Screening

Cervical HPV screening

Home HPV self-collection is not available.

Screening

  • MSSS Ministère de la Santé et des Services sociaux
  • CTFPHC Canadian Task Force on Preventive Health Care
DecisionGuideline
Who
Differs
Asymptomatic person with a cervix, RAMQ, maximum 65
  • Sexual activity no longer an eligibility criterion.
  • Nobody mails an invitation.
  • Home HPV self-collection is not available.

Test VPH opens in a new tabPap test opens in a new tab

Sexually active women
  • Cytology only.
  • No primary HPV.

CTFPHC 2013

HPV region
Differs
25–65 every 5 yearsImmunocompetent.
  • Do not repeat HPV sooner than 5 years if negative.
  • Wait 3 years after last Pap before first HPV.
  • Vaccination status does not change the interval.
  • Cease at 65 if adequate screening history (INESSS default).
  • Individualize after 65.

Regions opens in a new tab

Pap every 3 years, 25–69May cease at 70+ after three negative Paps in the previous 10 years.
  • Cytology only.

CTFPHC 2013

Investigate

HPV-positive

About 10% of HPV tests are positive and need reflex cytology. Then follow the INESSS algorithm. Do not reprint it here.

  • INESSS Institut national d'excellence en santé et services sociaux
DecisionGuideline
HPV-positive
Reflex cytology, then algorithmOpen the INESSS algorithm.
  • Do not reprint the table.

INESSS opens in a new tabAlgorithm opens in a new tab

Immunosuppressed

Every 3 years
  • INESSS Institut national d'excellence en santé et services sociaux
DecisionGuideline
Immunosuppressed
HPV every 3 years
  • Wait 1 year after last Pap before first HPV.
  • Any HPV-positive → colposcopy.
  • Nurse INESSS PMN 25–65.

INESSS opens in a new tab

After 65

Default stop 65

INESSS default is to stop at 65 if adequate screening history. Individualize.

  • MSSS Ministère de la Santé et des Services sociaux
  • INSPQ Institut national de santé publique du Québec
  • CTFPHC Canadian Task Force on Preventive Health Care
DecisionGuideline
65+
DiffersExit if adequate
Default stop 65 if adequate
  • Individualize after 65.
  • INSPQ 2011 Pap-era exit (last two in 10 years) is not the HPV-era rule.

Description opens in a new tabINSPQ 2011 Pap-era stop opens in a new tab

May cease 70+ After three negative Paps in the previous 10 years.

CTFPHC 2013

Total hysterectomy

Not automatic stop
  • INESSS Institut national d'excellence en santé et services sociaux
DecisionGuideline
Total hysterectomy
Not an automatic stop
  • CIN2+ or adenocarcinoma in situ may need vault screening.
  • Open INESSS section 2.6.
  • Hysterectomy is a contraindication to the nurse HPV INESSS PMN.

INESSS section 2.6 opens in a new tab

Reviewed 24 August 2026 against the official sources below.

Sources