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Cervical cancer screening: Is self-sampling the answer?

Anshuja Singla1, Sumita Mehta2, Anshul Grover2

  • 1Department of Obstetrics & Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 30, 2025
PubMed
Summary
This summary is machine-generated.

Self-collected samples for high-risk human papilloma virus (hr HPV) DNA testing show high agreement with clinician-collected samples, offering a promising strategy to increase cervical cancer screening uptake.

Keywords:
HPV‐DNAcervical cancerself‐samplingvaginal swab

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Area of Science:

  • Gynecology
  • Oncology
  • Molecular Diagnostics

Background:

  • Cervical cancer screening is crucial for early detection and prevention.
  • Underutilization of screening programs remains a significant public health challenge.
  • High-risk human papilloma virus (hr HPV) DNA testing is a primary screening method.

Purpose of the Study:

  • To compare the performance of self-collected versus clinician-collected samples for hr HPV DNA detection.
  • To evaluate women's acceptance and attitudes towards self-collection methods.
  • To assess the diagnostic accuracy of self-sampling in identifying cervical abnormalities.

Main Methods:

  • Prospective study involving 396 women aged 30-65 years.
  • Dual collection of cervical swabs (self and clinician) for hr HPV DNA analysis using real-time PCR.
  • Colposcopy-guided biopsy for HPV DNA-positive cases.

Main Results:

  • High overall agreement (91.4%) between self and clinician hr HPV DNA detection.
  • Self-sampling demonstrated strong positive predictive value (100%) for detecting cervical intraepithelial neoplasia (CIN-1) and above.
  • Cervical smear inadequacy was observed in 15% of cases.

Conclusions:

  • HPV DNA self-sampling is a viable and effective alternative to clinician collection.
  • Self-sampling can significantly improve cervical cancer screening rates.
  • This approach has the potential to reduce cervical cancer morbidity and mortality.