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  1. What your cervical screening results mean. Your cervical screening results letter will explain if human papillomavirus (HPV) was found in your sample, what your result means, and what happens next. Sometimes you'll be asked to come back in 3 months to have the test again.

    • Flowchart Part 1: Sample Taking and HPV Testing and Cytology Triage
    • Flowchart Part 2: Colposcopy
    • Flowchart Part 3: Abnormal Colposcopy Result Management

    1. Send out the invitation. Does the woman opt out of screening?

    Yes: The Cervical Screening Call and Recall Service (CSAS) is notified and the woman is ceased from screening. End of screening test pathway. No: Woman attends screening. Go to question 2.

    2. Carry out the test. Is the result high risk human papillomavirus (hrHPV) negative or positive?

    hrHPVnegative: return individual to routine recall. End of screening test pathway. hrHPVpositive: carry out cervical cytology test. Go to question 3. Note: If a test result is unavailable or cervical cytology is inadequate at any stage in the screening pathway, the sample must be repeated in no less than 3 months. Allow up to 2 consecutive unavailable or inadequate repeats – always refer to colposcopy at the second.

    3. Is cytology negative or abnormal?

    Cytology negative: screen again in 12 months’ time. Go to question 4. Cytology abnormal: refer to colposcopy. End of screening test pathway.

    1. Carry out the colposcopy examination. Is the examination adequate?

    Yes: go to question 3. No: go to question 2.

    2. What were the results of the hrHPV and cytology tests (leading to colposcopy referral)?

    hrHPV positive, cytology low grade or less (excluding borderline change in endocervical cells): repeat colposcopy in 12 months. If repeat colposcopy examination has inadequate outcome, consider large loop excision of the transformation zone (LLETZ) patient choice. End of colposcopy management pathway (for this colposcopy episode). hrHPV positive, cytology high grade or worse, or borderline (endocervical): undertake LLETZ. End of colposcopy management pathway (further management based on findi...

    3. What did the colposcopy examination show?

    Abnormal biopsy showing cervical intra-epithelial neoplasia (CIN)1 or worse, or colposcopic impression of CIN1 (no biopsy): manage as an abnormal colposcopy examination. Go to Flowchart 3 (abnormal colposcopy result management pathway) below. No CIN on biopsy, no biopsy, or no colposcopic impression of CIN: go to question 4.

    1. Abnormal biopsy result: was the result CIN1?

    Yes: the CIN1 pathway only applies to individuals with CIN1 confirmed on biopsy or colposcopic impression of CIN1 (no biopsy) who were referred with low grade cytology, or hrHPVpositive/cytology negative referrals. Recall in 12 months. Go to question 2. No: CIN2, CIN3 or cervical glandular intra-epithelial neoplasia (CGIN): Go to question 6.

    2. Is screening result hrHPV negative or positive?

    hrHPV negative: recall in 36 months. End of abnormal colposcopy result pathway (for this colposcopy episode). If HPV test is negative at 36 months, return to routine screening interval. If HPVtest is positive at 36 months, follow the process outlined in pathway part 1 above. hrHPVpositive: carry out cervical cytology test. Go to question 3.

    3. Is cytology negative or abnormal?

    Cytology negative: recall in 12 months. Go to question 4. Cytology abnormal: refer to colposcopy. End of abnormal colposcopy result pathway (for this colposcopy episode). Further management based on findings from repeat colposcopy.

  2. 65+ Those aged 65 or older will not be invited for cervical screening if their last test was normal. This is because the likelihood of developing cervical cancer is low. If they are aged 65 or over and have never had cervical screening, they are entitled to a test and should speak with their GP surgery about booking an appointment. If

  3. Public information leaflet plain text template. NHS cervical screening Helping you decide. It is your choice whether to have a cervical screening test or not. This guidance aims to help you...

  4. The Cervical Screening Programme. The aim of the NHS Cervical Screening Programme is to reduce the number of women who develop invasive cervical cancer (incidence) and the number of women who die from it (mortality).

  5. The adoption of the USPSTF guidelines expands the recommended options for cervical cancer screening in average-risk individuals aged 30 years and older to include screening every 5 years with primary high-risk human papillomavirus (hrHPV) testing.

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  7. NHS cervical screening. Helping you decide. Public Health England (PHE) created this leafet on behalf of the NHS. It is your choice whether to have a cervical screening test or not. This leafet aims to help you decide. Cervical screening used to be called a ‘smear test’. Why we offer cervical screening.

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