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Gynecology Journals | Women's Health | Women's Health Issues | High Impact Articles | Scient Open Access
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Women's Health & Gynecology

JWHG

Aabstract

Research Article

Frequency of Significant Cervical Pathology in Women Attending a Teaching Gynaecological Service for Postcoital Bleeding with Normal Cytology

Tahereh Ashrafgangoei, Zahra Honarvar, Mehdi Yaseri and Maliheh Arab

Correspondence Address :

Tahereh Ashrafgangoei
Preventative Gynecology Research Center(PGRC), Obstetrics and Gynecology Department, 2nd Floor
Imam Hossein Of Hospital, Shahid Beheshti University Medical Sciences
Tel:1617763141
Tehran
Iran
Email: dr_ganjoei@hotmail.com

Received on: January 02, 2016, Accepted on: January 31, 2016, Published on: February 08, 2016

Citation: Tahereh Ashrafgangoei, Zahra Honarvar, Mehdi Yaseri, Maliheh Arab (2016). Frequency of Significant Cervical Pathology in Women Attending a Teaching Gynaecological Service for Postcoital Bleeding with Normal Cytology

Copyright: 2016 Tahereh Ashrafgangoei, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Objective: The aim of the present study was to assess the relation of post coital bleeding and significant cervical pathology.
Methods: A cross-sectional study of 217 women with chief complaint of post coital bleeding who were admitted in colposcopy clinic of Imam Hossein Hospital, Tehran, Iran from September 2011 to March 2014.
Results: Clinical examinations revealed cervical polyp in 30 (13.8%) women and ectropion in 48 (22.1%) and contact bleeding in 76 patients (35%). According to pathology results, 51 cases (23%) of the samples were abnormal, including 4 cases (1.8%) of squamous cell carcinoma of cervix, 27 cases (12.44%) of cervical intraepithelial neoplasm (CIN) I, 13 cases (5.99%) of CIN II, and 11 cases (5.06%) of CIN III. In addition, infection was reported in 35 patients (16.12%). The comparison between the two groups with and without abnormal results showed no significant difference in regard with age, parity, having multiple sex partners and use of hormonal contraception; the only significant difference was more prevalence of smoking and post-menopausal bleeding in the group with abnormal results (P˂0.001).
Conclusion: Although benign changes are the most common causes of PCB, clinicians should rule out abnormal cervical lesion in such patients.

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