Nighat R Bhatti, Naseem S Ahmad, Nasrin Akhtar.
Future of Cervical Screening Programme in Pakistan: A two years experience of Colposcopy at District Headquarters Hospital, Rawalpindi.
Pak J Obstet Gynaecol Jan ;8(1):8-12.

Cervical cytology and colposcopic assessment of the same patients was carried out in Gynaecology Outpatient Clinic. Subjective selection of 250 adult females, presenting with vaginal discharge, postcoital intermenstrual bleeding, backache and cervical eclopy was done.Fiftv patients (20%) were dropped out clue to non compliance. One hundred and eight, two (91%) women were below the age of 40 years and eighteen females (9%) were above 41 yeas. Cervical cytology was normal in 75% samples. Eight percent were showing cervical intraepithelial neoplasia WIN, I, II). Seventeen percent were having inflamatory iy changes.On colposcopy 20% cases showed abnormalities as aceto-white epithelium scluamous melaplasia orabnormal vascularpattern. Cervical polbp were seen in 8% women, colposcopically guided cervical punch biopsy in 18% patients showed inflamatory changes.Use of colposcope for the evaluation of gynaecological problems is indisposible in clinical practice. An awareness of population about the carcinoma cervix and collaboration among clinicians, cytologists and colposcopists is essential for prevention of carcinoma cervix.

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