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    Home - Health & Wellness (Specialized) - HPV in Women: The Leading Cause of Cervical Cancer
    Health & Wellness (Specialized)

    HPV in Women: The Leading Cause of Cervical Cancer

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    HPV in Women: The Leading Cause of Cervical Cancer
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    A persistent infection with some types of HPV can lead to various types of cancer in women.

    Nearly all cases of cervical cancer are caused by HPV, and most of these cases are tied specifically to HPV types 16 and 18.

     HPV causes approximately 10,800 cases of cervical cancer each year in the United States.

    Early stages of vaginal and cervical cancers may not cause any symptoms, making regular screening important. More advanced-stage cancer can lead to abnormal vaginal bleeding or discharge and pain during intercourse.

    The Pap test, or Pap smear, is one of two screening tests, and was invented by the doctor and scientist George Papanicolaou.

     This has long been the standard for detecting abnormal cells — called cervical dysplasia — in the cervix. The Pap test involves scraping some cells from the surface of the cervix and examining them under a microscope.

    Cervical dysplasia is not cancer, but in some cases it develops into cancer.

    Follow-up care for cervical dysplasia depends on its severity. For mild dysplasia, the doctor may recommend a repeat test for a year later to see whether the dysplasia has worsened or has disappeared on its own. For severe dysplasia, a procedure to remove the abnormal cells may be called for.

    A newer test, called the HPV test, checks for the virus itself in cervical cells, not for changes in the appearance of the cells. The U.S. Food and Drug Administration (FDA) has approved several different HPV tests, some of which are approved as a primary HPV test — meaning that no Pap test is needed.

    Currently, it’s recommended that women ages 25 to 65 get a primary HPV test every five years.

     If a primary HPV test is not available, then a Pap test along with an HPV test can be performed every five years, or a Pap test alone can be performed every three years.

    If you don’t identify as a woman but do have a cervix, you should still be screened regularly for cervical HPV or dysplasia in order to detect and treat early evidence of cervical cancer.

    Paying for Cervical Cancer Screening

    Most health insurance plans cover recommended cervical cancer screenings, often at no cost to the individual beyond the cost of an office visit. This fee may also be waived if the tests are done as part of an annual physical exam.

    Insurance plans purchased through the HealthCare.gov Marketplace must cover Pap tests and HPV tests without charging a copayment or coinsurance, as long as the screening tests are done by a healthcare provider in your plan’s network.

    If you have no health insurance, your insurance does not cover screening exams, or your yearly income is at or below 250 percent of the federal poverty level, you may be eligible for free screening through the CDC’s National Breast and Cervical Cancer Early Detection Program (NBCCEDP).

    The NBCCEDP offers both Pap tests and HPV tests, as well as diagnostic testing and referrals to treatment if results are abnormal.

    To see if you’re eligible for free screenings, contact a local program in your area.



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