Choosing Wisely Recommendations
Don’t treat patients who have mild cervical dysplasia of less than two years’ duration.
Rationale and Comments
Mild dysplasia (cervical intraepithelial neoplasia 1) is associated with the presence of human papillomavirus (HPV), which does not require treatment in average-risk women. Most women with cervical intraepithelial neoplasia 1 on biopsy have a transient HPV infection that will usually clear in less than 12 months and, therefore, does not require treatment.
Sponsoring Organizations
- American College of Obstetricians and Gynecologists
Sources
- American Society for Colposcopy and Cervical Pathology guidelines
- American College of Obstetricians and Gynecologists guidelines
Disciplines
References
- Wright TC, et al. 2006 consensus guidelines for the management of women with cervical intraepithelial neoplasia or adenocarcinoma in situ. Am J Obstet Gynecol. 2007;197:340-5.
- American College of Obstetricians and Gynecologists. Management of abnormal cervical cytology and histology. Practice bulletin no. 99. Obstet Gynecol. 2008;112:1419-44.
