Kubva kuma1960, nekuda kwekukurumbira kwekuongororwa, kufa kwegomarara remuromo wechibereko kwakadzikira zvakanyanya. MuUnited States, gomarara remuromo wechibereko ndiro rechi18 rinonyanya kukonzera kufa kwegomarara. Zvinotarisirwa kuti kuchave ne13,240 nyaya nyowani muna 2018, kusanganisira 4,170 vafa. Rufu ruzhinji rwegomarara remuromo wechibereko runoitika muvanhu vasina kuongororwa zvakakwana. Madzimai ari munharaunda dzine mari shoma, madzimai echirume, nemadzimai anogara kure kana kumaruwa ndivo vanofa idzi dzine chekuita negomarara remuchibereko.
Sangano reUnited States Preventive Services Task Force (USPSTF) rinopa mazano matsva ekuongorora gomarara remuchibereko uye rinopa vakadzi dzimwe nzira dzekuongorora. Shanduko huru ndeyekuti vakadzi vari pakati pemakore 30-65 vanogona kusarudza kusiya zvachose cervical smears. Humbowo hutsva hunoratidza kuti human papillomavirus (HPV) inotapuriranwa pabonde uye rinenge gomarara remuromo wechibereko rinokonzerwa neHPV. HPV inokonzera shanduko mumasero emuchibereko, izvo zvinogona kukonzera gomarara remuchibereko. Madzimai ane makore 30-65 ekuberekwa vanokwanisa kusarudza kuongororwa HPV makore mashanu ega ega kuti vavheneke gomarara remuromo wechibereko, pachinzvimbo chekuongororwa cervical smear makore matatu ega ega. Dzivisa miedzo isiri madikanwa. Nokudaro kudzivisa mamwe mari uye mamwe matambudziko ekutevera. Aka ndekekutanga kuti kuongororwa kweHPV kwakasiyana kunokurudzirwa kuti vavheneke gomarara remuchibereko, uye ongororo iyi inokurudzirwa zvisinei nenhoroondo yebonde. Asi Bruder anofanotaura kuti Pap smears haizotsiviwa munguva pfupi.
Munguva yakapfuura, kurudziro yevakadzi vezera rino yaive yemuromo wechibereko, inonziwo exfoliative cytology, cervical smear makore matatu ese kana inosanganisirwa neHIVV bvunzo makore ese mashanu (co-kuyedza). Vakadzi vachiri kusarudza kushandisa nzira iyi kuongorora gomarara remuchibereko. Kune vakadzi vane makore makumi maviri nemasere kusvika makumi maviri nemapfumbamwe, zvichiri kukurudzirwa kuita Pap smear makore matatu ega ega. Hazvikurudzirwe kuvakadzi vari pasi pemakore makumi maviri nerimwe ekuberekwa nekuti gomarara remuromo wechibereko riri pasi pemakore makumi maviri nerimwe harisi nyore. Zvimwechetezvo, vakadzi vanovhenekwa zvakakwana gomarara remuromo wechibereko vanopfuura makore makumi matanhatu nemashanu havafanirwe kuongororwa. Vaya vane makore anopfuura makumi matanhatu nemashanu uye vakaitwa 21 smear yechibereko kana bvunzo mbiri dzekubatana havana mhedzisiro yakaipa, kana kuve nemhedzisiro yakaipa mumakore gumi apfuura, uye havachafanirwa kuongororwa gomarara remuromo wechibereko, kunyangwe kana vaine mutsva wepabonde naye. Iyi nhungamiro nyowani ndeyevakadzi chete vasina miedzo yakaipa yekuyedza. Vanhu vakaonekwa kuti vane zvipembenene zvakanyanya kana gomarara remuromo wechibereko vanofanirwa kubvunza chiremba wavo kuti vataure nezvenzira dzavanoona
