors	Age 21. (A recommendation) Recommend against screening women aged <21 years (D recommendation)	Age 21 regardless of the age of onset of sexual activity. Women aged <21 years should not be screened regardless of age at sexual initiation and other behavior-related risk factors (Level A evidence)
Statement about annual screening	Women of any age should not be screened annually by any screening method	Individuals and clinicians can use the annual Pap test screening visit as an opportunity to discuss other health problems and preventive measures. Individuals, clinicians, and health systems should seek effective ways to facilitate the receipt of recommended preventive services at intervals that are beneficial to the patient. Efforts also should be made to ensure that individuals are able to seek care for additional health concerns as they present	In women aged 30–65 years, annual cervical cancer screening should not be performed. (Level A evidence) Patients should be counseled that annual well-woman visits are recommended even if cervical cancer screening is not performed at each visit
American College of Obstetricians and Gynecologists	2011	Age >40 years: annually	Age 20-39 years: every 3 years >40 years: annually	Encouraged	- style="height:75px"	Screening method and intervals	2009	Age 50-74 years: every 2 years Age 40-49 or >75: individualize decision (every 2 years if performed)	Insufficient evidence for recommendation	Not recommended
American Cancer Society	2010	Age >40 years: annually	Age 20-39 years: every 3 years age >40 years: annually	Optional
American College of Obstetricians and Gynecologists	2011	Age >40 years: annually	Age 20-39 years: every 3 years >40 years: annually	Encouraged	- style="height:75px"	USPSTF	2009	Age 50-74 years: every 2 years Age 40-49 or >75: individualize decision (every 2 years if performed)	Insufficient evidence for recommendation	Not recommended
American Cancer Society	2010	Age >40 years: annually	Age 20-39 years: every 3 years age >40 years: annually	Optional
American College of Obstetricians and Gynecologists	2011	Age >40 years: annually	Age 20-39 years: every 3 years >40 years: annually	Encouraged