Colposcopic evaluation of cervical erosion in symptomatic women


  • Pooja Patil Department of Obstetrics and Gynecology, L. N. Medical College, Bhopal, Madhya Pradesh, India
  • Priyanka Sharma Department of Obstetrics and Gynecology, Sitadevi Hospital, Jaipur, Rajasthan, India



Cervical erosion, Colposcopy, Cytology, Histopathology


Background: This study was carried out to find the colposcopic findings in the symptomatic patients with cervical erosion and correlate the findings with cytology and histopathology.

Methods: All the patients coming to gynaecological OPD with symptoms of white discharge, pruritus vulvae, menstrual irregularities were examined by per speculum examination and all those who had cervical erosion were included in the study and pap smear and colposcopy both were done in all subjects. The colposcopic guided biopsy was done in women with abnormal findings on colposcopy (50 women) and reports were compared. Abnormal colposcopic findings were graded according to Reid’s colposcopic index (RCI).

Results: Majority of patients came with the complaint of white discharge per vaginum (55%).Out of 120 patients, 85 women (70.9%) had inflammatory pap smear and 35 women (29.1%)had abnormal pap smear. All patients underwent colposcopic examination and out of 120 patients, 67(55.8%) showed normal colposcopic findings and 50 women (41.6%) had abnormal colposcopic finding and biopsy was taken. 3 women had unsatisfactory colposcopy. Histopathology confirmed 24 (48%) women with CIN I and 12 (24%) CIN II and 6 (12%) CIN III and 2 (4%) women with carcinoma cervix. The colposcopy findings and histopathology correlated in 88%.

Conclusions: Colposcopy should be prescribed to all symptomatic patients with cervical erosion as it is a good diagnostic tool for pre-malignant conditions of cervix and correlates well with histopathological findings.


WHO/ICO; Information centre on HPV and cervical cancer. India human papillomavirus and related cancers, fact sheet; 2016. Available at Accessed on 15 December 2016.

Katz: Comprehensive Gynecology, 5th Edition Mosby's Guide to Physical Examination, 7th Edition; 2012:558.

Ugboma HAA, Aburoma HLS. Pap smear: an important screening technique for preventing and detecting cervical cancer. Cont J Med Res. 2010;4:13-7.

Shafi MI. Premalignant and malignant lesions of the cervix. In: Edmonds DK, editor. Dewhurst’s Textbook of Obstetrics and Gynaecology. 7th ed. Oxford, UK: Blackwell Publishing; 2007.

Souter P. A practical guide to colposcopy. Oxford: Oxford University Press; 1993.

Kesic V, Soutter WP, Jusnic N. A comparison of cytology and cervicography in cervical screening. Int J Gynecol Cancer. 1993;3:395-8.

Gupta V, Tandon A, Nanda A, Sharma A, Bansal N. Colposcopic evaluation of cervical lesions: a prospective study. Int J Clin Trials. 2014;1:110-3.

Kumari M, Murari K, Kumari M. Role of colposcopy in management of cervical erosion in rural population of Eastern Bihar. Inter J Cur Res. 2016;8(11):41268-70.

Bangal VB, Patil NA, Gavhane SP, Shinde KK, Colposcopy guided management of cervical erosions in rural population. Sch J App Med Sci. 2014;2(1C):261-5.

Jyoti R, Gupta P, Rao R, Sood PL, Parasher N. Correlation between colposcopy, cytology, and histopathology in high risk patients for cervical cancer in perimenopausal women in Himachal Pradesh, India. J South Asian Federat Menop Soc. 2013;1(1):21-3.

Ramesh G, Sudha R, Jayashree AK, Padmini J. Colposcopic evaluation of the unhealthy cervix. J Clin Diagnost Res. 2012;6(6):1026-28.

Massad LS, Jeronimo J, Katki HA, Schiffman M. The accuracy of the colposcopic grading for the detection of high-grade cervical intraepithelial neoplasia. J Low Genit Tract Dis. 2009;13(3):137-44.






Original Research Articles