Cervical dysplasia

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 to 50% of cervical dysplasia may progress to invasive cancer.

Complications:

Recurrence may present upon subsequent Pap smear.

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 20 years old 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 to 3 years after having 3 negative, consecutive annual Pap smear tests and a single sexual partner or no sexual partner.
• every year for women over 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 6 months for women who were prenatally exposed to DES.
• the frequency recommended after an abnormal Pap smear or prior dysplasia.