Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but Endocervical Transition Zone (EC/TZ) Absent or Insufficient in Women 30 Years and Over

Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but Endocervical Transition Zone (EC/TZ) Absent or Insufficient in Women 30 Years and Over [link url="//www.soapnote.org/tag/pap-smear/" memo="pap smear calculators.  "][link url="//www.soapnote.org/women/pap-smear/" memo="main pap smear page.  "]

[select name="Qhpv" value="-choose-|Unknown|Negative|Positive"] <-- What is the HPV result?  [/conditional][conditional field="Qhpv" condition="(Qhpv).is('Unknown')"]
There are two options - HPV testing now(preferred) or Repeat cytology testing at 3 years (acceptable).
[select name="Qunkhpv" value="-choose-|HPV testing|Repeat cytology at 3 years"] <-- Choose subsequent testing[/conditional][conditional field="Qhpv|Qunkhpv" condition="(Qhpv).is('Unknown')&&(Qunkhpv).is('Repeat cytology at 3 years"]
Manage cytology result per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines.  Proceed to next step - [link memo="next step" url="//www.soapnote.org/women/pap-smear/"][/conditional][conditional field="Qhpv|Qunkhpv" condition="(Qhpv).is('Unknown')&&(Qunkhpv).is('HPV testing')"]
[select name="Qhpv2" value="-choose-|Negative|Positive"] <-- What is the HPV result?[/conditional][conditional field="Qhpv|Qunkhpv|Qhpv2" condition="(Qhpv).is('Unknown')&&(Qunkhpv).is('HPV testing')&&(Qhpv2).is('Negative')"]
Continue routine screening with Co-testing with Pap Test and HPV Testing every 5 years. [/conditional][conditional field="Qhpv|Qunkhpv|Qhpv2" condition="(Qhpv).is('Unknown')&&(Qunkhpv).is('HPV testing')&&(Qhpv2).is('Positive')"]
Manage similarly as patient with negative Cytology and positive HPV. Proceed to next step - [link memo="next step" url="//www.soapnote.org/women/negative-cytology-positive-hpv-30-plus/"][/conditional][conditional field="Qhpv" condition="(Qhpv).is('Negative')"]
Continue routine screening with Co-testing with Pap Test and HPV Testing every 5 years. [/conditional][conditional field="Qhpv" condition="(Qhpv).is('Positive')"]
Manage similarly as patient with negative Cytology and positive HPV. Proceed to next step - [link memo="next step" url="//www.soapnote.org/women/negative-cytology-positive-hpv-30-plus/"][/conditional]

[checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"][link memo="Saslow D et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. J Low Genit Tract Dis. 2012 Jul;16(3):175-204." url="https://www.ncbi.nlm.nih.gov/pubmed/22418039"][/conditional]