Regular cervical screening is your most powerful tool for cancer prevention. However, the “annual Pap smear” is largely a thing of the past. Today’s guidelines focus on precision testing using HPV DNA technology to detect risk long before cells change.
At Passion Health Primary Care, we follow the latest ACS and USPSTF (2026) guidelines to ensure you get the right test at the right time—without unnecessary procedures.
Quick Summary: The 2026 Screening Schedule
Detailed Guidelines by Age
Under Age 21: No Routine Screening
Why? Cervical cancer is extremely rare in this age group. While HPV infections are common, the immune system almost always clears them naturally.
Focus instead on: HPV Vaccination (Gardasil-9), STI testing, and cycle tracking.
Ages 21–24: The “Pap Only” Window
The Rule: Pap smear every 3 years.
Why no HPV test yet? Testing for HPV in this age group often leads to “over-diagnosis” of temporary infections that would go away on their own. We look for cell changes (cytology) instead of the virus itself.
Ages 25–65: The “Primary HPV” Shift
The New Standard: The preferred method is now Primary hrHPV testing (checking for the high-risk virus) every 5 years.
Why the change? HPV testing is more sensitive than a Pap smear. If you are negative for high-risk HPV, your risk of developing cancer in the next 5 years is virtually zero.
Self-Collection Option: As of 2026, you may be eligible to use an FDA-approved self-collection swab at our clinic, offering a more private and comfortable experience.
Over Age 65: When to Stop
You can likely “retire” from cervical screening if:
You have had 3 consecutive negative Paps or 2 negative HPV tests in the last 10 years.
The most recent test was within the last 5 years.
You have no history of high-grade precancer (CIN2/3).
Do You Still Need a Pelvic Exam?
YES. This is a common confusion.
Pap/HPV Test: A specific swab to screen for cervical cancer (every 3-5 years).
Pelvic Exam: A physical check of your uterus, ovaries, and vulva (typically recommended annually).
Even if you are not due for a Pap this year, you should still schedule your Annual Wellness Woman Exam to check for fibroids, cysts, and other reproductive health markers.
Special Exceptions
You may need more frequent screening if you have:
A history of abnormal results (CIN2/3).
A compromised immune system (HIV, organ transplant).
Exposure to DES in utero.
Ready to Update Your Screening?
If you are unsure if you are due—or if you are confused by the new “Age 25” changes—let us handle the tracking for you.
