What is the follow-up recommendation for a patient with an ASC-H Pap result?

An ASC-H (Atypical Squamous Cells of Undetermined Significance, cannot exclude high-grade squamous intraepithelial lesion) result on a Pap smear indicates that there are abnormal cells present, and there is a concern that these may be indicative of a potentially serious condition, such as a high-grade lesion or cervical cancer. Given the implications of this result, the follow-up recommendation is to perform a colposcopy.

Colposcopy is a more detailed examination of the cervix using a magnifying instrument, which allows for better visualization of any potential abnormalities. During this procedure, the healthcare provider can identify areas that may need to be biopsied to determine if there is any significant pathology present. It is a crucial next step in ensuring that any potential high-grade lesions are properly diagnosed and managed.

Other follow-up options, such as simply repeating the Pap smear in one year or recommending routine screening based on the patient's age, would not be appropriate due to the heightened concern associated with an ASC-H result. Diagnostic imaging is also not indicated as a first-line follow-up for ASC-H results, since imaging does not provide the necessary cellular information needed to assess the severity of the abnormal cells. Therefore, colposcopy is the recommended follow-up to