Guidelines for the Well-Woman Exam - CME Conferences
Guidelines for the Well-Woman Exam - CME Conferences
Guidelines for the Well-Woman Exam - CME Conferences
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2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012Are You ConcernedAbout The NewScreening Intervals ?• A +HR-HPV-DNA test, in <strong>the</strong> presenceof a normal Pap, does NOT warrantimmediate colpo If <strong>the</strong> +HPV persists, or <strong>the</strong> pap turnsabnormal, at 12 mos, THEN colpo ISwarranted Immediate colpo is warranted if +HPV 16 or18 CIN3+ rates approach 10% by 3 yrs–Kjaer S. JNCI. 2010; 102: 1478-88FINALLY THERE’S CONSENSUSCervical CytologicScreening IntervalsOBSOLETE<strong>Guidelines</strong>ACS - 2002Initial Pap 18 y/o or SD SD+3 or21yoUSPSTF-2003SD+3 or21yoACOG / ACS /ASCCP /ASCPUSPSTF 201221yo (irrespof SD)s/p HystB9 dz)Upper agelimitPap interval 30 y/o(<strong>for</strong>Q 3-5 yrs Never again Never again Never againnoneannual70 ( 3 nl’s; noabnl x 10 yrs)q1yr (conv’l);q2yr (LBC)65 (if previouslynl)At leastq3 yrsannual q 2-3 yrs At leastq3 yrs65 (if previouslynl)q 3 yrsq 3/5 yrsDavid Plourd, MDWomen <strong>Exam</strong>
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