AbstractIntroduction: Cervical Intraepithelial neoplasia, Dysplasia & cervical Cancer remain important health problem. Cervical cytology by Papanicolaou (Pap) smear is an effective means of screening for cervical premalignant & malignant conditions.
Aim: The aim of this study was to assess the trend of cervical dysplasia, cervicitis & cervical cancers in perimenopausal women in tertiary care centre of Madhya Pradesh and to assess the association (if any) of Neoplastic/dysplastic changes & inflammations.
Material & Methods: A total of 3,610 cases were enrolled in 4 year study cervical scrape smears were collected & stained using Rapid-Pap method. The emphasis was on epithelial abnormalities classified in accordance with the Bethesda System. The cases belonged to the perimenopausal age group (41-50 years).
Results: Trend of Acute cervicitis - 75% (2013), 69.9% (2014), 67.8% (2015), 44.3% (2016); Trend of chronic cervicitis - 30.4% (2013), 23.6% (2014), 14.9% (2015), 8.1% (2016); Trend of Bacterial Vaginosis - 71.1% (2013), 68% (2014), 65.49% (2015), 48.6% (2016), Trend of Trichomoniasis - 4.5% (2013), 2.8% (2014), 2.6% (2015), 2.1% (2016); Trend of Candidiasis - 5.3% (2013), 4.5% (2014), 3.5% (2015), 3.1% (2016); Trend of Cervical Dysplasia - 20.5% (2013), 11% (2014), 10.5% (2015), 8% (2016), Trend of SCC 2.5% (2013), 1.8% (2014), 1% (2015), 0.5% (2016).
Conclusion: Study has shown a relatively decreasing trend of epithelial abnormalities, cervicitis & cervical dysplasia in cervical smears which are taken regularly as a part of ongoing family planning programme in our tertiary care set up.