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American Cancer Society Endorses Self-Swab HPV Tests in Cervical Screening Update

The change is meant to lower barriers to routine screening by allowing self‑collection, including FDA‑approved at‑home kits.

Overview

  • The update reaffirms primary HPV testing as the preferred method, with screening every five years, while Pap testing every three years or co‑testing every five years remain options.
  • ACS recommends beginning primary HPV screening at age 25, contrasting with the U.S. Preventive Services Task Force’s current start at age 30.
  • Since 2024 the FDA has cleared self‑collected HPV testing pathways in clinics and later approved options that allow at‑home swabs mailed to a lab.
  • Studies cited in coverage indicate self‑collected samples perform comparably to clinician‑collected samples for screening, though positive results require clinical follow‑up.
  • The guidance clarifies stopping screening at 65 only after a decade of consistent negative results, responding to declining screening rates and rising cases in some younger groups.