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Many Women with Precancerous Cervical Changes Do Not Receive Needed Treatment

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Many Women with Precancerous Cervical Changes Do Not Receive Needed Treatment

High-grade cervical intraepithelial neoplasia (CIN 2/3) is a precancerous condition of the cervix. If left untreated, it can develop into cervical cancer. The standard recommendation is that women diagnosed with CIN 2/3 should receive a treatment procedure, such as excision or ablation, to remove the abnormal cells.

A new study used data from the National Institutes of Health’s All of Us research program, which includes many women from minority groups that are often underrepresented in medical research. The study looked at more than 1,700 women aged 25 and older who had a diagnosis of CIN 2/3.

The results were concerning: only about 28% of women received treatment within 12 months of diagnosis. That means three out of four women did not get the recommended procedure.

The study also found differences based on ethnicity and region:
Hispanic women were more likely to receive treatment compared to non-Hispanic women.
Women living in the Midwest were more likely to complete treatment, while those in the Western US were less likely.

These findings show major gaps in care. Many women with cervical precancer are not getting the treatment needed to prevent cancer. Barriers such as access to healthcare, location, insurance, and awareness may play a role.

Cervical cancer is preventable when precancerous changes are treated on time. This study highlights the urgent need to improve access to guideline-recommended care, especially for women in regions with lower treatment rates.

Women diagnosed with CIN 2/3 should discuss treatment options with their doctors quickly to lower the risk of developing cervical cancer.

DOI: 10.1097/LGT.0000000000000880

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