Cervix (Cervical) Cancer Screening Tests and Colposcopy: To Whom, When and How Should They Be Performed?

Cervical cancer is among the most common gynecological cancers. Today, it is known that the most important cause of cervical cancer is the HPV (Human papillomavirus) virus. Thanks to regular screening tests, precancerous conditions can be detected early and treatment can be provided before cancer occurs.

Screening is done through gynecological examination. Cells in that area are collected with the help of a soft brush applied to the cervix. The method in which these cells are spread on a microscopy glass and examined is called the Pap-smear test, and the method in which the DNA of the HPV virus, if present in the cells, is detected is called the HPV-DNA test.

Who Should Be Screened?

Who Should Be Screened?

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Cervical cancer screening should begin at the age of 21 in sexually active women. Screening tests should be continued at appropriate intervals until at least age 65. If there is no abnormality regarding the cervix in women who have undergone hysterectomy, the screening can be terminated.

Which Tests Should Be Performed in Which Age Ranges?

21 to 29 Pap-smear test is performed every 3 years between ages. After the age of 30, HPV-DNA and pap-smear tests should be performed together every 5 years. Alternatively, a pap-smear test alone can be performed every 3 years.

In Which Situations Should Colposcopy Be Performed?

Test According to the results, if a precancerous condition is suspected, colposcopy is performed in the outpatient clinic. The physician performing colposcopy must be specially trained and experienced in this field. During colposcopy, the cervix is ​​observed in detail. Pathological examination is performed by taking small biopsies from suspicious areas. This procedure usually takes between 5-10 minutes and does not require anesthesia. If conditions that carry a risk of cancer in the future are detected as a result of pathological examination, cervical LEEP or conization procedures are applied in which the risky area is cleaned.

It is Never Too Late for Screening!

Cervix If cancer screenings are performed regularly, the risk of cancer formation decreases almost to zero. If you or your relatives have not had any of these tests recently, see a gynecologist as soon as possible. You can have these tests done by contacting your doctor or gynecological oncologist.

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