Pap Smear with Cytology Negative for Intraepithelial Lesion or Malignancy (NILM) but HPV Positive 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. "]

Either repeat Co-Testing at 1 year (acceptable) or HPV DNA Typing (acceptable) may be performed.
[select name="Qhpvpositive" value="-choose-|Repeat Co-Testing|HPV DNA Typing"] <-- Which follow-up study is chosen?[conditional field="Qhpvpositive" condition="(Qhpvpositive).is('Repeat Co-Testing')"]
[select name="Qrepeatcotest" value="-choose-|Cytology negative and HPV negative|Cytology positive or HPV positive"] <-- What is the follow-up study result? [/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('Repeat Co-Testing')&&(Qrepeatcotest).is('Cytology negative and HPV negative')"]
Repeat Co-Testing at 3 years - Manage per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines[/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('Repeat Co-Testing')&&(Qrepeatcotest).is('Cytology positive or HPV positive')"]
Colposcopy is recommended. [/conditional][conditional field="Qhpvpositive" condition="(Qhpvpositive).is('HPV DNA Typing')"]
[select name="Qhpvtyping" value="-choose-|HPV 16 and 18 negative|HPV 16 or 18 positive"] <-- What is the follow-up study result? [/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('HPV DNA Typing')&&(Qhpvtyping).is('HPV 16 and 18 negative')"]
Repeat Co-Testing at 1 year - Manage per American Society for Colposcopy and Cervical Pathology (ASCCP)[/conditional][conditional field="Qhpvpositive|Qrepeatcotest" condition="(Qhpvpositive).is('HPV DNA Typing')&&(Qhpvtyping).is('HPV 16 or 18 positive')"]
Colposcopy is recommended. [/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]