If a Pap smear comes back abnormal, the next step is to have a Colposcopy. A colposcopy is an in-office procedure that allows a doctor to examine the cervix more thoroughly. Depending on the findings, a cervical biopsy may be performed.
Once cervical dysplasia is confirmed, treatment will vary, depending upon the severity. Mild to moderate cases of dysplasia often require no treatment. A "watch and wait" approach is often taken. With this type of treatment, a colposcopy/biopsy is normally done every six to 12 months to see if the dyplasia is clearing up on its own or progressing.
More severe cases of dyplasia require medical treatment. Common treatments include a LEEP-conization, Laser and other surgical methods.
Once treated, cervical dysplasia can return, so follow up is necessary.
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2006 Consensus Guidelines for the Management of Women with Cervical Intraepithelial Neoplasia or Adenocarcinoma in situ
