ABSTRACT
This is dependent upon the suspected cause. Prominent cervical ectopies may be excised or ablated using a variety of outpatient methods, and cervical intraepithelial neoplasia (CIN) should be treated by large loop excision of the transformation zone (LLETZ). It should be noted, however, that, although a modest association between presence of cervical ectopy and vaginal discharge has been shown, no such association has been found with PCB or IMB. In PCB associated with urogenital atrophy, local oestrogen or lubricants can help maintain natural secretions and improve coital comfort. Polyps and intracavity fibroids should be hysteroscopically excised or ablated. Endometrial hyperplasia should be treated and followed up (see Chapter 7). Genital tract malignancy should be managed by a specialist with appropriate expertise.
