Effect of different contraceptive methods on cervico-vaginal cytology

Authors

Aliaa Mohamed AbdElatif Mosallam, Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.Follow
Nahed Ezzat Mahmoud, Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Naglaa Mohamed Moharam, Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Doaa Elsaid Abd Elaziz Salama, Department of Clinical Pathology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Document Type

Original Article

Abstract

Background: The link between hormonal contraception and the growth of several cancers of the reproductive system in women has yet to be established. This study's goal was to assess the impact of different contraceptive methods on the cervico-vaginal smear at family planning outpatient clinic at Al-Zahraa university hospital and Zefta general hospital. Subjects and Method: We conducted a case control study with 276 women who met the inclusion criteria, all participants undergo Pap smear and evaluated according to the Bethesda system. The first group consistedd of 128 women who did not use contraception, while the second group was sub divided into 3 group’s women who used an IUD, 42 people who used a COC, and 41 people who used progesterone. The study was done in outpatient family planning clinics. Results:  statistically significant increase in ASCUS among COC users, significant increase in infection (NILM, NILM with metaplastic changes and NILM with reactive changes or clue cells) among non-contraception users. Conclusion: Hormonal contraceptive usage has been linked to an elevated risk of dysplasia, which raises the chance of developing cervical cancer. Incidence of ASCUS is higher in hormonal contraceptive pills user than non-hormonal contraceptive users. Incidence of inflammatory changes increased among IUCD users.

Keywords

contraceptive methods, Contraception, cervico-vaginal cytology.

Subject Area

Obstetrics and Gynecology

How to Cite This Article

Mosallam, Aliaa Mohamed AbdElatif; Mahmoud, Nahed Ezzat; Moharam, Naglaa Mohamed; and Salama, Doaa Elsaid Abd Elaziz (2023) "Effect of different contraceptive methods on cervico-vaginal cytology," Al-Azhar International Medical Journal: Vol. 4: Iss. 8, Article 30.
DOI: https://doi.org/10.58675/2682-339X.1953