Many women with a normal cervix on colposcopy may be safely discharged from follow up

Women with low grade cytological abnormalities who have a normal cervix on colposcopy and a normal or borderline smear test result at their first visit to a clinic can be safely discharged back to community care. In the past such women have fallen outside the guidelines of the NHS cervical screening programme. On p 1693 Teale et al assess the outcome for a group of 577 women whose colposcopic findings at a first visit did not warrant treatment, and they provide clinical guidelines that would reduce unnecessary visits to a clinic. This would help reduce anxiety in the women and would lower the cost of the NHS cervical screening programme.

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Relevant Article

Management guidelines for women with normal colposcopy after low grade cervical abnormalities: population study

Glyn R Teale, Deborah D Moffitt, Christopher H Mann, and David M Luesley
BMJ 2000 320: 1693-1696. [Abstract] [Full Text] [PDF]