{"id":18151,"date":"2025-02-25T22:07:13","date_gmt":"2025-02-25T22:07:13","guid":{"rendered":"https:\/\/torontotribune.ca\/index.php\/2025\/02\/25\/ontario-shifts-from-pap-to-hpv-test-for-cervical-cancer-screening-but-no-at-home-kits-yet\/"},"modified":"2025-02-25T22:07:13","modified_gmt":"2025-02-25T22:07:13","slug":"ontario-shifts-from-pap-to-hpv-test-for-cervical-cancer-screening-but-no-at-home-kits-yet","status":"publish","type":"post","link":"https:\/\/torontotribune.ca\/index.php\/2025\/02\/25\/ontario-shifts-from-pap-to-hpv-test-for-cervical-cancer-screening-but-no-at-home-kits-yet\/","title":{"rendered":"Ontario shifts from Pap to HPV test for cervical cancer screening, but no at-home kits yet"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div id=\"\">\n<p>Ontario will replace its main method of <a href=\"https:\/\/globalnews.ca\/tag\/cervical-cancer\">cervical cancer<\/a> screening next week to a more accurate and less frequent test, but the dreaded speculum exam is not in the rear-view just yet.<\/p>\n<p><\/p>\n<p>Human papillomavirus (HPV) tests in the province will replace Pap tests, also known as Pap smears or cervical cytology, on March 3, following similar moves in British Columbia and Prince Edward Island.<\/p>\n<p>Both tests aim to detect cervical cancer and involve collecting a cell sample from the cervix. Ontario Health says the HPV test is more accurate at catching cervical cancer than the previous method, which will mean most patients can get tested less often and start their routine monitoring later.<\/p>\n<p>But self-screening kits that have been adopted in British Columbia won\u2019t be a part of the upcoming rollout in Ontario, which means patients still need to visit the doctor to get tested.<\/p>\n<div class=\"c-ad c-ad--bigbox l-article__ad\">\n<p>Story continues below advertisement<\/p>\n<\/p><\/div>\n<p>Dr. Amanda Selk, an obstetrician gynecologist in Toronto, explains what you need to know ahead of the change.<\/p>\n<p><strong>WHAT\u2019S DIFFERENT?<\/strong><\/p>\n<p>Ontario doctors will pivot to testing for HPV first when screening for cervical cancer, rather than conducting a cytology test. The test will feel the same for the patient. It will still involve a doctor, nurse or midwife inserting a speculum into the patient\u2019s vagina to swab their cervix for a sample that will be sent to a lab. But starting next week, the lab will test for HPV, the primary cause of cervical cancer.<\/p>\n<div class=\"c-tabs\">\n<p>\n\t\t\t<button role=\"tab\" class=\"c-tabs__tab c-tabs__tab--active\" type=\"button\">More on Health<\/button><br \/>\n\t\t\t<button role=\"tab\" class=\"c-tabs__tab\" type=\"button\">More videos<\/button>\n\t\t<\/p>\n<\/p><\/div>\n<p>\u201cPreviously they would look at the cells taken \u2013 it\u2019s called cytology \u2013 and look for pre-cancer cells, and sometimes they would have slightly abnormal changes that weren\u2019t pre-cancer and you would end up with more testing and actually nothing was wrong,\u201d Selk said.<\/p>\n<div class=\"c-inlineSignup\" data-newsletter-inline=\"\">\n<div class=\"c-inlineSignup__image\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"170\" height=\"225\" loading=\"lazy\" src=\"https:\/\/globalnews.ca\/wp-content\/themes\/shaw-globalnews\/images\/skyline\/healthiq.jpg\" alt=\"Receive the latest medical news and health information delivered to you every Sunday.\"\/>\n\t\t\t\t<\/div>\n<div class=\"c-inlineSignup__content\">\n<h3>Get weekly health news<\/h3>\n<p>Receive the latest medical news and health information delivered to you every Sunday.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p>The new method tests for the virus that causes pre-cancer and cancer, catching it earlier, reducing false positives and identifying populations more at risk, Selk said.<\/p>\n<p><strong>HOW OFTEN DO I NEED TO GET TESTED?<\/strong><\/p>\n<p>Ontario Health guidelines sent to physicians over the last several weeks in preparation for the rollout say cervical cancer screening will be for people aged 25 to 69. That\u2019s several years later than the previous guideline of starting at age 21 for individuals who are or have been sexually active.<\/p>\n<div class=\"c-ad c-ad--bigbox l-article__ad\">\n<p>Story continues below advertisement<\/p>\n<\/p><\/div>\n<p>For those who test negative for HPV, the interval between tests will be extended to five years, from three.<\/p>\n<p>For positive specimens, the sample taken for HPV testing will undergo a Pap test at the lab to identify if the infection caused cell changes in the cervix, and determine if it\u2019s high-risk and likely to cause cancer.<\/p>\n<p>A provincial flow chart sent to doctors shows patients who test positive will be asked to screen again in two years.<\/p>\n<p>After those two years, if the patient\u2019s HPV test comes back negative, they can return to the five-year screening protocol, the document says. Cancer Care Ontario says 80 per cent of HPV infections clear within three years.<\/p>\n<p>Immunocompromised patients will be screened every three years.<\/p>\n<p><strong>WHY IS THIS HAPPENING?<\/strong><\/p>\n<p>Ontario Health\u2019s screening guide says HPV tests are increasingly being considered the standard of care for cervical screening programs internationally and in many other jurisdictions.<\/p>\n<p>Quebec began a gradual transition to HPV tests in 2023 and Nova Scotia health officials have said they plan to switch in the coming years.<\/p>\n<section id=\"content-dynamic-trending-stories\" class=\"l-inlineStories l-inlineStories--tile u-hide-tablet-landscape\" aria-label=\"Dynamic trending stories section\">\n<p>\n\t\t<span class=\"l-inlineStories__title c-heading c-heading--strikethrough\">Trending Now<\/span>\n\t<\/p>\n<ul class=\"l-inlineStories__posts c-posts c-posts--inline \">\n<li class=\"c-posts__item\">\n\t\t\t<a href=\"https:\/\/globalnews.ca\/news\/11032938\/trump-tariffs-canada-mexico-march-4-deadline-on-time\/\" class=\"c-posts__inner\"><\/p>\n<div class=\"c-posts__media \">\n\t\t\t\t\t\t<img loading=\"lazy\" class=\"c-posts__thumbnail\" data-src=\"https:\/\/globalnews.ca\/wp-content\/uploads\/2025\/02\/trump-tariffs.jpg?quality=85&amp;strip=all&amp;w=336&amp;h=224&amp;crop=1\" loading=\"lazy\" width=\"336\" height=\"224\" alt=\"\"\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n<div class=\"c-posts__details\">\n<p>\n\t\t\t\t<span class=\"c-posts__headlineText\" title=\"Trump says tariffs on Canada, Mexico \u2018on time\u2019 for March 4 deadline\" data-title=\"\">Trump says tariffs on Canada, Mexico \u2018on time\u2019 for March 4 deadline<\/span>\n\t<\/p>\n<\/p><\/div>\n<p>\t\t\t<\/a>\n\t\t<\/li>\n<li class=\"c-posts__item\">\n\t\t\t<a href=\"https:\/\/globalnews.ca\/news\/11033873\/missing-sisters-aberdeen-scotland-eliza-henrietta-huszti-found-dead-cause-of-death\/\" class=\"c-posts__inner\"><\/p>\n<div class=\"c-posts__media \">\n\t\t\t\t\t\t<img loading=\"lazy\" class=\"c-posts__thumbnail\" data-src=\"https:\/\/globalnews.ca\/wp-content\/uploads\/2025\/01\/scottish-sisters-2.png?w=336&amp;h=224&amp;crop=1\" loading=\"lazy\" width=\"336\" height=\"224\" alt=\"\"\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n<div class=\"c-posts__details\">\n<p>\n\t\t\t\t<span class=\"c-posts__headlineText\" title=\"Missing sisters who vanished in Scotland found, cause of death revealed\" data-title=\"\">Missing sisters who vanished in Scotland found, cause of death revealed<\/span>\n\t<\/p>\n<\/p><\/div>\n<p>\t\t\t<\/a>\n\t\t<\/li>\n<\/ul>\n<\/section>\n<p>P.E.I. moved to this testing method in 2023 with plans to introduce a cervical cancer self-screening kit that allows patients to collect their own vaginal samples in March 2025.<\/p>\n<div class=\"c-ad c-ad--bigbox l-article__ad\">\n<p>Story continues below advertisement<\/p>\n<\/p><\/div>\n<p>B.C. began its transition to HPV testing in January 2024 and no longer requires health providers to collect the samples. Patients can self-screen at home by swabbing their own vagina, placing the specimen in a tube and mailing it to a lab for testing.<\/p>\n<p>According to B.C.\u2019s transition document on cervix screening, a patient-collected sample is just as accurate as one collected by a health provider, and reduces barriers to screening for vulnerable populations like transgender patients and those living in more rural and remote communities.<\/p>\n<p>Australia, the Netherlands and the United Kingdom have also adopted the HPV testing model for cervical screening.<\/p>\n<p><strong>WHY ISN\u2019T ONTARIO ROLLING OUT SELF-SCREENING?<\/strong><\/p>\n<p>Self-screening isn\u2019t part of the rollout plan next week in Ontario.<\/p>\n<p>The Cancer Care Ontario website says self-collected HPV testing is available in the province, but it\u2019s not covered by Ontario Health Insurance Program (OHIP) or recommended by the Ontario Cervical Screening Program.<\/p>\n<p>A spokesperson for Ontario Health said they recognize the potential value of self-collected HPV testing to increase participation in screening. They said a phased approach will allow the province to determine how best to integrate the process.<\/p>\n<p><strong>WHY GET SCREENED?<\/strong><\/p>\n<p>The incidence of cervical cancer in the country increased by an average of 3.7 per cent per year from 2015 to 2019, and is the fastest-increasing cancer among females, according to the Canadian Cancer Society.<\/p>\n<div class=\"c-ad c-ad--bigbox l-article__ad\">\n<p>Story continues below advertisement<\/p>\n<\/p><\/div>\n<p>\u201cWe\u2019re suddenly losing some ground. I think this test will help improve that, but only if patients get screened,\u201d Selk said.<\/p>\n<p>She said the fact that many Canadians don\u2019t have family doctors could be part of the problem, and acknowledges that the speculum exam is not a favourite among patients.<\/p>\n<p>\u201cIt still won\u2019t be the most comfortable test, but it\u2019s a really good test and when we use it well, cervical cancer is very low. It\u2019s very preventable.\u201d<\/p>\n<\/p><\/div>\n<div>\n<p>\n\t\t&amp;copy 2025 The Canadian Press\t<\/p>\n<\/div>\n<p><script defer src=\"https:\/\/connect.facebook.net\/en_US\/sdk.js#xfbml=1&#038;appId=318812448281278&#038;version=v3.3\"><\/script><br \/>\n<br \/><br \/>\n<br \/><a href=\"https:\/\/globalnews.ca\/news\/11046056\/ontario-shift-pap-to-hpv-cervical-cancer\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ontario will replace its main method of cervical cancer screening next week to a more accurate and less frequent test, but the dreaded speculum exam is not in the rear-view just yet. Human papillomavirus (HPV) tests in the province will replace Pap tests, also known as Pap smears or cervical cytology, on March 3, following<\/p>\n","protected":false},"author":3,"featured_media":18152,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-18151","post","type-post","status-publish","format-standard","has-post-thumbnail","category-local"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ontario shifts from Pap to HPV test for cervical cancer screening, but no at-home kits yet - Toronto Tribune<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/torontotribune.ca\/index.php\/2025\/02\/25\/ontario-shifts-from-pap-to-hpv-test-for-cervical-cancer-screening-but-no-at-home-kits-yet\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ontario shifts from Pap to HPV test for cervical cancer screening, but no at-home kits yet - Toronto Tribune\" \/>\n<meta property=\"og:description\" content=\"Ontario will replace its main method of cervical cancer screening next week to a more accurate and less frequent test, but the dreaded speculum exam is not in the rear-view just yet. 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