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Testing for human papillomavirus (HPV) HPV testing is part of cervical screening. There's no blood test for HPV. During cervical screening, a small sample of cells is taken from the cervix and tested for HPV. Screening is offered to all women and people with a cervix aged 25 to 64. It helps protect them against cervical cancer.After treatment, all patients require follow-up testing, which may involve repeat Pap tests in six and 12 months or an HPV DNA test. After follow-up, regular Pap tests are necessary. If you test negative for HPV, you have a very low risk of developing cervical cancer overall. There are no specific risk factors for HPV-negative cervical cancer. You may be more likely It must be noted that HR-HPV DNA test is more sensitive than mRNA test and no CIN2+ occurred in the two-year average follow up of the 81 HR-HPV DNA-negative women. Most of the guidelines recommend that the HR-HPV DNA-negative women with negative or CIN1 colposcopy should be referred to normal screening interval [11] , [43] , with few exceptions.
HPV DNA testing has been shown to offer better performance in the detection of cervical cancer than the commonly used Pap cytology testing 21. However, current HPV tests, such as Cepheid Xpert HPV Assay and Roche’s cobas HPV test, require well-trained personnel, expensive instruments, and long reaction time (typically more than 2 h), which
Nowadays, HR-HPV screening or diagnosis mostly involve cytological techniques that have lowest specificity and sensitivity than molecular techniques 16,17 but detection of HPV DNA is becoming the
All women who test positive for high-risk HPV DNA should be referred for colposcopic evaluation. Women with ASC-US who test negative for high-risk HPV DNA can be followed up with repeat cytologic testing at 12 months (2001 ASCCP Guidelines - JAMA 2002; 287:2120-2129).
There are four possible results from the cervical screening process, all of which require different action to be taken. These are: Low risk (HPV not detected): This means that no high-risk (cancer causing) HPV was found on your cervix. The chance of developing cervical cell changes that would need treatment in the next five years are very low. The HPV DNA test may be done during a Pap test. If they are done together, it is called "co-testing." You lie on a table and place your feet in footrests. Your health care provider inserts an instrument (called a speculum) into the vagina to open it slightly. This allows the provider to see the cervix. Cells are gently collected from the cervix*Co-Testing: Cervical cytology plus the HPV co-test is performed on the same date of service. The result of the HPV test is reported regardless if the Pap has a positive or negative result. ** Reflex: Cervical cytology with reflex HPV testing means if the result of the Pap is ASC-US, then the HPV sample is ran by the laboratory.
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