Franco CT, Soriano PR

Language: Spanish
References: 10
Page:
PDF size: 141.16 Kb.

ABSTRACT

Introduction: In analysis performed in women adolescents, there has been identified an increase in the prevalence of cervical abnormalities induced by Human Papillomavirus (HPV). Objective: Enumerate colposcopic findings and demographic characteristics of women adolescents who attended the Colposcopy Service at the Regional Hospital "Valentín Gómez Farías" of Coatzacoalcos, Veracruz. Materials/Methods: Descriptive, retrospective and cross sectional study. The records of adolescent patients from January to December 2011 were analyzed, inquiring about age, menarche, beginning of sexual activity (BSA), application of HPV vaccine, number of sexual partners and pregnancies, contraceptive methods (CM), reason for consultation , substances use (alcohol and/or tobacco), schooling, colposcopic and histopathologic findings. Results: The study was performed with a sample of 61 patients received at the Colposcopy Service, 77.1% because of cytological abnormalities; the average age of the adolescents was 17.6 years; average BSA was 15 years old, with a median of 3 years between menarche and the BSA. 61.7% of the sample (37/61) declared having only one sexual partner; 30% (18/61), two sexual partners; and 8.3% (5/61) three or more partners. None have received the HPV vaccine. 34.4% did not use any CM and only 8/61 (13.1%) used condoms. 38 patients (62.3%) stated that they have been pregnant once; 15 (24.6%) have never been pregnant; and 8 adolescents (13.1%) have had two pregnancies. The colposcopic findings: benign lesions, 10 (16.39%) with glandular eversion; premalignant lesions in 41 patients, 38/61 patients (62.2%) with minor changes and 3 patients (4.9%) with major changes. Conclusions: We found colposcopic and demographic results similar to those reported previously. Further research is needed to find out what factors are representative in adolescents with HSIL.

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