Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills
Ali, S., Nouh, A., Abd El Rahman, A., mostafa, M., wasfy, M. (2025). Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills. EKB Journal Management System, 31(1), 484-492. doi: 10.21608/zumj.2024.322744.3592
Sara Hosam Ali; Amal Abdel Aziz Nouh; Amr Abd El Rahman; mona mostafa; mohamed A wasfy. "Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills". EKB Journal Management System, 31, 1, 2025, 484-492. doi: 10.21608/zumj.2024.322744.3592
Ali, S., Nouh, A., Abd El Rahman, A., mostafa, M., wasfy, M. (2025). 'Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills', EKB Journal Management System, 31(1), pp. 484-492. doi: 10.21608/zumj.2024.322744.3592
Ali, S., Nouh, A., Abd El Rahman, A., mostafa, M., wasfy, M. Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills. EKB Journal Management System, 2025; 31(1): 484-492. doi: 10.21608/zumj.2024.322744.3592

Cervical Cytological and Colposcopic abnormalities in Cases Using Combined Oral Contraceptive Pills

Zagazig University Medical Journal
Volume 31, Issue 1, January 2025, Page 484-492  XML PDF (888.95 K)
Document Type: Original Article
DOI: 10.21608/zumj.2024.322744.3592
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Authors
Sara Hosam Ali email orcid 1; Amal Abdel Aziz Nouh2; Amr Abd El Rahman3; mona mostafaorcid 4; mohamed A wasfyorcid 5
1Resident of obstetrics & gynecology
2Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt
3Department of obstetrics and gynecology, faculty of Medicine, Zagazig University
4Zagazig university
5obstetrics and Gynecology, Zagazig University, Zagazig, Egypt
Abstract
Background: The fourth most frequent type of cancer and a major cause of death is cervical cancer. Because of its lengthy pre-invasive course, pap smears can be used as a routine screening tool to identify it. Utilizing the Pap test to identify cervical dysplasia and colposcopy to confirm the diagnosis, as a way of prevention and early detection of premalignant cervical cancer lesions.

Methods: 60 women on contraceptive pills (the combined one) undergo treatment in outpatient clinics of the hospital of Zagazig University. We perform PAP smear and colposcopic examination if there are abnormal findings to all involved patients.

Results: 43.3% of cases were normal, 38.3% showed inflammatory changes, and 18.3% were abnormal. Among the abnormal results, 3.3% were classified as Low-Grade Squamous Intraepithelial Lesion (LG SIL), 11.7% were identified as Atypical Squamous Cells of Undetermined Significance (ASCUS), and 3.3% showed both ASCUS and atypical endocervical glands. There’s no relation between the delivery method and PAP outcomes (p-value 0.49). Parity shows no significant association with abnormal PAP (P = 0.43). Prolonged use of OCP is significantly associated with abnormal PAP (P =0 .0022)
Keywords
PAP smear; Cervical Colposcope; Combined Oral Contraceptive Pills
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