Colposcopy and Programme Management - Cytology Training Centre

In general (continued)
Pregnancy
• Standard: Unless a pregnant woman with –ve cytology has gone
beyond 3 years without having cervical screening then the test
should be postponed.
• But next standard: If a woman has been called for routine screening
and she is pregnant then the test should be deferred.
• Confusing. So remove 1 st standard.
• Add another standard: ‘If a woman requires colposcopy or cytology
after treatment (or follow up of untreated CIN1) and is pregnant then
that assessment can be delayed until after delivery. However if a 1 st
follow up cytology/ colposcopy is required following treatment for
CIN2/3 with involved or uncertain margin status or treatment for
cGIN then that visit should not be delayed (unless there is an
obstetric contraindication).’
• ‘The colposcopist may wish to perform only colposcopy at a follow
up appointment in pregnancy.’
• ‘If repeat cytology is due and the woman has missed or defaulted
her appointment prior to pregnancy consideration should be given to
that woman having her cytology or a colposcopy during pregnancy.’