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Cases. Case 2. Case 3. Normal cervix - Spatula and brush. Normal cervix - Cervex Broom. Eversion (ectropion). Transformation zone. Eversion - Spatula and brush. Stenosis. Transformation zone not visible. Stenosis - Spatula and brush. Case 4. LOW-GRADE (definite or possible).
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Eversion (ectropion) Transformation zone
Stenosis Transformation zone not visible
LOW-GRADE (definite or possible) If woman is 30+ yrs, and has no negative cytology in previous 2-3 yrs, colposcopy or repeat smear in 6 months Repeat Pap test at 12 months LOW-GRADE(definite or possible) HIGH GRADE NEGATIVE Repeat Pap test at 12 months COLPOSCOPY NEGATIVE ROUTINE SCREENING
Test of Cure HPV typing has been added to the MBS for this clinical use only (‘test of cure’)
Test of Cure • Return to routine screening intervalwhen Pap smear and HPV typing are negative on two consecutive occasions
Gardasil Quadrivalent (HPV types 6,11,16 & 18) Licensed for Females 9 to 26 Males 9 to 15 Currently on the NIP Cost off the program $450 Cervarix Bivalent (HPV types 16 & 18) Licensed women for 10 to 45 Cost $450 HPV Vaccine- two types Cross reaction 31 & 45