After three consecutive satisfactory, normal smears, testing may be performed less frequently, but it should be performed at least every 2-3 years. If a woman has had SIL on any previous Pap smear, annual smears should be performed throughout her life. Either repeat Pap annually or only recall women with previously abnormal Pap smears. Repeat Pap smear midcycle in 6-12 weeks. If atrophic smear, treat with estrogen cream for 6-8 weeks, then repeat Pap smear.
Most cases represent asymptomatic colonization.
Treatment is offered for symptomatic cases. Repeat Pap at usual interval. This finding implies bacterial vaginosis, but it is a non-specific finding. Diagnosis should be confirmed by findings of a homogeneous vaginal discharge, positive amine test, and clue cells on microscopic saline suspension. The patient should be informed of pregnancy risks and the possibility of transmission.