**5. Treatment of cervical intraepithelial neoplasia**

Ablation: cryotherapy, laser ablation.

Excision: loop electro excision procedure—LEEP, laser conisation, or cold knife conisation —CKC.

The WHO recommends two-dose vaccine (given at 0 and 6 month or 0 and 12 month) for

Introductory Chapter: Cervical Cancer - Screening, Treatment and Prevention

http://dx.doi.org/10.5772/intechopen.76907

7

Screening is a process in which the apparently normal population is subjected to a rapidly

Pap smear screening of women from the age of 25 years can be implemented in the population

Colposcopy is very useful in visual inspection positive lesions to make colposcopic diagnosis,

Most suited strategy for limited resource settings. A single visit approach has resulted in reduction of incidence rate and mortality rate due to cervical cancer in many countries.

VIA positive—colposcopy positive—biopsy taken—biopsy positive—recall for treatment.

In most research settings and in some programmatic settings (e.g., mostly in Asia in countries such as India, Bangladesh and Nepal), colposcopy is used for triaging VIA positives in screen

those starting vaccine before 15 years of age.

applied test to detect an abnormality or a disease condition.

and the resources need to be planned well to ensure success.

The most successful and cost-effective methods are as follows:

**2.** magnified visual inspection with acetic acid (VIAM);

**1.** visual inspection with acetic acid (VIA);

**3.** visual inspection with Lugol's iodine (VILI).

apply a directed biopsy and in guidance of LEEP. Screen and treat policy for low-resource settings:

VIA positive—colposcopy positive—cryotherapy;

VIA positive—colposcopy positive—biopsy taken—cryotherapy;

HPV testing is a highly sensitive test, but is costly and resource intensive.

*7.1.2. Secondary prevention*

*7.1.2.2. Cytology screening*

*7.1.2.3. HPV testing*

*7.1.2.4. Visual screening*

*7.1.2.5. Colposcopy*

Modalities:

and treat policy.

VIA positive—cryotherapy;

*7.1.2.1. Screening*

Success rate of all the above modalities is 80–100%.
