Sociocultural Considerations in Implementing HPV Self-Sampling and Menstrual Blood Testing in Conservative Settings
HPV self-collection has repeatedly been associated with greater privacy, physical ease, and personal control, while minimizing discomfort and embarrassment linked to pelvic examinations. As a result, it has been shown to improve screening participation among women who are under-screened in low- and middle-income countries (LMICs) (1–3). More recently, research indicates that HPV detection using menstrual blood may offer a practical and non-invasive alternative, with performance in certain contexts approaching that of clinician-obtained cervical specimens (4). These strategies hold promise for extending screening access to women who encounter structural, logistical, or interpersonal obstacles to clinic-based services.

