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The Bethesda system (TBS), officially called The Bethesda System for Reporting Cervical Cytology, is a system for reporting cervical or vaginal cytologic diagnoses, [1] used for reporting Pap smear results. It was introduced in 1988 [2] and revised in 1991, [3] 2001, [1] [4] [5] and 2014. [6]
people of reproductive age who have received an abnormal PAP smear within the past 36 months. Every 5 years, people ages 30 to 65 years with no symptoms of HPV can get HPV screening during their ...
Screening is recommended for women between ages 21 and 65, regardless of age at sexual initiation or other high-risk behaviors. [17] [18] [19] For healthy women aged 21–29 who have never had an abnormal Pap smear, cervical cancer screening with cervical cytology (Pap smear) should occur every 3 years, regardless of HPV vaccination status. [11]
The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), [1] cervical smear (BE), cervical screening (BE), [2] or smear test (BE)) is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix (opening of the uterus or womb) or, more rarely, anus (in both men and women). [3]
Medicare Part B covers the costs of human papillomavirus (HPV) screening combined with Pap tests every 5 years for people ages 30 to 65 years. Medicare Advantage plans follow the same schedule.
Samples for screening tests may be collected during the pelvic exam. These screening tests include: Cervical cancer screening - A Pap smear and/or HPV testing may be performed as a screening test for cervical cancer. [18] The procedure begins by gently scraping or sampling the cells of the cervix using a special spatula, brush or swab.
The two screening methods available are the Pap smear and testing for HPV. CIN is usually discovered by a screening test, the Pap smear. The purpose of this test is to detect potentially precancerous changes through random sampling of the transformation zone. Pap smear results may be reported using the Bethesda system (see above).
In a pap smear, a gynecologist uses a speculum to open the walls of the vagina, and then uses an instrument to collect cells from the cervix. As the Mayo Clinic notes, it “may feel uncomfortable.