Bethesda system

[citation needed] CIN 1 is the most common and most benign form of cervical intraepithelial neoplasia and usually resolves spontaneously within two years.

However, because there is a 12–16% chance of progression to more severe dysplasia, the physician may want to follow the results more aggressively by performing a colposcopy with biopsy.

Treatment involves removal of the affected tissue, which can be accomplished by LEEP, cryosurgery, cone biopsy, or laser ablation.

[10][needs update] To combat this progression, HSIL is usually followed by an immediate colposcopy with biopsy to sample or remove the dysplastic tissue.

This tissue is sent for pathology testing to assign a histologic classification that is more definitive than a Pap smear result (which is a cytologic finding).

Other methods include cryotherapy, cautery, or laser ablation, but none are performed on pregnant women for fear of disrupting the pregnancy.

Cytopathology of low-grade squamous intraepithelial lesion (LSIL), with main features, as compared to an unremarkable intermediate squamous cell. Pap stain .
HSIL. Pap stain .
Adenocarcinoma. Pap stain .