Choosing Wisely:

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:
  • Gynecologic
  • Oncologic
  • 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.

    Email Alerts

    Don't miss a single issue. Sign up for the free AFP email table of contents.

    Sign Up Now