Trichomoniasis is common among women who have HIV Zidovudine is the drug choice

Trichomoniasis is common among women who have hiv

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among women. Trichomoniasis is common among women who have HIV. Zidovudine is the drug choice for pregnant women. #40 Counseling and reduction in STIs #41 Normal Vs Abnormal Pap Smear The Pap test is indicated to screen for malignant and premalignant lesions of the cervix. The recommended age at initiation of cervical cancer Guidelines Papsmear: Pap smear screening at age at the ag of 21 regardless of sexual history Abnormal cytology common in young women and mostly resolve byitself Table. Summary of 2012 Screening Guidelines from the American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology (Open Table in a new window) Parameters ACS Recommendations Age to start screening Begin screening with cytology at 21 years old, regardless of sexual history Screening interval age 21– 29 Screen with cytology alone every 3 years.* HPV testing should not be used for screening in this age group. Screening interval age 30- 65 Screen with a combination of cytology and HPV testing every 5 years (preferred) or cytology alone every 3 years. Screening by HPV testing alone is generally not recommended.* Age to stop screening Age 65, if the woman has adequate negative prior screening and is not otherwise at high risk for cervical cancer Screening after hysterectomy Not indicated for women without a cervix and without a history of a high-grade precancerous lesion (eg, CIN2 or CIN3) in the past 20 years or cervical cancer ever HPV-vaccinated women Screen according to the same recommendations as for unvaccinated women Interpreting Cytology Results Results from cervical cytology specimens are reported according to the 2001 Bethesda System Classification, as listed below. Negative for intraepithelial lesion or malignancy Epithelial cell abnormality
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Squamous cell Atypical squamous cells (ASC) of undetermined significance (ASC-US) or atypical squamous cells that cannot exclude HSIL (ASC-H) Low-grade squamous intraepithelial lesions (LSIL), includes human papillomavirus (HPV), mild dysplasia, and CIN 1 High-grade squamous intraepithelial lesions (HSIL), includes moderate to severe dysplasia, carcinoma in situ, CIN 2, and CIN 3 Squamous cell carcinoma Glandular cell Atypical glandular cells (AGC), specify endocervical, endometrial, or not otherwise specified (NOS) Atypical endocervical cells, favor neoplastic, specify endocervical or NOS Endocervical adenocarcinoma in situ (AIS) Adenocarcinoma Women aged 20 years or younger with ASC-US or LSIL HPV infection and minor abnormal cytology results common in adolescents, but invasive cancer is rare Per 2009 ACOG guidelines, Pap tests only recommended beginning at age 21 years, regardless of sexual history; however, Pap tests are still performed in the 20 years or younger age group in some cases because of lack of knowledge of current guidelines Conservative management preferred for this group because of the high likelihood of spontaneous resolution within 2 years of initial infection; abnormal cervical cytology
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