Evaluarea colposcopică şi managementul infecţiei cu HPV în sarcină.

The aim o f colposcopic examination during pregnancy is, on one hand, to exclude invasive cancer, and secondly to provide additional support for conservative management o f intraepithelial lesions. The transformation zone is usually fully examined in this situation because the endocervical columnar epithelium becomes externalized after the 20th gestational week. Colposcopy is recommended for all pregnant women, including adolescents with HSIL. Biopsy o f suspicious CIN 2, 3 or neoplastic lesions is preferred. Colposcopy is also recommended in HPV-positive pregnant women with ASC-US or LSIL. Cervical cancer diagnosis during pregnancy represents a threat not only to the patient but in certain cases a clinical finding. Because most women with risk factors for the occurrence o f CIN or cervical cancer are o f childbearing age, pregnancy status is also an opportunity to achieve cervical screening. Due to physiological changes o f the cervix during pregnancy, colposcopy can be a challenge for practitioners and should be performed by experienced examiners. The management o f the histological diagnosis o f CIN 1 for the pregnant woman is represented by reevaluation without imposition o f treatment. The management o f CIN 2 or 3 in pregnancy requires colposcopic evaluation and biopsy. Endocervical curettage is excluded. Diagnostic excision is not indicated in the absence o f invasive cancer. Cytological and colposcopic reassessment after at least 6 weeks postpartum is mandatory. [ABSTRACT FROM AUTHOR]