--- title: HPV Testing Can Replace Pap Smears for Many Women description: New cervical cancer screening guidelines from the U.S. Preventive Services Task Force say HPV testing can replace Pap smears for many women. canonical: https://time.com/5373680/cervical-cancer-screening-guidelines/ author: Jamie Ducharme article:opinion: false article:content_tier: free article:published_time: 2018-08-21T20:37:12.000Z article:modified_time: 2026-02-23T21:12:50.811Z article:section: Health og:title: HPV Testing Can Replace Pap Smears for Many Women og:description: According to new cervical cancer screening guidelines og:url: https://time.com/5373680/cervical-cancer-screening-guidelines/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt11e539440670afa3/6988c135ab6d7793a76ad785/time-health-stock-first-air-kit.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 5000 og:image:height: 2813 og:image:alt: time-health-stock og:type: article twitter:card: summary_large_image twitter:title: HPV Testing Can Replace Pap Smears for Many Women twitter:description: According to new cervical cancer screening guidelines twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt11e539440670afa3/6988c135ab6d7793a76ad785/time-health-stock-first-air-kit.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # HPV Testing Can Replace Pap Smears for Many Women, New Guidelines Say > Sponsored content. 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Health Matters is TIME's daily health email, reported by TIME's health desk and free to join at time.com/newsletters. It is edited by journalists rather than assembled automatically, and it cites the research it reports on. #### Is Health Matters free? Yes. Health Matters is a free daily newsletter from TIME, available at time.com/newsletters. #### Who reads TIME's Health Matters newsletter? Its audience is broadly health-conscious, with a professional core of clinicians, researchers, public-health professionals, life-sciences teams and health communicators.  by [Jamie Ducharme](https://time.com/author/jamie-ducharme/)  ## Jamie Ducharme Ducharme is a contributor to TIME. Aug 21, 2018 8:37 PM UTC  First aid kit on blue background with copy space First aid kit on blue background with copy spaceGetty Images  by [Jamie Ducharme](https://time.com/author/jamie-ducharme/)  ## Jamie Ducharme Ducharme is a contributor to TIME. Aug 21, 2018 8:37 PM UTC Pap smears, long the gold standard for cervical cancer screening, may be used less frequently under [new guidelines from the U.S. Preventive Services Task Force](https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/cervical-cancer-screening2). The recommendations, which were [published Tuesday in _JAMA_](https://jamanetwork.com/journals/jama/fullarticle/2697704?resultClick=1), say that women between ages 30 and 65 can rely on [human papillomavirus (HPV) testing](http://time.com/76352/fda-cervical-cancer-screening/) instead of, or in addition to, Pap smears. Women in this age group should get HPV testing every five years, a Pap smear every three years or a combination of the two tests every five years, the guidelines say. HPV causes the vast majority of cervical cancer cases, [according to the National Cancer Institute](https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-fact-sheet), which makes HPV testing an effective preventative measure. A [large 2014 study](http://time.com/3025178/hpv-test-vs-the-pap-smear-which-detects-cancer-better/) found that HPV testing, which screens for common strains of the virus, may be better at detecting cervical cancer risk than Pap smears, which involve taking a sample of cells from the cervix so that doctors can look for abnormal cells that could turn cancerous. Women and their doctors should decide together whether they’ll rely on HPV testing, Pap smears or a combination of the two, the guidelines say. Women ages 21 to 29, meanwhile, should continue to get Pap smears every three years, as the [prior USPSTF guidelines](https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/cervical-cancer-screening) recommended. Screening more frequently than that is not likely to confer any additional benefit for women in this age group, the guidelines say. The USPSTF does not recommend cervical cancer screening for women younger than 21 or those older than 65 who have been adequately screened in the past and are not at an above-average risk of cervical cancer. In both of these age groups, the risk of harm from screening — including false positives and unnecessary procedures — likely outweighs the benefits, the USPSTF writes. The new guidelines are the first from the USPSTF to recommend HPV testing alone. Its last set of guidelines, released in 2012, recommended it for women ages 30 to 65 in conjunction with Pap smears. The [Centers for Disease Control and Prevention (CDC) also recommends](https://www.cdc.gov/hpv/parents/vaccine.html) that all children get vaccinated against HPV at age 11 or 12, though the shot is effective when it’s administered up to age 26\. Nonetheless, as of 2016, vaccination rates still lagged somewhere around 65% for girls and 56% for boys, [research shows](http://time.com/5217154/boys-hpv-vaccine-rates/). ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/5373680/cervical-cancer-screening-guidelines/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/5373680/cervical-cancer-screening-guidelines/"},"headline":"HPV Testing Can Replace Pap Smears for Many Women, New Guidelines Say","datePublished":"2018-08-21T20:37:12.000Z","dateModified":"2026-02-23T21:12:50.811Z","description":"Both can help detect cervical cancer","url":"https://time.com/5373680/cervical-cancer-screening-guidelines/","keywords":["Innovation Health","Cancer","onetime","healthytime"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/blt11e539440670afa3/6988c135ab6d7793a76ad785/time-health-stock-first-air-kit.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Jamie Ducharme","jobTitle":"Ducharme is a contributor to TIME.","url":"https://time.com/author/jamie-ducharme/"}],"articleSection":"Health","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/blt11e539440670afa3/6988c135ab6d7793a76ad785/time-health-stock-first-air-kit.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"time-health-stock","caption":"First aid kit standing on a blue and white background TIME health stock","creditText":"Getty Images","representativeOfPage":true}],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/health/","name":"Health"}},{"@type":"ListItem","position":2,"item":{"@id":"/tag/innovation-health/","name":"Innovation Health"}},{"@type":"ListItem","position":3,"item":{"@id":"https://time.com/5373680/cervical-cancer-screening-guidelines/","name":"HPV Testing Can Replace Pap Smears for Many Women, New Guidelines Say"}}]}] ```