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Bleeding when taking the test Contact bleeding when screening is not uncommon and liquid based cytology can remove some red blood cells Chlamydia infection
Establish nature of bleeding: menstrual, inter-menstrual or post- Refer for pelvic ultrasound scan to rule out endometrial pathology after
Younger women of reproductive age can present asymptomatically with abnormal cervical cytology results following routine cervical screening
Discard the cytobrush Any visual cervical abnormalities and/or symptoms (i e abnormal bleeding or discharge) must be investigated regardless of cytology