Cervical dysplasia

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Cervical dysplasia - series

Cervical neoplasia

Female reproductive anatomy

Uterus

Cervical intraepithelial neoplasia (CIN); Precancerous changes of the cervix

The treatment depends on the degree of dysplasia. Mild dysplasia, which may go away on its own, usually involves careful observation with repeat Pap smears every 3 to 6 months. Other forms may require methods to destroy the abnormal tissue, including electrocauterization, cryosurgery, laser vaporization, or surgical removal.

Consistent follow-up, every 3 to 6 months or as prescribed, is essential.

Nearly all cervical dysplasia can be cured with early identification, proper evaluation and treatment, and careful, consistent follow-up.

Without treatment, 30-50% cases of cervical dysplasia may progress to invasive cancer. The risk of cancer is higher for severe dysplasia (CIN III) that is not treated.

The condition may return.

Call for an appointment with your health care provider if you are a woman who is sexually active or aged 20 or older, and you have never had a pelvic examination and Pap smear.

Call for an appointment with your health care provider if you have not had regular Pap smears at these intervals:

• Every year initially
• For women up to age 35 or 40: every 2-3 years after having three negative, consecutive annual Pap smear tests and a single sexual partner or no sexual partner
• Every year for women over age 35 or 40
• Every year for women who have had multiple sexual partners
• Every year for women who are taking oral contraceptives (birth control pills)
• Every 6 months for women who have a history of HPV (genital warts)
• Every year for DES daughters (women whose mothers took DES during the pregnancy)
• The frequency recommended by your health care provider after an abnormal Pap smear or prior dysplasia

Review Date: 06/15/2005
Reviewed By: Peter Chen, M.D., Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.