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Learn what cervical cancer screening involves, when you need it, and how Tia's integrated care model is helping women stay ahead of this disease."}],"markDefs":[],"style":"normal"},{"_key":"90e3855aeeef","_type":"sectionHeader","headerLevel":"h2","title":"Cervical Cancer by the Numbers: Why Screening Saves Lives"},{"_key":"0922f311c143","_type":"block","children":[{"_key":"d033ecd983bb0","_type":"span","marks":[],"text":"A century ago, cervical cancer was the leading cause of cancer death among women in the United States. Today, it doesn't even crack the top 10 - and that shift is almost entirely thanks to two things: routine cervical cancer screening and Human Papilloma Virus (HPV) vaccination. But there's a troubling catch. Despite having the tools to detect this cancer early, national screening rates remain dangerously low."}],"markDefs":[],"style":"normal"},{"_key":"f131924bf59e","_type":"block","children":[{"_key":"9b03475fc19b0","_type":"span","marks":[],"text":"According to "},{"_key":"a8acdd1134c1","_type":"span","marks":["b10db73d5408"],"text":"Tia's 2025 State of Women's Healthcare Report"},{"_key":"2f2743c567bb","_type":"span","marks":[],"text":", Tia’s patients and members had an 81% cervical cancer screening rate - nearly 2.5 times the national average. That number is remarkable, but it also puts a spotlight on how underserved women remain in the broader healthcare system. The national screening rate hovers around 36%, which means nearly two-thirds of eligible women are not getting a potentially life-saving test."}],"markDefs":[{"_key":"b10db73d5408","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/2025-state-of-womens-healthcare/"}],"style":"normal"},{"_key":"1c415f7dbf47","_type":"block","children":[{"_key":"45e1b628d3790","_type":"span","marks":[],"text":"That gap has real consequences. Early-stage cervical cancer almost never produces symptoms - no pain, no unusual discharge, no warning signs. When symptoms do appear, the cancer has often already advanced. Screening is the only reliable way to catch it early, when treatment is most effective and least invasive."}],"markDefs":[],"style":"normal"},{"_key":"908586f18c4b","_type":"sectionHeader","headerLevel":"h2","title":"What Is Cervical Cancer Screening?"},{"_key":"261fd167d0a7","_type":"block","children":[{"_key":"13d5925290180","_type":"span","marks":[],"text":"Cervical cancer screening refers to tests designed to detect abnormal cells on the cervix before they develop into cancer. There are three main options:"}],"markDefs":[],"style":"normal"},{"_key":"e9fdb62a0b6f","_type":"sectionHeader","headerLevel":"h3","title":"1. The Pap Smear (Pap Test)"},{"_key":"b24f17c0f096","_type":"block","children":[{"_key":"8ca23f7bd5480","_type":"span","marks":[],"text":"A "},{"_key":"6a80fc2ce8bf","_type":"span","marks":["4c325f5db501"],"text":"Pap smear"},{"_key":"129a31b5664c","_type":"span","marks":[],"text":" involves a clinician using a speculum to collect a small sample of cells from the cervix during a pelvic exam. Those cells are then examined under a microscope for abnormalities. The test is quick, generally painless, and has been the cornerstone of cervical cancer prevention for decades."}],"markDefs":[{"_key":"4c325f5db501","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pap-test/"}],"style":"normal"},{"_key":"62b83a748131","_type":"block","children":[{"_key":"cc01ed680a4d0","_type":"span","marks":[],"text":"Named after Dr. George Papanikolaou, who developed it in the 1920s, the Pap test has driven a massive reduction in cervical cancer mortality in the US. To understand more about how abnormal cells develop in the cervix, Tia's guide "},{"_key":"32986c917a54","_type":"span","marks":["9388e6ec5c0d"],"text":"\"Cancel Cervical Cancer\""},{"_key":"fd845bb236a6","_type":"span","marks":[],"text":" is an excellent primer on the biology behind cervical dysplasia and what abnormal results really mean."}],"markDefs":[{"_key":"9388e6ec5c0d","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"e2703354fa95","_type":"sectionHeader","headerLevel":"h3","title":"2. Primary HPV Testing"},{"_key":"ab0e03ae89d8","_type":"block","children":[{"_key":"7cdaa22a71a50","_type":"span","marks":[],"text":"In 2020, the American Cancer Society updated its cervical cancer screening guidelines to prioritize primary HPV testing over Pap smears alone for women over 30 (Pap smears remain the recommended screening for women under 30). "},{"_key":"1ec40af8eba9","_type":"span","marks":["53b9661705ad"],"text":"The HPV test"},{"_key":"cce96d8d4638","_type":"span","marks":[],"text":" checks directly for high-risk strains of the human papillomavirus — the virus responsible for causing almost all cervical cancers. It is more sensitive than the Pap test at detecting precancerous changes, and it's also more cost-effective."}],"markDefs":[{"_key":"53b9661705ad","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pap-test/"}],"style":"normal"},{"_key":"80bd2977602c","_type":"block","children":[{"_key":"1edb3389906b0","_type":"span","marks":[],"text":"HPV is sometimes called the \"common cold\" of sexual health — the CDC estimates that nearly all sexually active people will contract at least one strain at some point in their lives. But not all strains are dangerous. High-risk strains like HPV 16, 18, and 45 are the ones linked to cervical cancer, as well as anal, throat, and vulvar cancers. For a deeper breakdown of what HPV is and how it relates to cervical cancer, read Tia's in-depth guide "},{"_key":"57e2a08ddcee","_type":"span","marks":["6ec40e9e95b8"],"text":"here"},{"_key":"024a54f46d40","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"6ec40e9e95b8","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"91b556415647","_type":"sectionHeader","headerLevel":"h3","title":"3. Co-Testing (Pap + HPV)"},{"_key":"40a27693e8dd","_type":"block","children":[{"_key":"d76b585708100","_type":"span","marks":[],"text":"Co-testing combines both tests at the same visit, offering the most comprehensive screening picture. For women over 30, co-testing every 5 years is one of the accepted options under current guidelines."}],"markDefs":[],"style":"normal"},{"_key":"6990de7b9dbb","_type":"sectionHeader","headerLevel":"h2","title":"Cervical Cancer Screening Guidelines: When Do You Need to Get Tested?"},{"_key":"a8c57b0ab54a","_type":"block","children":[{"_key":"89bc5716cbf60","_type":"span","marks":[],"text":"Current guidelines from the "},{"_key":"43e33f281ad2","_type":"span","marks":["d29e93a1696f"],"text":"American College of Obstetricians and Gynecologists (ACOG)"},{"_key":"33d95e0aa34e","_type":"span","marks":[],"text":" and the American Cancer Society recommend:"}],"markDefs":[{"_key":"d29e93a1696f","_type":"externalLink","linkType":"text","url":"https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/04/updated-cervical-cancer-screening-guidelines"}],"style":"normal"},{"_key":"02fdb7420796","_type":"block","children":[{"_key":"37e88a8d97740","_type":"span","marks":[],"text":"Ages 21–29: Pap smear every 3 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"11ba65580ed9","_type":"block","children":[{"_key":"f092d392efc90","_type":"span","marks":[],"text":"Ages 30–65: One of three options - HPV test alone every 5 years, Pap smear alone every 3 years, or co-testing (Pap + HPV) every 5 years"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"569a8dae05bf","_type":"block","children":[{"_key":"b3e75e962f630","_type":"span","marks":[],"text":"Age 65+: Screening may be discontinued after adequate recent screening history and no high-risk factors - discuss with your provider"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aed410efb048","_type":"block","children":[{"_key":"c232e9472a410","_type":"span","marks":[],"text":"Any age with abnormal history: More frequent screening is typically recommended"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f5fd2ff6edbf","_type":"block","children":[{"_key":"556f2a7165c80","_type":"span","marks":[],"text":"Important: These are population-level guidelines. Your individual history - including prior abnormal results, HPV history, immune status, and sexual behavior - may mean you need to be screened more frequently. At Tia, care is always individualized to the patient, not the guideline."}],"markDefs":[],"style":"normal"},{"_key":"58d12e5744c5","_type":"sectionHeader","headerLevel":"h2","title":"Signs and Symptoms of Cervical Cancer: What to Watch For"},{"_key":"1ac742c64a79","_type":"block","children":[{"_key":"e3e2b98448d30","_type":"span","marks":[],"text":"Early-stage cervical cancer typically has no symptoms. This is precisely why screening is so critical - by the time symptoms appear, the disease may have already progressed."}],"markDefs":[],"style":"normal"},{"_key":"146ba79c26dc","_type":"block","children":[{"_key":"498415d772830","_type":"span","marks":[],"text":"When symptoms of cervical cancer do appear, they can include:"}],"markDefs":[],"style":"normal"},{"_key":"70e614b85096","_type":"block","children":[{"_key":"5f648121f24d0","_type":"span","marks":["794fe4de1c9e"],"text":"Abnormal vaginal bleeding"},{"_key":"5bc30b46448b","_type":"span","marks":[],"text":" - including bleeding between periods, after sex, or after menopause"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"794fe4de1c9e","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-abnormal-bleeding/"}],"style":"normal"},{"_key":"2c30962cd954","_type":"block","children":[{"_key":"c241df2d2d720","_type":"span","marks":[],"text":"Unusual or persistent "},{"_key":"55869726dacc","_type":"span","marks":["9cb4c3c5434c"],"text":"vaginal discharge"},{"_key":"9005543f87f9","_type":"span","marks":[],"text":" (watery, bloody, or with an odor)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9cb4c3c5434c","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/what-your-discharge-is-telling-you/"}],"style":"normal"},{"_key":"5e63ea64cd18","_type":"block","children":[{"_key":"088d5c2ea21c0","_type":"span","marks":["010756f3499e"],"text":"Pelvic pain"},{"_key":"d955392e9a81","_type":"span","marks":[],"text":" or pain during sex"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"010756f3499e","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cramps-pelvic-pain/"}],"style":"normal"},{"_key":"484a857aaba7","_type":"block","children":[{"_key":"a330d04a79850","_type":"span","marks":[],"text":"Pain during urination or changes in bladder/bowel habits (in more advanced stages)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"64c9d0da7767","_type":"block","children":[{"_key":"88d64410d9be0","_type":"span","marks":[],"text":"If you are experiencing any of these symptoms, contact your healthcare provider promptly. These symptoms don't always mean cervical cancer - they can have other causes - but they warrant evaluation. And remember: if you're not experiencing symptoms, that's not a green light to skip your screening. Cervical cancer is most treatable when caught before symptoms ever develop."}],"markDefs":[],"style":"normal"},{"_key":"c6325c6a31f5","_type":"sectionHeader","headerLevel":"h2","title":"What Causes Cervical Cancer? Understanding HPV and Risk Factors"},{"_key":"0e5ceb143e21","_type":"block","children":[{"_key":"bd547b2fbb250","_type":"span","marks":[],"text":"The vast majority of cervical cancers are caused by persistent infection with a high-risk strain of HPV (human papillomavirus). In fact, the link between high-risk HPV and cervical cancer is stronger than the link between smoking and lung cancer."}],"markDefs":[],"style":"normal"},{"_key":"250f5a285eb4","_type":"block","children":[{"_key":"acc2905503570","_type":"span","marks":[],"text":"Understanding your risk factors helps you and your provider make smart decisions about screening frequency and prevention. Key risk factors include:"}],"markDefs":[],"style":"normal"},{"_key":"6993aeb399c9","_type":"block","children":[{"_key":"4188877afc230","_type":"span","marks":[],"text":"HPV infection: Particularly strains 16, 18, and 45, which account for the majority of cervical cancers"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"11fec5f61f97","_type":"block","children":[{"_key":"7de722c055ff0","_type":"span","marks":[],"text":"Smoking: Women who smoke are about twice as likely as non-smokers to develop cervical cancer — smoking impairs the immune system's ability to fight HPV"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"66264e06ee2b","_type":"block","children":[{"_key":"24797eeaafff0","_type":"span","marks":[],"text":"Multiple sexual partners: Increases exposure risk to different HPV strains"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"609460cc82a2","_type":"block","children":[{"_key":"cb73de467bdb0","_type":"span","marks":[],"text":"Weakened immune system: HIV infection or immunosuppressive medications reduce your body's ability to clear HPV naturally"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3abbb73e32a8","_type":"block","children":[{"_key":"26d723f11c600","_type":"span","marks":[],"text":"History of STIs: Particularly chlamydia, which can co-occur with HPV and affect cervical health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6e22d31bba47","_type":"block","children":[{"_key":"30b357546b110","_type":"span","marks":[],"text":"Long-term oral contraceptive use: Some studies show a modest risk increase after five or more years of use. This risk is temporary and should be discussed alongside the pill’s other protective health benefits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"939522022383","_type":"sectionHeader","headerLevel":"h2","title":"HPV Vaccine: Your First Line of Defense Against Cervical Cancer"},{"_key":"72eda840dab7","_type":"block","children":[{"_key":"99d12c63cf950","_type":"span","marks":[],"text":"Prevention starts before any screening test. The Gardasil-9 HPV vaccine protects against the most dangerous high-risk and low-risk strains of HPV, including strains 16 and 18 that cause the majority of cervical cancers. The CDC recommends vaccination starting at age 11, before most people become sexually active, but the vaccine is approved and beneficial for people up to age 45. Moreover, the HPV vaccine is still recommended for those who have been previously diagnosed with HPV as it continues to provide protection for other strains."}],"markDefs":[],"style":"normal"},{"_key":"e42594f330f5","_type":"block","children":[{"_key":"8d7918eefb5a0","_type":"span","marks":[],"text":"Critically: the HPV vaccine and cervical cancer screening are not interchangeable. Even vaccinated women still need regular Pap smears and HPV tests, because the vaccine does not protect against all HPV strains. For a comprehensive guide to HPV vaccination, what the strains mean, and how to boost your immune system's ability to fight HPV naturally, read Tia's "},{"_key":"2c5261b987a3","_type":"span","marks":["d4ba3ac3cfa7"],"text":"Cancel Cervical Cancer guide"},{"_key":"71cf81f82a1f","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"d4ba3ac3cfa7","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/cancel-cervical-cancer/"}],"style":"normal"},{"_key":"6f9e2059ac04","_type":"sectionHeader","headerLevel":"h2","title":"What Happens If Your Pap Smear or HPV Test Is Abnormal?"},{"_key":"57f9465363e7","_type":"block","children":[{"_key":"1103e39ec5380","_type":"span","marks":[],"text":"An abnormal Pap smear is not a cancer diagnosis. It means your provider needs more information. 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Your Tia provider knows your full health history, can perform the screening during your annual visit, and can follow up on results within the same care home. STI screening (for chlamydia, gonorrhea, and others) can also be added to your annual cervical cancer screening appointment, making it easy to address your full sexual health picture in a single visit."}],"markDefs":[],"style":"normal"},{"_key":"6a00890c0baf","_type":"block","children":[{"_key":"bf54806aa9bc0","_type":"span","marks":[],"text":"Prefer to skip the clinic entirely? For eligible patients, Tia can order an at-home self-swab HPV test — meaning your cervical cancer screening can happen entirely from home. The same at-home kit can also include STI testing for gonorrhea, chlamydia, trichomonas, and mycoplasma genitalium, so you can take care of your full sexual health screening in one go without ever leaving your house. 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