Canada

This is the best summary I could come up with:

For people who have undergone sexual trauma or experienced discrimination in a doctor's office, putting their feet into stirrups for a pelvic exam is likely even worse.

"Screening with Pap testing misses almost half of existing abnormalities on the cervix," Alexander told Dr. Brian Goldman, host of CBC's The Dose.

"I think some of us don't realize how difficult pelvic exams are for many folks," said Ogilvie, a UBC professor and Canada Research Chair in Global Control of HPV-Related Disease and Cancer.

So far, Prince Edward Island is the only place in Canada using HPV testing as primary screening for the entire province.

CPAC's website has information on the status of provinces and territories in adopting HPV testing as the primary screening for cervical cancer.

Cancer identified family doctors and nurse practitioners who follow up with people who have abnormal results and don't have a primary care provider, said Ogilvie.

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