Current evidence would suggest that, if an initial screen is negative, the next screen should be three years later. If repeat smears are negative a five year screening programme would seem reasonable. The World Health Organization has recommended that in countries where resources are limited, every woman should have screening at least once in her life. The

Institute of Cytology and Preventative Oncology in India suggest that the optimum time for once in a life-time screening would be at age 45 years.


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