Atrophic Changes in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12393
SMLE Question #12393
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 58-year-old postmenopausal woman returns after routine cervical screening. One month ago, cervical cytology showed atypical squamous cells of undetermined significance (ASC-US) with atrophic changes. She used topical vaginal estrogen for 4 weeks, then repeat cytology again reports ASC-US. She has no prior abnormal cytology, no history of cervical intraepithelial neoplasia, and no immunosuppression. What is the most appropriate next step in management?
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