Pap smear screening programme for detection of abnormal cervical cytology

Aim: to find the presence of cervical cancer in pap smears taken from women of this region (malakand division). study design: descriptive,crosssectional. place and duration of study: study was carried out in the departments of gynecology and pathology,saidu teaching hospital,swat from january 2013 to december 2013. methodology: it was hospital based study on patients who attended the out patient department of saidu teaching hospital,swat. patients presenting with vaginal discharge,dyspareunia,postcoital bleeding and backache or pain hypogastrium were included. patients having vaginal bleeding other than postcoital were excluded from the study. the smears were analyzed in pathology department of saidu medical college swat. results: three hundred and ninety two patients were included in the study. one hundred and sixty nine (43.1%) patients had complaints of vaginal discharge,43(11%) postcoital bleeding,133(33.9%) dyspareunia and 47(12%) backache or pain hypogastrium. regarding contraception,41(10.5%) patients were pill users,48 (12.3%) were on inject able contraceptives,49(12.5%) were using barrier method of contraception,55(14%) patients were having an intrauterine contraceptive device and 199 (50.8%) patients were not using any method of contraception. pap smears revealed that 11 (2.8%) patients were having cervical intraepithelial neoplasia. among these,2(18.2%) had intrauterine contraceptive device,4(36.4%) were on oral contraceptive pill,while 5(45.5%) were not using any contraceptive method. two hundred and thirteen (54.3%) patients were having past history of genital infection whereas 179(45.7%) patients had no such history. conclusion: cervical intra epithelial neoplasia is not uncommon in our set up. it can be diagnosed early by pap smears.