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Do women with high-grade cervical intraepithelial neoplasia prefer a see and treat option in colposcopy?

  1. L Balasubramani1,
  2. S Orbell2,
  3. M Hagger3,
  4. V Brown4,
  5. J Tidy5,*

Article first published online: 6 DEC 2006

DOI: 10.1111/j.1471-0528.2006.01160.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 114, Issue 1, pages 39–45, January 2007

Additional Information

How to Cite

Balasubramani, L., Orbell, S., Hagger, M., Brown, V. and Tidy, J. (2007), Do women with high-grade cervical intraepithelial neoplasia prefer a see and treat option in colposcopy?. BJOG: An International Journal of Obstetrics & Gynaecology, 114: 39–45. doi: 10.1111/j.1471-0528.2006.01160.x

Author Information

  1. 1

    Academic Unit of Reproductive and Developmental Medicine, University of Sheffield, Sheffield, UK

  2. 2

    Department of Psychology, University of Essex, Colchester, UK

  3. 3

    School of Psychology, University of Nottingham, Nottingham, UK

  4. 4

    Department of Obstetrics and Gynaecology, Jessop Wing, Sheffield, UK

  5. 5

    Department of Gynaecological Oncology, Sheffield Gynaecological Cancer Centre, Royal Hallamshire Hospital, Sheffield, UK

*Dr J Tidy, G18, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK. Email john.tidy@sth.nhs.uk

Publication History

  1. Issue published online: 6 DEC 2006
  2. Article first published online: 6 DEC 2006
  3. Accepted 28 September 2006.

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Keywords:

  • Anxiety;
  • behaviour;
  • cervical intraepithelial neoplasia;
  • colposcopy;
  • management

Objective  To compare women’s experiences of either see and treat (ST) or defer and treat (DT) at first visit to colposcopy following abnormal cytology.

Design  A prospective postal questionnaire survey.

Setting  Colposcopy clinics of a University Hospital.

Sample  A total of 272 women with high-grade cervical intraepithelial neoplasia (CIN) referred to colposcopy.

Methods  A total of 136 women receiving ST and a matched sample of women receiving DT (N= 136) were sent a postal questionnaire 7 days after first appointment at colposcopy to assess evaluations of their experience, psychological distress and relief. Subsequent appointment keeping was extracted from medical records.

Main outcome measures  Anxiety and subsequent behaviour.

Results  Women undergoing ST were significantly less anxious and more relieved than those undergoing DT. They also evaluated their first appointment as more motivationally congruent. While women undergoing ST were less likely than DTs to keep their second appointment, there was no overall difference in did not attend (DNA) rates at 15-month follow up.

Conclusions  ST is psychologically beneficial and may be preferred by women with CIN2/3.

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