الفهرس 
Materials and methodsOnly 14 pages are availabe for public view
 |  | from | 184 |  |  |
| | | from | 184 | | |
Abstract
••• 145 ••
SUlilllWii
This work was done on 65 postmenopausal patients with
the aim of s’!t~ their tjsginal oytosmeaJ.’ls.
For every pat~ent, full history was taken ~ clinical
examination was done.
Two smears were taken from every pa~~ent~ One was
o0tained by scraping the lateral vaginal Wall nearly
opposite the tip of the cervix. The other smear was obt-
’,’:Jt’
ained by scraping the ectocervix & the squamo columnar
junction.
after fix8.tion, the smears were stained by Papanicolaou’s
method.
The patients were classified into 4 groups; patients
complaining of menopausal symptoms (jd.5%); those presented
with genital ~apse (1:>.·4%),. those complaining of vaginal
discharge (b.4%) <i: those suffering from vaginal bleed’:’
ing (lO.&~).
The following res~~ts were found:
The average age of menopause was 46.2 years.”
There was gradual decrease in percentage of patients
exp~riencing menopausal symptoms with age.·
146
~ Tne features of vaginal smears in cases of genital
prolapse are; high percentage of super ficial cells,
K.I. above 10,in 33.3% of cases, tne presence of anucleate
superficial cells, esinophilia, pyknosis of
intermediate cells, ~ feat~eB of dryness.
S! The inflammate17 smear- type was found in 21.3% of all
the smears. Trichomonas vaginalis was identified in 2
smears, candida in 4 smears & no specific agent was
identified in 7 smears. Six smears of patients complaining
of vaginal discharge were class II & 3 smears
were class III.
~ Four Sillears(66.6%) of patients complaining of vaginal
bleeding showed a K.I. above 10.
~ Dysplasia was found in 14 smears (23%); 8 patients
were sufferin.; from .nenopausal symptoms) 3 patients
were eompl.iR~ng of vaginal discharge, 2 ~atients were
presenting wi t_lgenital prolapse OG one patient was
suffering fro~ vaginal bleeding. K.I. above 10 was
found in 40% of the dysplastic smears.
~ild dysplasia was found in 64.3% of the dysplastic
amears, moderate dySplasia in 28.6% & severe dysplasia in
7.1%.
~vidence of infection was detected in 2d.6% of the
dysplastic s.nears.
147
The most commo~ symptom was hot flu_hes (57.9%).
There was no establisked relation betw$eA t~ age of
menarche &: the age o~ menopause.
The vaginal aaeaz-s were claasified a.ce~l’di1!’5.0g i’apanicolaou’s
cl&&sification into class I (55.7%), class
II (21.3%) ~ class III (23%). ~o cas~s ~elong to class
lV or V were found.
The vaginal smears of patients complaining of menopaesal
symptom$ were stUdied as regard, the ~.I., the
Jii. V. ec K.I. &. their Tela tions to age.
The nuinbez- of si:kpepficialQ’ellsremains at a relatively
high level ~ early years of menopause &: then gradually
decreases. There is steady rise in the number of the
parabasal cells as age increases. There is a grac1ual
DROP in the n~ber of the inte~ediate cells after the
age of 50 years. The i~te~ediate cells remains at
arelatively hign level even in late ages.
Hign maturation value was found in 15.~, moderate
maturation vaLue in 54.5% &: abltent arvery lew maturation
vulue in 30.3%. There was gradual decrease in maturation
value witn the progress of age.
Six smears (lb.2%) showed a K.I. above 10 & the mean
K.I. was found to be 16.1 in all the smears.
There was no correlation between the parabasal cell
index &: hot flushes.