Lowgrade squamous intraepithelial lesions

1. Immediate referral for colposcopy is the recommended management for LSIL (see exceptions for postmenopausal women, adolescents, and pregnant women below).

2. Endocervical curettage should be done in nonpregnant women in whom: the transformation zone cannot be fully visualized, the lesion extends into the endocervical canal, or no lesion is identified on colposcopy. It is also an acceptable procedure in nonpregnant women in whom a lesion is identified in the transformation zone.

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