Clear instructions needed for Pap follow-up

GPs may not be getting the information needed to effectively follow up women with high-grade squamous intra-epithelial lesions (HSIL), researchers say.

A recent study of more than 5000 WA women treated for HSIL found almost two out of five had only received Pap smears, with no HPV test of cure.

Women who continued to have annual Pap smears, and potentially unnecessary biopsies or colposcopies, may face unnecessary costs and anxiety, experts say.

NHMRC guidelines recommend a Pap smear and colposcopy at 4—6 months, then both a smear and HPV test by the GP at 12 months and 24 months. If