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Cervical changes associated with progestagen-only contraceptives: a team approach
1Departments of Obstetrics and Gynecology, Assiut University, 71111 Assiut, Egypt. a_darwish@mailcity.com
Contraception
|February 5, 2004
Summary
Prolonged use of progestagen-only contraceptives did not increase abnormal cervical cytology findings. Women using these contraceptives showed a lack of knowledge regarding Pap tests and cervical cancer, with minimal improvement after counseling.
Area of Science:
- Gynecology
- Oncology
- Public Health
Background:
- Progestagen-only contraceptives are widely used globally.
- Cervical cancer screening is crucial for early detection.
- Understanding contraceptive effects on cervical health is important.
Purpose of the Study:
- Compare cervical findings in long-term progestagen-only contraceptive users versus nonhormonal contraceptive users.
- Assess the impact of nursing interventions on women's knowledge of Pap tests and cervical cancer risk factors in a developing country.
Main Methods:
- Prospective cross-sectional comparative study.
- 325 women using contraceptives for over 3 years were divided into two groups: progestagen-only (n=200) and intrauterine devices (n=125).
- Clinical, cytologic, and knowledge assessments were conducted, including Pap smears.
Main Results:
- No statistically significant difference in cytologic findings (low- and high-grade squamous intraepithelial lesions) between contraceptive groups.
- Naked eye cervical assessment showed a statistically significant difference (p < 0.000).
- Knowledge about Pap tests and cervical cancer increased slightly but insignificantly after nursing counseling.
Conclusions:
- Long-term use of progestagen-only contraceptives is not linked to increased abnormal cervical cytology.
- Significant gaps in women's knowledge about Pap tests and cervical cancer persist.
- Enhanced nursing training on Pap smear procedures could improve cervical cancer screening programs in developing nations.