DOI: 10.36347/sasjm.2016.v02i02.004

Pages: Page: 40-43

Early detection of cervical precancerous lesions by cervical cytologic examination has dramatically decreased the risk of cervical malignant disease. There is always a major concern about the relationship between hormonal contraception and cervical malignancy. The objective of this study is to define the relationship between the use of progestagen-only contraception and the occurrence of abnormal cervical cytology. In Methods Cervical cytologic smears were taken from 250 women attending El-Shatby family planning-clinic including 200 progestagen-only contraceptive users as cases group and 50 non-hormonal contraceptive users as control group. In results cytologic examination revealed epithelial cell abnormalities in 44 (22%) smears including ASCUS in 31 (15.5%), LSIL in 11 (5.5%) and HSIL in 2 (1%) of cases. Control group showed 9 (18%) positive smears including ASCUS in 6 (12%), LSIL in 3 (6%) smears. There is no statistically significant difference between both groups. In conclusion the Progestagen-only contraceptives are not associated with increased risk of abnormal cytologic findings and preinvasive disease of the cervix.