UNEXPLAINED VAGINAL BLEEDING (suspicious for serious condition) Clarification: The condition must be evaluated a) Before evaluation D before the procedure is performed. ENDOMETRIOSIS S BENIGN OVARIAN TUMORS A (including cysts) SEVERE DYSMENORRHEA A GESTATIONAL TROPHOBLASTIC DISEASE Decreasing or undetectable A levels β-hCG Persistently elevated D β-hCG levels or malignant disease CERVICAL ECTROPION A CERVICAL A INTRAEPITHELIAL NEOPLASIA (CIN) CERVICAL CANCER* D (awaiting treatment) CONDITION CATEGORYa CLARIFICATIONS/EVIDENCE * additional comments after A = accept, this table C = caution, D = S = special REPRODUCTIVE TRACT INFECTIONS AND DISORDERS (cont.) BREAST DISEASE Undiagnosed mass A Benign breast disease A Family history of cancer A Breast cancer
UNEXPLAINED VAGINAL BLEEDING (suspicious for serious condition) a) Before evaluation D Clarification: The condition must be evaluated before the procedure is performed. ENDOMETRIOSIS S BENIGN OVARIAN TUMORS (including cysts) A SEVERE DYSMENORRHEA A GESTATIONAL TROPHOBLASTIC DISEASE Decreasing or undetectable β-hCG levels Persistently elevated β-hCG levels or malignant disease A D CERVICAL ECTROPION A CERVICAL INTRAEPITHELIAL NEOPLASIA (CIN) A CERVICAL CANCER* (awaiting treatment) D CONDITION * additional comments after this table CATEGORYa A = accept, C = caution, D = S = special CLARIFICATIONS/EVIDENCE REPRODUCTIVE TRACT INFECTIONS AND DISORDERS (cont.) BREAST DISEASE Undiagnosed mass Benign breast disease Family history of cancer Breast cancer A A A