After menopause for many women the occurrence of certain cancers is much higher due the manner in which the hormonal changes have occurred. Amoung those, cervical cancer is the commonest cancer causing death amoung women is developing countries. In India women between 53-59 years is the peak age for cervical cancer incidence. However, women who are at the highest risk of developing cancer i.e older and women under lower economic status are not likely to undergo screening. So it becomes important that cervical cancer must be detected especially in older population hence papsmear is the screening tool used being the most cost effective and non-invasive technique. Objectives: To study about various lesions detected with the help of papanicolaou test (papsmear) in post menopausal women and to correlate these findings with other clinical parameters. Materials and Methods: A retrospective study was conducted at the Department of Pathology, in our Institute over a period of six months from July 2018 to December 2018 in which all the papsmear of postmenopausal women in that period were included. Results: The incidence of negative for intraepithelial lesion/ malignancy(NILM) was about 94.6% and epithelial abnormalities was 5.37% and NIS was the common finding in NILM and ASCUS was the most common epithelial abnormality. The incidence of epithelial abnormality was high between the age group 51-60 years. Conclusion: According to the findings of our study the incidence of epithelial abnormalities state that, awareness should be created among older women about their risk of cervical carcinoma even after their menopause and also the importance of papsmear screening in early detection and prevention of cervical cancer.
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