Abstract: Objectives: The objective of the present study is to do a routine Pap smear in non-pregnant women of reproductive age group attending the out-patient department and to study the Pap smear reports for any lesions like cervical dysplasia, infection, inflammation and hormonal status. Analysis of the observation and subjecting to statistical correlation as needed.
Materials and Methods: This is a prospective observational study involving the screening of non-pregnant women of reproductive age group attending the outpatient department of obstetrics and gynaecology of RMMCH between November 2020 to 2022.
Results and Discussion: The present study included 250 Pap smears, of which 41.6% are with abnormal cytology belonging to the age group between 36-45 years. Majority of the women with Pap smear abnormality were married before the age of 25 years indicating the necessity to screen as early as possible. Vaginal discharge was the most common symptom which is 56.2%.out of 250 samples, 54.4% were with normal Pap smear, 38% are with inflammatory smear, 2.8 % of them with ASCUS, 4% of them are with LSIL and 0.8% of them are with HSIL.
Conclusion: Though many screening tests are available, Pap smear is regarded as the gold standard test in identifying the precancerous lesions at the earliest due to its simplicity, safety and fair reliability. Screening should ideally be started at the age of 21 years since most of the women in our study are married before the age of 25 years with the mean age of 21 years. So morbidity and mortality due to cervical cancers can be prevented by early identification of cervical cancer by doing screening at regular intervals.
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