Original Research Paper
A STUDY OF PAP SMEARS IN REPRODUCTIVE AGE GROUP WOMEN
Background: The aim of the pap smear to prevent progression to cervical cancer. The Pap test, when combined with a regular program of screening and appropriate follow-up, can reduce cervical cancer deaths by up to 80%. In general, screening starts about the age of 20 or 25 and continues until about the age of 50 or 60, typically recommended every three to five years, if results are normal. Aim: The aim of the present study is a study of cervical pap smears was undertaken to identify the inflammatory, precancerous and cancerous lesions among women catering to the rural and urban population. Materials and Methods: Present study was conducted on 530 female patients above 20 years attending the Gynecology OPD in Madha Medical College, Chennai, during September 2016 to August 2018. Pap smear was collected according to guidelines. The modified Papanicolaou stain was used in this study which is still the method of choice. Results: Majority of the cervical pap smears were revealed nonspecific inflammation (86.9%) followed by trihomonas vaginalis (7.7%), ASCUS (5%) and carcinoma (0.1%). In inflammation, leucorrhea (89%)is the most common clinical presentation followed by inter menstrual bleeding and bleeding per vaginum (1%) being the least. In Trichomonas Vaginalis, high incidence of leucorrhea and post coital bleeding (22%) are seen and dysmenorrhea (2.5%) is the least common clinical presentation. In ASCUS and carcinoma, bleeding per vaginum is the most common clinical presentation. Conclusion: Community education regarding cervical carcinoma and regular screening with pap smear among reproductive age group women helps to decrease the incidence of carcinoma of cervix.
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