30-year-old G2p2 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12383

SMLE Question #12383

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 30-year-old G2P2 attends a gynecology clinic after cervical cancer screening. Over the past 6 months, she has had two Pap cytology results reported as high-grade squamous intraepithelial lesion (HSIL). She is asymptomatic, wants future fertility, and uses barrier contraception. Speculum and bimanual examinations show no visible cervical lesion. What is the most appropriate next step in management?

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