Introduction: Vaginal infections and inflammations are responsible for the most demand at gynaecology, because the main complains are leucorrhea and vulvovaginitis, there is a specifically interest in cervix cancer prevention. Aim: The aim of this study is to understand the prevalence of vaginal infections cases and cervical lesions, found in women attended at health basic units from Igarapava, São Paulo state, Brazil. Methods: There were analyzed retrospectively 1,071 cases of cytopathological exams from SUS (Brazilian Unique System of Health) during the period of January 2013 to July 2016, patients from Igarapava city, São Paulo state. Results: Gardnerella vaginalis was the most commonly found microorganism in the four years studied with the highest prevalence in 2014 with 46.8%. This study identified that all cases of Gardnerella vaginalis are associated with Mobiluncus sp. Candida sp should decrease gradually over the years, in 2013 (36.9%) and 2016 (16.9%), as well as the decrease of normal bacterial flora (Lactobacillus) with 11% only in 2016. Trichomonas vaginalis should increase in 2016 (37.5%) compared to 2014 (31.2%), and finally just found two cases of cervical intraepithelial neoplasia grade I. Conclusion: In view of the values obtained from bacterial, fungal and protozoal genital infections, there is a need for a better follow-up of the women screened, both in terms of prevention of these infections, as well as infections related to the development of tumors, knowledge of the signs and symptoms of these infections, as well as specialization courses for professionals to better assist these women, in order to guarantee health and quality of life.