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Prevalence of abnormal cervical cytology among subfertile Saudi women

BACKGROUND AND OBJECTIVES: Since cervical cancer is reportedly the seventh most frequent cancer in women in Saudi Arabia and the eighth most frequent cancer among women aged between 15 and 44 years, we wanted to determine the prevalence of abnormal cervical cytology among subfertile women attending...

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Autores principales: Al-Jaroudi, Dania, Hussain, Tasnim Z.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2941254/
https://www.ncbi.nlm.nih.gov/pubmed/20716829
http://dx.doi.org/10.4103/0256-4947.68550
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author Al-Jaroudi, Dania
Hussain, Tasnim Z.
author_facet Al-Jaroudi, Dania
Hussain, Tasnim Z.
author_sort Al-Jaroudi, Dania
collection PubMed
description BACKGROUND AND OBJECTIVES: Since cervical cancer is reportedly the seventh most frequent cancer in women in Saudi Arabia and the eighth most frequent cancer among women aged between 15 and 44 years, we wanted to determine the prevalence of abnormal cervical cytology among subfertile women attending the reproductive medicine unit of a tertiary care center in Saudi Arabia. METHODS: This was a retrospective, cross-sectional, hospital-based study. A Pap smear was done for 241 of 493 (48.9%) subfertile women from January 2008 through February 2009. RESULTS: The Pap smear was normal in 166 of 241 patients (67.9%), abnormal in 71 (29.5%), and unsatisfactory for evaluation in 4 (1.7%). According to the revised Bethesda system, epithelial cell abnormality was found in 7 (2.9%), inflammation in 55 (22.8%), and infection in 9 (3.7%) patients. Epithelial cell abnormalities were further classified as atypical squamous cells of undetermined significance (ASC-US) (n=3, 42.8%), atypical squamous cells of high grade (ASC-H) (n=1, 14.3%), low-grade squamous intraepithelial lesion (LSIL) (n=2, 28.5%), and glandular cell abnormalities (AGS) (n=1, 14.3%). CONCLUSION: The high prevalence of abnormal cervical cytology in our subfertile women accentuates the need for screening in patients eligible for in vitro fertilization. In addition, a well-organized screening program for cervical cell abnormalities at the national level should be implemented to allow identification of subfertile women at risk so that potentially life-saving measures can be undertaken early.
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spelling pubmed-29412542010-09-29 Prevalence of abnormal cervical cytology among subfertile Saudi women Al-Jaroudi, Dania Hussain, Tasnim Z. Ann Saudi Med Brief Report BACKGROUND AND OBJECTIVES: Since cervical cancer is reportedly the seventh most frequent cancer in women in Saudi Arabia and the eighth most frequent cancer among women aged between 15 and 44 years, we wanted to determine the prevalence of abnormal cervical cytology among subfertile women attending the reproductive medicine unit of a tertiary care center in Saudi Arabia. METHODS: This was a retrospective, cross-sectional, hospital-based study. A Pap smear was done for 241 of 493 (48.9%) subfertile women from January 2008 through February 2009. RESULTS: The Pap smear was normal in 166 of 241 patients (67.9%), abnormal in 71 (29.5%), and unsatisfactory for evaluation in 4 (1.7%). According to the revised Bethesda system, epithelial cell abnormality was found in 7 (2.9%), inflammation in 55 (22.8%), and infection in 9 (3.7%) patients. Epithelial cell abnormalities were further classified as atypical squamous cells of undetermined significance (ASC-US) (n=3, 42.8%), atypical squamous cells of high grade (ASC-H) (n=1, 14.3%), low-grade squamous intraepithelial lesion (LSIL) (n=2, 28.5%), and glandular cell abnormalities (AGS) (n=1, 14.3%). CONCLUSION: The high prevalence of abnormal cervical cytology in our subfertile women accentuates the need for screening in patients eligible for in vitro fertilization. In addition, a well-organized screening program for cervical cell abnormalities at the national level should be implemented to allow identification of subfertile women at risk so that potentially life-saving measures can be undertaken early. Medknow Publications 2010 /pmc/articles/PMC2941254/ /pubmed/20716829 http://dx.doi.org/10.4103/0256-4947.68550 Text en © Annals of Saudi Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Report
Al-Jaroudi, Dania
Hussain, Tasnim Z.
Prevalence of abnormal cervical cytology among subfertile Saudi women
title Prevalence of abnormal cervical cytology among subfertile Saudi women
title_full Prevalence of abnormal cervical cytology among subfertile Saudi women
title_fullStr Prevalence of abnormal cervical cytology among subfertile Saudi women
title_full_unstemmed Prevalence of abnormal cervical cytology among subfertile Saudi women
title_short Prevalence of abnormal cervical cytology among subfertile Saudi women
title_sort prevalence of abnormal cervical cytology among subfertile saudi women
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2941254/
https://www.ncbi.nlm.nih.gov/pubmed/20716829
http://dx.doi.org/10.4103/0256-4947.68550
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