Colposcopy
Primary screening within the community should be withheld (1,13,14).
Referrals should only be made if high-grade changes on smear, borderline
nuclear change in endocervical cells, possible glandular neoplasia or
suspicion of invasive disease(13). In addition, women with high-grade
changes must be seen within 3 months(12).
LLETZ is safe to perform as there is no evidence of viral particles in
the smoke, however laser ablation and excision should be avoided due to
the risk of vaporisation. Where possible, ‘see and treat’ procedures
should be performed in one clinic attendance to reduce the number of
times patients are attending the hospital(13).