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2022-RA-1566-ESGO Cytology and HPV testing in cervical cancer screening: factors determining persistence and clearance
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  1. Gulsah Kurt1,
  2. Ahmet Baris Guzel2,
  3. Ghanim Khatib2,
  4. Umran Kucukgoz Gulec2 and
  5. Mehmet Ali Vardar2
  1. 1Cukurova University, Adana, Turkey
  2. 2Gynecologic Oncology, Cukurova University, Adana, Turkey

Abstract

Introduction/Background In our study, the factors determining persistence and clearance were questioned by cytology and HPV testing in cervical cancer screening. We tried to determine the relationship between persistence and variables such as gravida, parity, early sexual intercourse, multiple sexual partners, history of oral contraceptive use, history of condom use, history of smoking and alcohol use. Thus, by determining the factors affecting the persistence of HPV, it was tried to determine the patient groups that should be carefully screened and treated.

Methodology The study includes female patients who applied to our clinic and were screened by cytology and HPV test. Cytology and HPV screening were performed again in these patients. The patients were examined in two groups as persistent and non-persistent. Age, age at first intercourse, age at marriage, gravida, parity, education status, age at first intercourse, multiple sexual partners, history of smoking and alcohol use, history of sexually transmitted diseases, history of oral contraceptive and condom use, HPV vaccine history and history of multivitamin use were questioned with a survey.

Results There was no significant difference between the persistent and non-persistent groups in terms of age, age at first intercourse, age at marriage, gravida, educational status, oral contraceptive use, smoking and alcohol use, HPV vaccine and multivitamin use. However, there was a significant difference in terms of persistence in patients with multiple sexual partners (p:0.056). In our study, persistence was found to be significantly higher in women who gave birth 2 or more times (p:0.031). In addition, persistence was found to be statistically significantly less in patients who regularly use condoms (p:0.037).

Conclusion It is important to determine the ways of protection from cervical cancer and its precursor lesions by increasing the patients commitment to screening and follow-up, and reducing the factors that may cause persistence with lifestyle changes.

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