|
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.
|
