Women's Screening

Question 1

Female Screening Programmes

Answer 1

Breast cancer

Cervical cancer

Question 2

Breast screening schedule

Answer 2

• Asymptomatic women aged 50-69 every 2 years
  
  • Self Breast Examination – not recommended BUT
  • Encourage all women to be aware of how their breasts normally look and feel, and promptly report any new or unusual changes (such as a lump, nipple changes, nipple discharge, change in skin colour, or pain in a breast) to their GP

Question 3

Cervical Cancer Screening Schedule

Answer 3

• Asymptomatic women who have ever been sexually active.
  
  • Every 2 years.
  • Start at age 18-20, or 1-2 years after first sexual intercourse whichever is later.
  • Cease at age 70 if 2 normal smears in past 5 years.
  • Follow NHMRC guidelines for managing abnormalities

Question 4

Pap smear results

Answer 4

• Negative -> repeat smear in 2 years
  
  • LSIL (atypia, HPV change, CIN 1) -> repeat smear in 12 months
  • HSIL (CIN II, CIN III) -> colposcopy (Coloscopy is a tissue biopsy)
  • Glandular changes -> colposcopy
  • Unsatisfactory results -> repeat smear in 6-12 weeks

LSIL/HSIL low grade/ high grade squamous intraepithelial lesion