Comparison Results of Pap Smear and Colposcopy and Histopathology in Women with Post-Coital Bleeding

Abstract

This study was designed to compare results of Pap-smear and colposcopy and histopathology in women with Post Coital Bleeding (PCB) at any age. A cross-sectional study conducted on 50 women with PCB. Patients were referred to Colposcopy Clinic of Imam Khomeini Hospital (University affiliated), Ahvaz, Iran in 2013. Demographic data, cytological, colposcopic and histopathology results were recorded. Cytological results were classified into normal, inflammatory, high grade squamous, Atypical Glandular Cells (AGC), Low Grade Intraepithelial Lesions (LSIL) and Interepithelial lesions. Colposcopic findings were reported as normal, abnormal, unsatisfactory and invasive carcinoma suspicious. In all cases, Papanicolaou smears and colposcopy were performed by the same skilled gynecologist. We evaluated 50 patients with PCB. The mean age of patients was 33.66±5.54. Of 50, 8(16) patients were below than 40 years. 23 (46) of patients did not use any contraceptive. Comparison of the mean score of age between normal and abnormal histopathological results did not show statistically significant difference (33.55±3.38, 33.69±6.04 years, respectively, p value = 0.9). The PCB was never seen in nulliparous, while it had high frequency in multipara 47 (96) patients. Normal and abnormal histopathological results showed significance difference regarding multipara risk factor (11(22) and 36(72), respectively, p value <0.0001). In summary, our findings mostly were consistent with previously published literature in other population groups. Especially, our results regarding invasive cancer in women with PCB alarm us to investigate such cases using colposcopy and histopathology. © 2015 Asian Network for Scientific Information.