Comparision of efficacy of visual inspection of cervix with acetic acid, Pap smear and colposcopy for prevention of cervical cancer

Background: Cervical cancer is second most common in women globally. Overall 80% cases occurs developing countries. An important reason for the high incidence of cervical countries lack effective screening programs to detect precancerous conditions and treat before it progresses invasive due severe restrictions on availability infrastructure, resources funding. Aim this study was compare sensitivity, specificity, PPV, NPV VIA, Pap smear colposcopy with colposcopic directed biopsy (as a gold standard). Methods: This prospective analytical conducted 200 women’s (age>19 years) abnormal cervix Department Of Obstetrics Gynaecology, Government Medical College Kota from 1 august 2020 31 July 2022 who fulfil Inclusion criteria. All Symptomatic patients symptoms like vaginal discharge postcoital bleeding, itching, other gynaecological problems along asymptomatic accidental finding bad (cervical erosion). Results: Maximum had complaint per vaginum (60.55%), followed by post coital bleeding (11.5%). VIA when compared HPR, sensitivity 94.85% specificity 74.76% corresponding PPV 78% 94%. Paps 62.89% 89.32% 84.72% 71.88%. Colposcopy Histopathological report, 70% 91.26% 88.3% 76.4%. Conclusions: Best result early detection pre-invasive lesions could be combined use smear, guided rather than any individual diagnostic procedure. It will immensely reduce morbidity mortality.