Abstract
Background: The cervical screening program offered by the National Healthcare Service must include colposcopy. Aim: This paper aims to improve health outcomes for Iraqi women in undergoing colposcopic examination (a cross-sectional study). Patients and methods: This paper was assessed health outcomes for Iraqi women in undergoing colposcopic examination (a cross-sectional study) into patients with 88 cases with ages between (26 and 47) years. To follow up of methodology, this study was collected data with, analysed, and designed by the SPSS program. This study was acquired from Baghdad-Iraq from 7th July 2021 to 15th February 2022. Results and discussion: Precancerous lesions, known as cervical intraepithelial neoplasia as well as squamous intraepithelial lesions, frequently transform into invasive cervical carcinoma in 15-20 years after the initial diagnosis. As has been observed, prior testing and knowledge of a patient’s medical history frequently influence colposcopic perceptions. A comprehensive evaluation found that the positive predictive value in HSIL in the diagnosis of CIN2+ is 78.64% globally. According to Ouitrakul et al., a colposcopically guided biopsy was 86.8% sensitive in detecting HSIL or more within the uterine cervix. Conclusion: Our study also revealed that HPV+ patients had a greater risk of underdiagnosis, which was consistent with another study. Although our study’s colposcopy diagnostic accuracy and colposcopy and histopathology consistency were equivalent to those of earlier research, there is still potential for improvement. The quantity of biopsies, the kind of transformation zone, and the cytology results in all seem to be indicators of misdiagnosis; as a result, they should be taken into consideration more carefully in clinical consultations and via additional study.
Keywords
Colposcopic examination; HPV; ASC-H; and HSIL