Cervical Cancer Screening continued

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Part 1 of Cervical Cancer Screening.

Repeat cytology normal? Repeat cytology screening See Management of Initial Abnormal Pap Smear guideline Repeat cervical cytology screening and HPV DNA screening in 6-12 months. A See Management of Initial Abnormal Pap Smear guideline Repeat cytology normal? * Evaluate patient education needs and discuss risk factors * Respond to patient questions and concerns * Notify patient of results and follow-up recommendations. A Cytology normal? A High-risk HPV DNA positive? A Cytology normal? A Cytology specimen satisfactory for lab interpretation? A Cytology specimen satisfactory for lab interpretation? A Cervix normal? A Perform cervical cytology screening including HPV DNA screening (if available). A Perform cervical cytology screening. A Out of guideline Cervix normal? A Patient age 30 or older? Patient age 21 - 29 or 3 years post onset of sexual activity? A Cervical cancer screening not required Repeat cytology screening. A Source: Institute for Clinical Systems Improvement (ICSI). Cervical cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2005 Jun. 32 p. All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc. A = Annotation Cervical Cancer Screening continued