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A PROSPECTIVE STUDY OF Cervical EVALUATION by COLPOSCOPY and its PAP SMEAR CORRELATION Presenting author: Dr. NEELIMA SARIKONDA (Resident, OBGY ) Guide : Dr. C. sunitha ( associate professor, OBGY ) ABSTRACT : INTRODUCTION: cervical cancer is the second most frequent cancer in women, aim of this study to confirm findings of pap smear with colposcopy and directed biopsy and to evaluate the usefulness of colposcopy. AIMS AND OBJECTIVES: To evaluate the usefulness of colposcopy in discovering the premalignant and malignant lesions of the cervix for out patients in Government General Hospital, Guntur. For a period of 2 months from AUGUST 2024 to SEPTEMBER 2024. MATERIALS AND METHODS: The study was carried out in the dept of OBGY of Government General Hospital with a sample size of 150. It was a prospective observational study. Assessment of symptomatic women was completed with a pap smear, colposcopy and biopsy in selected patients, who visited the outpatient gynaecology services. RESULTS: In the present study colposcopy reveals different patterns as follows. Among out patients symptomatic women 31.8% abnormal colposcopy, 16.4% acetowhite, 6%negetive lugols iodine, 2% atypical vessels, 2.5% mosaic, 1.2% coarse mosaic, 2.5% subtle punctate,1.2% dense acetowhite. CONCLUSION: Pap smear alone had low specificity, the simultaneous use of colposcopy and pap smear had shown to rise the rate of carcinoma cervix discovery in symptomatic women.