Abstract
Background: Cytology examines exfoliated cells, while colposcopy examines the changes that occur in the vascular structure of the cervix5. Patients with an abnormal pap smear result or patients with a suspicious-looking cervix even if they had a negative pap smear, should be evaluated by colposcopy and colposcopy directed biopsy.
 Methods: Interventional Prospective study conducted at Department of Obstetrics and Gynaecology, SMS Medical College & associated Hospitals, Jaipur.
 Results: In this study, among 15 IUCD users, 5 (33.33%) had bacterial vaginosis, 2 (13.33%) had trichomonas vaginalis and 1 (6.66%) were found candidal infection, 1 (6.66%) polymicrobial infection.
 Conclusion: The present study indicates that there is definite changes in the cervical architecture in IUCD users and the change is also dependent on the duration of use. A simple technique like cytology and colposcopy is highly useful in diagnosing these changes and combating them by early interference whenever necessary. The present study does not reveal any increased risk of cervicitis and dysplasia in IUCD users. We further recommend that a long term follow-up is required to rule out the possibility of any increased risk of dysplasia or carcinoma in-situ.
 Keywords: IUCD, Colposcopy, Dysplasia.
Highlights
IntroductionIntrauterine devices are the most commonly used form of reversible contraception with 160 million women currently relying on this method.[1] Highest rates of utilization are found in China, South East Asia and Middle East.[2]
Worldwide, intrauterine devices are the most commonly used form of reversible contraception with 160 million women currently relying on this method.[1]
In this study, among 15 intrauterine contraceptive devices (IUCDs) users, 5 (33.33%) had bacterial vaginosis, 2 (13.33%) had trichomonas vaginalis and 1 (6.66%) were found candidal infection, 1 (6.66%) polymicrobial infection
Summary
Intrauterine devices are the most commonly used form of reversible contraception with 160 million women currently relying on this method.[1] Highest rates of utilization are found in China, South East Asia and Middle East.[2]. The copper intrauterine contraceptive devices (IUCDs) are the most commonly used type of IUCD over 106 million women worldwide use them.[3] The CuT 380A has been found to be the most effective copper IUCD.[4]. Conclusion: The present study indicates that there is definite changes in the cervical architecture in IUCD users and the change is dependent on the duration of use. A simple technique like cytology and colposcopy is highly useful in diagnosing these changes and combating them by early interference whenever necessary. The present study does not reveal any increased risk of cervicitis and dysplasia in IUCD users.
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