Clinical Corner - Cervical Expansion Case Study #1

Question: We had a 37 year old with self-reported history of abnormal Paps 9 years ago, but no documented follow-up. Current Pap was NILM and HPV genotyping 16 positive. I referred her for a colposcopy. The patient presented for a scheduled colposcopy with a different provider. This provider advised her the recommendation was to co-test in one year. The patient presented 6 months later with irregular bleeding and questions about the colposcopy. Her colposcopy was rescheduled, but through scheduling error, was scheduled with the provider who advised against colposcopy. My understanding is that if the Pap was normal, but HPV 16 or 18 were identified, that colposcopy is recommended per 2012 guidelines. Could you please clarify?