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Three Treatment Algorithms for PAP Smear Management in HIV-Positive Women

From Gay Men's Health Crisis

July/August 1997

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

A1: At entry to care, if no prior abnormal Pap or treatment in past 12 months:


A1: HIV-positive women with no recent history of abnormal Pap smear or recent treatment for dysplasia should have a thorough lower genital tract inspection and Pap smear. This should be repeated every six months as long as there are no abnormalities.

A2: At entry to care, if history of abnormal Pap smear or colpo in past 12 months:


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A2: HIV-positive women who have an abnormal Pap smear or colposcopic evaluation in the past 12 months should be evaluted by Pap smear and colposcopy within six-eight weeks.

A3: Follow-up after any treatment for dysplasia:



A3: HIV-positive women who have undergone any treatment for dysplasia in the past year should have a Pap smear three months after treatment and every three months after that for one year. After four negative Pap smears, they can resume a schedule of every six months.

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!




  
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This article was provided by Gay Men's Health Crisis. It is a part of the publication GMHC Treatment Issues. Visit GMHC's website to find out more about their activities, publications and services.
 
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