Abstract
The recommendations made in the article were created on the basis of the agreement of a panel of experts composed of representatives of the Colposcopy and Cervical Pathology Section of the CGPS, the Oncogynecological Section of the CGPS and the Society of Czech Pathologists. The consensus was established at a meeting on the 12th of Bauer's day in November 2008, the prepared texts were modified based on comments from individual panel members and controversial moments were consulted with the plenary, in which leading Czech specialists in oncogynecology and cervical pathology were represented. confirmed.
Algorithms created for individual findings should serve as guidelines for everyday practice. We do not have to undergo oncological cytology in the first trimester of pregnancy only in women who will be a normal result of cytology in the last six months and will not have a history of precancerous lesions.
In all other women, the collection of oncological cytology in the first trimester of pregnancy should be demonstrated in a standard way - cytobrugs from the endocervix and smears from the exocervix and basic colposcopic examination. During pregnancy, physiological changes of the epithelium and subepithelial structures (smooth muscles, fibrillar and cellular tree components - collagen and elastin) take place.
These changes increase with the age of pregnancy and in the second and third trimesters are so accurate that they shift colposcopy to the level of expert colposcopy.