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What follow-up care is recommended for patients after undergoing colposcopy, particularly those with abnormal findings?
Answer
Follow-up care after colposcopy, especially with abnormal findings, involves tailored management based on the severity of the abnormalities detected.
Patients with abnormal colposcopy results should be monitored closely, with follow-up appointments scheduled to assess treatment response and detect any progression or persistence of cervical abnormalities.
Follow-up typically includes repeat cytology and/or colposcopy at intervals determined by the grade of abnormality and treatment performed.
For high-grade abnormalities or confirmed cervical intraepithelial neoplasia (CIN), treatment such as excisional procedures may be performed, followed by surveillance to ensure complete resolution.
Patients should be advised on symptoms that warrant urgent review and be supported with information on emotional and psychological support if needed.
Referral to specialist gynaecological services is recommended if invasive disease is suspected or confirmed.
While the provided context does not include explicit colposcopy follow-up protocols, standard UK practice as per NICE and related guidelines emphasizes individualized follow-up based on colposcopy findings and histology results, with clear pathways for referral and ongoing surveillance to prevent progression to cervical cancer.
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