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Colposcopy audit – including a subgroup of young women

In Ireland, cervical screening is largely opportunistic as there is no established national screening programme. Consequently, at our colposcopy clinic, we encounter women who would have been considered inappropriate for screening in the National Health Service (UK), either because of the smear result or because of their age. Invasive cancer is extremely rare in young women and evidence suggests that screening should commence at 25 years of age (Sasieni et al. 2003). It is believed that cervical screening for young women may encourage unnecessary treatment for cervical intraepithelial neoplasia (CIN) and in doing so, result in potentially more harm than benefit. This review was performed to assess the patient population and the management of women that attend the Rotunda hospital colposcopy clinic and in particular, to evaluate the management of a subgroup of young women 525 years of age.