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Laboratory and diagnostics · Treatment guide

HPV Testing

The difference between HPV testing and a smear, preparation for cervical screening, the meaning of a positive result and an individually appropriate approach to follow-up.

Updated: · General information

HPV Testing

HPV Testing: what approach is taken?

HPV is a common virus, some types of which are associated with the risk of cervical cancer. The HPV test used in cervical screening looks for high-risk virus types, whereas the Pap smear examines changes in the cells. These are not the same test. A positive HPV result does not mean a diagnosis of cancer. Follow-up appropriate to the result and to the individual’s history should be planned by the relevant physician.

    Areas of assessment and treatment

    • Screening using a cell sample taken from the cervix
    • Early assessment of the risk of cervical cancer
    • Interpretation of the results by a physician, and follow-up

    An HPV test and a smear are not the same

    The HPV test looks for the presence of the virus, whereas the smear examines changes in the cells taken from the cervix. They may be used together or at different stages. The screening plan is set according to age, previous results and medical history; the same interval is not recommended for everyone.

      What happens once the result is available?

      A positive HPV result is not a diagnosis of cancer. The type of virus, the cell examination and previous results all influence the decision on further tests or follow-up. A negative screening result does not make the assessment of new bleeding or other symptoms unnecessary. Preparation for sample collection and the arrangements for discussing the result should be clarified before the appointment.

        What is assessed at the first consultation?

        Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.

          Your questions

          Patient information

          Is HPV investigated with a blood test?

          The HPV test used in cervical screening is performed on a cervical sample, or one taken by another appropriate method; it is not a routine blood test.

          I have had the HPV vaccine — is screening still needed?

          The vaccine does not entirely replace screening. A screening plan appropriate to age and personal history should be maintained with a physician.

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