ASCUS testing

From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Mon May 16 07:44:47 2005


A colleague of mine asked me a question about the recommendations for ASCUS testing that I wasn't able to answer. Following the ASCCP guidelines, when someone has an ASCUS pap you can either do pap at 6 month and 12 months or HPV testing at 12 months.

The question is, what if the Pap at 6 months is ASCUS or low-grade? Do you refer them to colpo immediately or do you wait until after the 12 month pap since you could have gone down the 12 month HPV path anyway?

If the idea is to allow for repair of the cervix and clearance of the HPV I can see waiting. If the goal is catching opportunities to intervene I can see immediate referral.

Thanks for the help,

Glen





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