Do I need to have an HPV test if my Pap result is Class I?
Nov 06, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
A Pap grade 1 indicates normal cervical cells. For women aged 21–29, routine HPV testing is generally not required. Women aged 30 and older are advised to undergo co-testing with HPV screening for a more comprehensive assessment of cervical health. If abnormal vaginal bleeding or unusual discharge occurs later, prompt medical evaluation is recommended. Pap grade 1 represents a normal result in cervical cytology testing.
Class I in the Pap test indicates normal cervical cells. For women aged 21–29, routine HPV testing is generally not required. Women aged 30 and older are advised to undergo co-testing with HPV screening for a more comprehensive assessment of cervical health. If abnormal vaginal bleeding or unusual discharge occurs later, prompt medical consultation is recommended.
A Pap Class I result represents a normal finding in cervical cytology, indicating no abnormal cellular changes and temporarily ruling out the risk of cervical cancer or precancerous lesions. This result suggests good current cervical health, but does not completely exclude HPV infection, as some HPV infections may not cause noticeable cellular changes.
In women aged 21–29, HPV infections are often transient and can be cleared spontaneously by the body. Therefore, routine HPV testing is not necessary when the Pap result is Class I; cervical cytology should be repeated every 3 years. For women aged 30 and older, the risk of persistent HPV infection increases. Co-testing with HPV screening improves the detection rate of precancerous cervical lesions, and it is recommended to undergo combined screening every 5 years.
It is important to maintain good genital hygiene, avoid unhygienic sexual practices, minimize cervical irritation, maintain a regular lifestyle to boost immunity, and have regular gynecological examinations to preserve cervical health.
