Sexually active women should have screening from age 25 using the PAP smear at least once every 3 years. Annual screening would have a higher detection rate as compared to every 3 years. There is no need to screen after age 69 if previous smears have been negative. There are 2 forms of PAP smears presently available. The conventional dry smear and the liquid based cytology. The latter has higher detection for cervical cancer although at a higher cost. Another screening test is HPV DNA testing and has recently been approved by the FDA.
At present there is no effective means of screening. Women who have abnormal bleeding should see their doctors early for and consider hysteroscopy / endometrial biopsy for evaluation.
There is at present no effective screening for women at average risk. They would be advised to see their doctors if they feel bloated or pain in the abdomen, indigestion, frequent urination, back pain, loss of weight and appetite. Those with increased risk may consider a transvaginal ultrasound scan and CA 125 serum testing.