Cervical smear suggests Management
Invasion or microinvasion Large loop excision of transformation zone (LLETZ): may need admission for EUA and staging.
Severe dyskaryosis LLETZ at first visit
Moderate dyskaryosis LLETZ at first visit
Mild dyskaryosis x2
Postcoital bleeding 		Colposcopic assessment and biopsy.
Biopsy negative or CIN I
Repeat colposcopy/biopsy in 6 months.
Biopsy CIN II, III or worse
LLETZ
Borderline changes or severe inflammation Colposcopic assessment and biopsy.
Biopsy negative or CIN I
Repeat colposcopy/biopsy in 6 months.
Biopsy CIN II, III or worse
LLETZ
Pregnancy Colposcopic assessment still appropriate, but unless suspicion of invasive disease, biopsy can be deferred until 6-8 weeks post delivery.

In general, LLETZ performed under local anaesthetic, although certain lesions or certain patients may require a general anaesthetic.

District Policy on Cervical Screening (Northumberland guidelines)

Cytological follow Up after hysterectomy (NHS Cancer Screening Programme)