GynaePulse
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Cervical screening (England)

HPV primary screening and results.

Source: NHS CSP 2025–2026

Interval

25–495-yearly if HPV negative (from July 2025).
50–645-yearly.

Result

HPV+ abnormal cytologyColposcopy referral.
HPV+ normal cytologyRepeat at 12 months; 3rd HPV+ in a row → colposcopy.
InadequateRepeat ≥3 months; 2nd inadequate → colposcopy.

CIN

CIN1Usually observe.
CIN2Treat, or conservative with 6-monthly follow-up in selected women.
CIN3 / CGINExcise (LLETZ); test of cure HPV at 6 months.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.