Women aged 25 and older should undergo what type of follow-up for ASCUS pap results?

The recommendation for women aged 25 and older with an ASCUS (Atypical Squamous Cells of Undetermined Significance) Pap test result is to perform co-testing, which includes both Pap cytology and HPV (Human Papillomavirus) testing, after 12 months. This approach is based on guidelines aimed at appropriately balancing the need for further evaluation with the understanding that many ASCUS results are not associated with high-grade cervical lesions.

Co-testing allows for the identification of high-risk HPV types, which are more closely associated with the development of cervical cancer. If the co-test shows negative results for both the Pap and HPV, the patient can generally continue with routine screening. If the HPV test is positive, it may warrant further evaluation, such as a colposcopy.

This approach reflects the understanding that not all ASCUS results require immediate invasive procedures and emphasizes a mindful surveillance strategy for women at typical risk. Regular follow-up through co-testing provides a systematic method to monitor cervical health without subjecting women to unnecessary procedures.