Gynecology Book


Benign Pap Smear Changes

Aka: Benign Pap Smear Changes
  1. Causes
    1. Infection
      1. Candida Vulvovaginitis
      2. Bacterial Vaginosis
      3. TrichomonasVaginitis
      4. Viral
        1. Cytomegalovirus
        2. Herpes Simplex Virus
    2. Reactive changes
      1. Inflammation
      2. Atrophy
      3. Radiation
      4. Intrauterine Device (IUD)
      5. DES effect
  2. Management
    1. Treat infection if present
    2. Repeat Pap Smear in 3-6 months
      1. Normal Pap Smear: Repeat every 6-12 month
      2. Abnormal Pap Smear: Colposcopy
  3. References
    1. Brotzman (1996) Am Fam Physician 53(4):1154-62 [PubMed]
    2. Stack (1997) Postgrad Med 101(4):207-4 [PubMed]

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