If you remember attending regular Pap smears, you may have noticed that the language around cervical screening has changed. In 2017, Australia replaced the Pap smear with the Cervical Screening Test (CST); a more accurate and effective way to detect changes that could lead to cervical cancer. Understanding what has changed, and why, helps ensure you stay up to date with one of the most important preventive health checks available to women.
What Was Wrong With the Pap Smear?
Nothing was wrong with it, it was a significant advancement in its time and contributed to a dramatic reduction in cervical cancer rates in Australia. However, research established that the primary cause of cervical cancer is persistent infection with certain strains of the human papillomavirus (HPV). Testing directly for HPV is considerably more accurate at identifying women at risk than examining cervical cells alone.
What Is the Cervical Screening Test?
The CST is a simple procedure, similar in process to a Pap smear, performed by your GP or gynaecologist. A small sample of cells is collected from the cervix and tested first for the presence of high-risk HPV strains. If HPV is detected, the sample is then examined for any associated cellular changes. This two-step approach significantly reduces both false negatives and unnecessary follow-up.
How Often Do I Need One?
Because the CST is more sensitive than the Pap smear, screening is now recommended every five years rather than every two (provided your result is normal). Screening is recommended for all women and people with a cervix aged 25 to 74, regardless of vaccination status.
What If I’ve Had the HPV Vaccine?
Vaccination greatly reduces the risk of cervical cancer but does not eliminate it entirely. Regular cervical screening remains important even if you have been vaccinated.
Do not delay or skip your cervical screening. Early detection is highly effective, and the test itself is straightforward and quick.
To make an appointment with Dr. van der Griend, call (02) 9966 5500 or visit drvandergriend.com.au.
