Abstract
Objective(s) : To study cervical changes in copper-T users, along with effect of Cu-T on cervical pap smear and colposcopy to ascertain the safety of Cu-T with reference to cervical dysplasia. Method(s) : 50 women with Cu-T in situ were subjected to detailed history taking, clinical examination, pap smear study, high vaginal swab culture sensitivity and colposcopic examination. These women were compared with 50 asymptomatic women without any IUCD matched for age parity and socioeconomic status. Results : Backache (48%) and menorrhagia (38%) were most common complaints. 46% of subjects had normal cytology as compared to 96% in controls. Atypia of squamous cell of undermined significance were seen in 2% of subject as compared to none in controls. Infections were present in 20% of subjects. Conclusion(s) : There is no precipitous carcinogenicity of Cu-T but a long term follow up is needed. Subjects having Cu-T deserves continuous surveillance but are not subjected to increased risk of malignancy.
Highlights
About 106 million women throughout the world are using IUCD
Women coming to Family Planning clinic and out patient department and using IUCD for contraception were selected for the study
Backache 24 (48%) was the most common complaint followed by menorrhagia 19 (38%), lower abdominal pain 10 (20%), vaginal discharge 9 (18%) and expulsion of IUCD 1 (2%). (Table 1)
Summary
About 106 million women throughout the world are using IUCD. At present Cu-T200B is the most commonly used IUCD in India[1]. It is a reliable, reversible, economic & safe method for regulation of population. Thread of IUCD tail being a source of constant irritation may be responsible for cervical erosion and dysplasia. It may provide a conduit for ascending infection from vagina. This study deals with the changes n cervical cytology & colposcopic findings in subjects using IUCD for a variable period
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