Since December 1st 2017, the Pap test has been replaced by a HPV or Cervical Screening Test (CST). These changes are a result of new evidence, better technology and will help improve early detection of cervical cancer and save lives.
The new National Cervical Screening Program:
- Invites women to participate in the National Cancer Screening Register
- Replaces the Pap test with the more accurate Cervical Screening Test
- Invites women aged 25 to 74 years to undertake the test
- Increases the time between tests from two years to five years
The Cervical Screening Test:
- Is now available on the Medicare Benefits Schedule
- Will prevent an additional 30% of cervical cancers each year
- Will complement Australia’s HPV vaccination program for boys and girls
If you are under 25 and unsure about what these changes mean for you, please click here.
Cervical cancer is one of the most preventable cancers if it is detected early.
Women of any age who have symptoms (including pain or bleeding) should not wait but have appropriate clinical assessment by their doctor immediately, so if you have any concerns discuss them with your doctor or health practitioner.
Further information on the renewed National Cervical Screening Program is available at the cancer screening website.
If you would like ACCF to come and explain these changes to your workplace, school or community group, contact us.
Frequently Asked Questions
Why was the National Cervical Screening Program changed?
- From 1 December 2017, evidence based changes to the National Cervical Screening Program, together with HPV vaccination, were made to reduce the number of cervical cancers by at least an additional 15 per cent.
- A primary HPV test every 5 years can save more lives and women will need fewer tests compared to the former 2 yearly Pap test program.
- These changes ensure that Australia stays at the forefront of cervical cancer prevention.
How does the Cervical Screening Test work?
- The Cervical Screening Test detects human papillomavirus (HPV) infection, which is the first step in developing cervical cancer.
- Persistent HPV infections can cause abnormal cell changes that may lead to cervical cancer. However, this usually takes a long time, often more than 10 years from initial HPV infection.
- While the old Pap test could detect abnormal cell changes, the Cervical Screening Test will detect the persistent HPV infection that causes the abnormal cell changes, prior to the development of cancer.
- The procedure for collecting the sample for HPV testing is the same as the procedure for having a Pap smear. A doctor or nurse takes a small sample of cells from the woman’s cervix to send away to a laboratory to be examined.
- Women of any age who have symptoms (including pain or bleeding) should have appropriate clinical assessment and see their doctor immediately.
- The Cervical Screening Test is now available on the Medicare Benefits Schedule
Why should I start cervical screening at 25 years of age?
The Cervical Renewal Taskforce says that evidence shows that:
- Cervical cancer in young women is rare (in both HPV vaccinated and unvaccinated women);
- screening women younger than 25 years of age has not changed the number of cases of cervical cancer or deaths from cervical cancer in this age group;
- investigating and treating common cervical abnormalities in young women that would usually resolve by themselves can increase the risk of pregnancy complications later in life; and
- HPV vaccination has already been shown to reduce cervical abnormalities among women younger than 25 years of age and will continue to reduce the risk of cervical abnormalities in this age group.
The Australian Cervical Cancer Foundation strongly recommends that women don’t wait until they are 25 to establish a good relationship with their health practitioner so that they can discuss all areas of reproductive health from an early age.
When should I stop cervical screening?
- Women between 70 and 74 years of age who have had a regular screening test will be recommended to have an exit HPV test before leaving the cervical screening program.
- Women older than 69 years of age who have never been screened or have not had regular screening tests should have an HPV test if they request screening.
Will cervical screening prevent all cervical cancers?
- There is no effective population screening test for rare neuroendocrine cervical cancers.
- The Cervical Screening Test effectively detects rare neuroendocrine cervical cancers.
I am HPV vaccinated, so why do I need to have cervical screening tests?
- The current HPV vaccine provides protection against about 93% of cervical cancers so it is important that even if you are vaccinated, you are also screened for cervical cancer as you do not have 100% protection.