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PI Perspective #26

December 1998     View PDF     En español

GYN Screening Guidelines

1

As follow-up after any treatment for dysplasia, have a Pap smear at 3 months.

If result is negative, repeat a pap smear every 3 months for 1 year.

If result shows inflammatory changes, treat dysplasia again and repeat a pap smear at 3 months.

If result is abnormal, one of three conditions exist: atypical cells of undetermined significance (ASCUS); mild dysplasia; or moderate/severe dysplasia. Refer below for these conditions.

2

If no history of abnormal Pap or treatment in 12 months, have a Pap smear at 3 months.

If result is negative, repeat a pap smear every 6 months for 1 year.

If result shows inflammatory changes, treat dysplasia and repeat a pap smear at 3 months.

If result is abnormal, one of three conditions exist: atypical cells of undetermined significance (ASCUS); mild dysplasia; or moderate/severe dysplasia. Refer below for these conditions.

3

If there’s a history of abnormal Pap or colposcopy in past 12 months, have a Pap smear at 3 months.

If result is negative, repeat a pap smear every 6 months for 1 year.

If result shows inflammatory changes, treat dysplasia again and repeat a pap smear at 3 months.

If result is abnormal, one of three conditions exist: atypical cells of undetermined significance (ASCUS); mild dysplasia; or moderate/severe dysplasia. Refer below for these condition.

Atypical Cells of Undetermined Significance (ASCUS)
If abnormal pap smear result shows ASCUS, a colposcopy is recommended.

If the result is negative, repeat another colposcopy in 3 to 6 months.

If the result is positive for mild ascus, repeat another colposcopy in 3 to 6 months.

If the result is positive for moderate to severe ascus, your physician should diagnose and treat the condition.

Atypical Cells of Undetermined Significance (ASCUS)
If abnormal pap smear result shows ASCUS, a colposcopy is recommended.

If the result is negative, repeat another colposcopy in 6 months.

If the result is positive for mild ascus, repeat another colposcopy in 6 months.

If the result is positive for moderate to severe ascus, your physician should diagnose and treat the condition.

Atypical Cells of Undetermined Significance (ASCUS)
If abnormal pap smear result shows ASCUS, a colposcopy is recommended.

Repeat colposcopy in 6 months.

Mild Dysplasia
If abnormal pap smear result shows mild dysplasia, a colposcopy is recommended.

If the result is negative, repeat another colposcopy in 3 to 6 months.

If the result is positive for mild dysplasia, repeat another colposcopy in 3 to 6 months.

If the result is positive for moderate to severe dysplasia, your physician should diagnose and treat the condition.

Mild Dysplasia
If abnormal pap smear result shows mild dysplasia, a colposcopy is recommended.

If the result is negative, repeat another colposcopy in 6 months.

If the result is positive for mild dysplasia, repeat another colposcopy in 6 months.

If the result is positive for moderate to severe dysplasia, your physician should diagnose and treat the condition.

Mild Dysplasia
If abnormal pap smear result shows mild dysplasia, a colposcopy is recommended.

Repeat colposcopy in 6 months.

Moderate to Severe Dysplasia
If abnormal pap smear result shows moderate to severe dysplasia, then a colposcopy is recommended.

Your physician should diagnose and treat the condition.

Moderate to Severe Dysplasia
If abnormal pap smear result shows moderate to severe dysplasia, then a colposcopy is recommended.

Your physician should diagnose and treat the condition.

Moderate to Severe Dysplasia
If abnormal pap smear result shows moderate to severe dysplasia, then a colposcopy is recommended.

Your physician should diagnose and treat the condition.

 
     
 

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