Factors associated with pathologic colposcopic and cytologic changes in 500 clinically asymptomatic women.
OBJECTIVE
To determine the role of cytologic and colposcopic diagnosis in the early detection of pathologic cervical changes and the effect of the number of births, a history of abortion, the number of sexual partners, and contraceptive use on pathologic colposcopic and cytologic changes.


METHODS
The 500 study participants were seen at the Obstetric-Gynecologic Clinic of Prishtina, Kosovo, in 2006 and 2007. They were assigned to 5 groups of 100 according to number of births, a history of abortion (whether spontaneous or induced), and total number of sexual partners, but the use of contraceptives was also analyzed. All participants underwent cytologic and colposcopic evaluations.


RESULTS
Colposcopic atypia was observed in 70 participants (14%) and 77 (15.4%) had other findings. The degree of colposcopic atypia increased with the number of sexual partners, as did the frequency of infections. Most (91.2%) of the women with positive cytologic results were from groups 1 and 2, and the remaining 8.8% of these women were from groups 3, 4, and 5. From 44 patients with positive pathology results, 29 (65.9%) had chronic cervicitis, 13 (29. 5%) had hyperplasia, and 2 (4.5%) had carcinoma in situ.


CONCLUSIONS
Number of births, a history of abortion, number of sexual partners, and contraceptive use directly affected pathologic colposcopic and cytologic changes.
Gynecology and Obstetrics Clinic, University Clinical Centre of Kosova, Prishtina, Kosovo. myrvetepacarada@yahoo.com
Myrvete
M
Paçarada
Shefqet
S
Lulaj
Gyltene
G
Kongjeli
Niltene
N
Kongjeli
Hana
H
Qavdarbasha
D000028:Abortion, Induced; D000022:Abortion, Spontaneous; D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D003127:Colposcopy; D003268:Contraception Behavior; D005260:Female; D006801:Humans; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D012747:Sexual Partners; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D002575:Uterine Cervicitis / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology; D055815:Young Adult; D015022:Yugoslavia / Q000453:epidemiology