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testing has not. Physicians overscreen, overtreat low-grade lesions, and undertreat high-grade lesions in young women. Midwestern obstetrician-gynecologists' adherence to the guidelines for cervical cancer screening and management of abnormal results is suboptimal. Although co-testing for women aged 30-65 years has been broadly adopted, primary HPV testing has not. Physicians overscreen, overtreat low-grade lesions, and undertreat high-grade lesions in young women. To demonstrate any transient short-term effect of a particular type of breat