30 year old woman's PAP smear is given below. What is your next approach
The pap smear shows:
→ Dysplastic squamous cells
→ High N:C ratio
→ Irregular nuclear membrane
→ Coarse chromatin
All these suggest high-grade squamous intraepithelial lesion (HSIL)
Continue routine screeing
Advice loop electro excisional procedure
Hysterectomy
Cryotherapy