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Cervical dysplasia

Overview Symptoms Treatment Prevention
Alternative Names:
Cervical intraepithelial neoplasia (CIN); Precancerous changes of the cervix
Treatment:

The treatment of cervical dysplasia depends on the degree of dysplasia. Treatments range from careful observation with repeat Pap smears every 3 to 6 months for mild dysplasia (which may regress on its own), to methods used to eradicate the abnormal tissue, including: electrocauterization, cryosurgery, laser vaporization, or surgical removal.

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

Expectations (prognosis):

With early identification, adequate evaluation; treatment; and careful, consistent, follow-up; nearly all cervical dysplasia can be cured. Without treatment, 30-50% cases of cervical dysplasia may progress to invasive cancer.

Complications:

The condition may recur.

Calling your health care provider:

Call for an appointment with your health care provider if you are a woman who is sexually active, or are aged 20 or older, and have had no prior pelvic examination and Pap smear.

Call for an appointment with your health care provider if a subsequent Pap smear has not been obtained at recommended intervals of:

  • 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 women who were prenatally exposed to DES
  • The frequency recommended by your health care provider after an abnormal Pap smear or prior dysplasia
Female reproductive anatomy
Female reproductive anatomy
Cervical neoplasia
Cervical neoplasia
Uterus
Uterus
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