What is the recommended cervical cancer screening initiation age according to ACOG?

The American College of Obstetricians and Gynecologists (ACOG) recommends that cervical cancer screening should begin at age 21. This guideline is in place regardless of sexual history and is based on evidence showing that screening prior to this age does not significantly reduce the risk of developing cervical cancer. The rationale behind this recommendation is to avoid unnecessary procedures and interventions for young women, as the majority of HPV infections will clear on their own without treatment in this age group.

Screening at age 21 aligns with guidelines focused on ensuring the best health outcomes while minimizing risks. Women aged 21 to 29 are advised to have a Pap smear every three years. After the age of 30, the guidelines recommend either continuing Pap smears every three years or switching to a Pap smear combined with HPV testing every five years, depending on individual risk factors and prior screening history.