Significance of Persistent Inflammatory Cervical Smears in Sexually Active Women of Reproductive Age

Kushtagi, Pralhad and Fernandes, Premila (2002) Significance of Persistent Inflammatory Cervical Smears in Sexually Active Women of Reproductive Age. J Obstet Gynaecol India , 52 (1). pp. 124-126.

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Objective: To study the significance of persistent inflammatory cervical smears in sexually active women of reproductive age. Setting: Rurally based teaching hospital. Patients and Methods: Clinic attending sexually active women aged between 18 to 45 years with inflammatory smears were recruited. Repeat cervical smears were taken after 3 months of systemic antimicrobials plus local antiseptics. Patients with persistent inflammatory cervical smears were subjected to Schiller directed cervical biopsy for histopathological examination. Relationship of age, parity, duration of marital life, different contraceptive practices were studied vis-à-vis histopathological findings of cervical intraepithelial neoplasia. Results: Persistent inflammatory changes were noted in 301 of 768 cervical smears (39.2%). Underlying cervical intraepithelial neoplasia (CIN) on histopathologic examination was found in 39 persisters (12.9%). Prevalence of CIN was higher in women over 30 years (36/251 vs 3/ 50) and over para 3 (19/ 99 vs 20/ 202, p<0.05) uninfluenced by the presence of cervical lesion. Severity of underlying CIN lesions increased with increasing duration of marital life (8.8 SD 4.5, 14.3 SD 3.9 and 15.6 SD 1.4 years, respectively for CIN 1,2 and 3). Conclusion: women with persistent inflammatory cervical smears, especially if she is above 30 years, sexually active for 10 years and is 3rd para, should have further evaluation with cervical biopsy.

Item Type: Article
Subjects: Medicine > KMC Mangalore > Obstetrics & Gynaecology
Depositing User: KMCMLR User
Date Deposited: 06 Jun 2012 07:05
Last Modified: 06 Jun 2012 07:05

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