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HPV vaccination and cervical screening — DRCOG MCQ

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EasyContraceptionHPV vaccination and cervical screeningDRCOG

A 26-year-old woman completed HPV vaccination at school and receives her first cervical screening invitation. She asks whether vaccination means screening is unnecessary. What would you advise?

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Correct answer: E — Attend cervical screening despite previous HPV vaccination

HPV vaccination greatly reduces cervical cancer risk but does not remove the need for cervical screening because it does not cover every oncogenic HPV type and may not protect against prior exposure. Screening intervals should follow the national programme, not annual testing for most women. CA125 is used in ovarian cancer assessment, not cervical screening. Symptoms such as postcoital bleeding need assessment regardless of screening history.

Reference: NHS Cervical Screening Programme; UKHSA HPV vaccination guidance