COLPOSCOPIC EVALUATION OF CERVIX IN PATIENTS WITH FEATURES OF CERVICITIS OR ABNORMAL PAP SMEAR

Dr. Manika Agarwal, Wansalan Karu Shullai* and A. S. Singh

ABSTRACT

Objective: The aim of the study is to evaluate colposcopic changes in patients presenting with cervicitis or with abnormal Pap smear. Method: The study was conducted on 50 outdoor patients at North Eastern Indira Gandhi Regional institute of Health and Medical Sciences, between January 2012 and April 2013. In all these patients relevant history including that of discharge or bleeding per vaginum and post coital bleed was taken. Naked eye examination, Pap smear and colposcopy was done in such patients. All the collected data was subsequently analyzed. Results: Cervicitis is most common in reproductive age group of 26-45[78%]. Parous women with 2 or more children were most commonly affected[88%]. Most of the patients presented with vaginal discharge. 72% 0f patients had unhealthy looking cervix on examination. Pap smear and colposcopy showed inflammation as cause of cervicitis in 80% 0f patients. Conclusion: For every abnormal looking cervix, where Pap smear showed it to be inflammatory or preinvasive malignant lesion , colposcopy and/or with biopsy as required showed them to be consistent with Pap smear. So colposcopy may be reserved for conditions where normal looking cervix has Pap reported as preinvasivasivelesion or an abnormal looking cervix is reported as normal pap smear. Thus in conflicting situations, for additional evaluation of cervix, colposcopy may be useful.

Keywords: Colposcopic, Vaginum, Preinvasive, Parous.