AFP: American Family Physician Podcast Episode 248 -- February 2026 -- Part 2 AFP: American Family Physician
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Feb 27, 2026 Long-term strategies for continuing and stopping GLP-1 and tirzepatide treatments, including tapering and dosing options. Shifts in cervical cancer screening toward primary HPV testing and self-collection. Practical approaches to tinnitus care like sound therapy, CBT, and hearing aids. Nonpharmacologic options for chronic low back pain and diagnosis plus topical treatment for impetigo. Risks of CT scan radiation and ways to limit unnecessary scans.
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Primary HPV Testing Is Becoming The Preferred Strategy
- Evidence is shifting to risk-based cervical screening with primary HPV testing favored for 30 to 65-year-olds and self-swab now FDA-approved.
- Primary HPV testing allows longer intervals and fewer lifetime colposcopies versus cytology-based strategies.
Offer Self-Collection HPV Swabs For Better Access
- Offer self-collection HPV swabs for eligible patients to improve access and comfort, especially after trauma or gender-related discomfort.
- Self-collection interval is every three years when used.
Stop Unnecessary Cervical Screening And Use Risk Calculators
- Avoid mixing screening strategies and stop routine screening in patients over 65 or with benign total hysterectomy who meet criteria.
- Use ASCCP risk calculators to guide management of abnormal results rather than reflex colposcopy.