Abstract
Colposcopy was used to determine the location of the squamocolumnar junction in 1,838 patients during evaluation for abnormal Papanicolaou smears. More than 50 per cent of women over 26 years of age or with gravidity and parity of 2 or greater demonstrated an endocervical squamocolumnar junction. The frequency further increased as age, gravidity, and parity advanced. Age is the most powerful predictor of the location of the squamocolumnar junction. As a result of the increasing proportion of patients with endocervical squamocolumnar junctions associated with advancing age, gravidity, and parity, the physician must assign greater importance to the endocervical cytologic specimen in his routine cervical cancer screening.
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