Primary care
- When to refer after a positive HPV result and what can be resolved in the practice.
- How to answer the questions that come up before the gynaecology appointment.
- The role of primary care in the follow-up of a low-grade result.
Professional area Tools and training for applying the new screening programme.
The decision calculator, training pathways by role and the reference bibliography for bringing population-based cervical screening into daily clinical practice.
Protocol in force in Andalusia (PDPCCU).
Population screening from 25 to 65. Up to 34: cytology every 3 years. From 35: high-risk HPV testing as the primary test — negative, review in 5 years; positive, triage with cytology.
This page describes the cervical cancer screening programme of Andalusia (Spain) and the Spanish regulations governing it. Protocols in other countries differ: please consult the guidelines of your own health system.
Screening calculator
Enter the results. The recommendation appears instantly.
Select the cytology and HPV results: the calculator applies the PDPCCU algorithm and returns the recommendation, with the text to explain it to the patient.
Important: This calculator is intended for women included in the Cervical Cancer Early Detection Programme (PDPCCU).
Immunocompromised patients, whose screening and follow-up are carried out in Gynaecology clinics according to a specific protocol, and patients with a history of conisation, whose follow-up is likewise carried out according to the established specific protocol, are excluded from the programme.
Resources
Webinars, briefings and material for the clinic.
The programme's recorded sessions and the material that trains the conversation with the patient. Available at any time, with no scheduled date.
Nursing and midwifery
- Taking the sample: technique, common pitfalls and sample quality.
- Counselling the woman at the moment of the test and when giving the result.
- Coordinating follow-up between primary care and gynaecology.
Gynaecology
- Management algorithms for cytological triage after a positive HPV result.
- Criteria for referral to colposcopy and how to interpret them.
- Post-treatment follow-up and criteria for discharge to routine screening.
How to inform our patients
The hard part is not always the algorithm.
A positive result handled well in clinic saves weeks of distress. This material trains communication skills: each case presents a real conflict —of communication or of decision-making—, a guided reflection and examples of an appropriate professional response.
- Empathetic, evidence-based care
- No stigma: HPV is common and almost always transient
- How to answer questions about the partner
On video
Training pills for professionals
Short clinical explanations by the specialists of the Andalusian screening programme.
Training campus
Connected by Screening.
The programme's structured course, already built and available today on the campus.
Available Open the campus
Connected by Screening
A course structured in 2 modules on the new population-based cervical cancer screening model. The full syllabus is hosted on the project's Moodle campus.
M1 Module 1 — see the full syllabus on the campus.
M2 Module 2 — see the full syllabus on the campus.
Documents
Resources selected by the clinical team.
A curated selection of scientific societies and reference guidelines on screening, colposcopy and cervical pathology.
Guidelines, algorithms and consensus statements, in one place.
Screening guidelines and algorithms AEPCC · Asociación Española de Patología Cervical y
Colposcopia Español Interactive prevention algorithms AEPCC · Guía de Prevención del CCU 2022 Español Vulvovaginal health: clinical guidelines ISSVD · International Society for the Study of Vulvovaginal Disease International HPV research IPVS · International Papillomavirus Society Management algorithms for abnormal cytology ASCCP · American Society for Colposcopy and Cervical
Pathology Scientific outreach on HPV HPV World The Andalusian reference society SAGO · Sociedad Andaluza de Ginecología y Obstetricia Español
Research
The scientific basis behind the change.
The move to organised population screening rests on multicentre studies and on a network of professionals coordinating research across Andalusia.
The change of model — from opportunistic cytology to population screening with primary hr-HPV — rests on multicentre research evaluating its real implementation in Andalusian public healthcare, not only in clinical trials.
GAEPI-VPH
Grupo Andaluz para el Estudio y Prevención de la Infección por VPH — research group CTS-1014 (PRISMA-US), founded on 30 June 2018 within SAGO.
It brings together ~50 gynaecologists from public and private healthcare in Andalusia.
Coordinator: Dr Gabriel Fiol, also president of SAGO.
Strategic alliance of 4 March 2026 with the Regional Government of Andalusia, SAGO, SAOM, the Andalusian Society of Clinical Microbiology, AECC and professional associations: it adopts the WHO threshold (<4 cases per 100,000 women) as a regional target.
HPV research forum
Shared workspace for healthcare professionals and researchers registered in the project's multicentre network.
Open the professional forum