Cervical Screening
Screening Initiation and EligibilityPeople are eligible for cervical screening in the Ontario Cervical Screening Program (OCSP) if they have a cervix, are age 25 and older, have ever been sexually active and are asymptomatic. Eligible people include women, Two-Spirit people, transmasculine people, nonbinary people, pregnant people, post-menopausal people, people who have undergone a subtotal hysterectomy and retained their cervix, and people who have had the human papillomavirus (HPV) vaccine.
Routine screening is not recommended for people who have had their cervix removed as a result of a hysterectomy. For more information, refer to the OCSP’s Vaginal Vault Testing Guidance.
Cervical Screening Test: Providers may perform a cervical screening test (HPV test with reflex cytology) on anyone who is eligible for cervical screening.
Management of HPV-negative test results: People with HPV-negative test results can return to average risk screening in 5 years. People who are immunocompromised can return to screening in 3 years or stop screening if cessation criteria have been met.
Management of HPV-positive test resultsThe laboratory will automatically perform reflex cytology on cervical samples with HPV-positive test results. HPV type and reflex cytology test results are used in combination to determine next steps in the clinical pathway.
Call 727-2751 for an appointment
Read more: click here
For more information about cervical cancer, click here or here
For more information about how you can reduce your risk of developing cancer, click here.
Routine screening is not recommended for people who have had their cervix removed as a result of a hysterectomy. For more information, refer to the OCSP’s Vaginal Vault Testing Guidance.
Cervical Screening Test: Providers may perform a cervical screening test (HPV test with reflex cytology) on anyone who is eligible for cervical screening.
Management of HPV-negative test results: People with HPV-negative test results can return to average risk screening in 5 years. People who are immunocompromised can return to screening in 3 years or stop screening if cessation criteria have been met.
Management of HPV-positive test resultsThe laboratory will automatically perform reflex cytology on cervical samples with HPV-positive test results. HPV type and reflex cytology test results are used in combination to determine next steps in the clinical pathway.
- People with HPV-positive (types 16, 18/45) test results are categorized as elevated risk and referred to colposcopy, regardless of their reflex cytology test result.
- People with HPV-positive (other high-risk types) and high-grade reflex cytology (ASC-H, LSIL-H, HSIL, AGC6, AIS, SCC7, ACC7, ACC-E7, PDC7) test results are categorized as elevated risk and referred to colposcopy.
- People with HPV-positive (other high-risk types) and normal reflex cytology (NILM) or low-grade reflex cytology (ASCUS, LSIL) test results are categorized as moderate risk and advised to repeat a cervical screening test in 2 years.
- If the result of the subsequent test is HPV-negative, they can return to average risk screening in 5 years or if they are immunocompromised, they may return to screening in 3 years.
- If the result of the subsequent test is HPV-positive, they are referred to colposcopy, regardless of their reflex cytology test result.
Call 727-2751 for an appointment
Read more: click here
For more information about cervical cancer, click here or here
For more information about how you can reduce your risk of developing cancer, click here.