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Objective To determine the frequency of premalignant and malignant lesions in cervical polyps in order to examine whether cervical polyps need to be removed routinely and also to appraise its association with cervical smear cytology and endometrial pathologies. Methods We retrospectively reexamined the hospital records of 299 cases over a period of 5 years. All patients were segregated into perimenopausal and postmenopausal groups according to their menopausal status. The groups were compared in terms of histological results of cervical polyp biopsy, endometrial pathologies, and cervical smear cytology. Pearson's χ 2 test and Fisher's exact test were used for statistical analysis, and a P-value of <0.05 was accepted as statistically significant. Results In the histopathological reports of cervical polyps, premalignant lesions were found in 2% of cases, and only 0.3% of malignant lesion was observed in menopausal women. Subsequently, no malignancy was noted in cervical smear cytology for both groups. Premalignant and malignant lesions in endometrial histopathology findings were 1.33% and 0.66%, respectively. There was a statistically significant association between the menopausal status of the patient and cervical smear cytology and endometrial pathology, but the histological findings were not statistically significant in relation to the symptomatic status of the patients. Conclusion As per the results, we strongly suggest the removal of all cervical polyps with subsequent histological review. The evaluation of cervical smear cytology prior to polypectomy can provide information about its malignancy potential. We believe that along with cervical polypectomy, endometrial sampling should be recommended, especially for postmenopausal women.

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Background: AIDS is a pandemic disease which is threatening the world population. Its prevention largely depends on health education and behavioural changes based on AIDS awareness, particularly among young adults who are prone to risky behaviour. The objectives of the study were to assess the knowledge and attitude about HIV/AIDS among adolescents of Kamrup Metro district, Assam and to study the relevant socio-demographic factors. Methods: A cross sectional, community based study was conducted for a period of three months. A total of 300 study participants from slum & non slum areas of Kamrup Metro district, Assam were included using two stage random sampling. Interview of adolescents in 15-19 years age group was taken using predesigned and pretested schedule. Results: It was found that 95.7% of respondents had heard about AIDS. Virus as a causative agent was known to 51.6% while only 59.6% of the study subjects knew regarding asymptomatic nature of the disease. Transmission by infected syringes and needles, from infected mother to her baby & by unscreened blood transfusion was known to 69%, 74.2% and 81.8% of respondents respectively. Some misconceptions about the disease were also present. Knowledge regarding availability of treatment and prevention was found among 54.4% and 86.4% of respondents respectively. 66.5% of respondents felt that a person with HIV/AIDS must be isolated. 44% of study subjects believed that HIV/AIDS is curable. Conclusions: Though majority of respondents were aware about AIDS but complete knowledge about this disease is still lacking. There is a need for intensified activities regarding information, education and communication for these vulnerable groups.

Background Gynecological problems of adolescents occupy a special space in the spectrum of gynecological disorders because they are often different from the conditions that affect adult women. The objective of study was to determine the different gynecological problems in adolescent girls attending outpatient departments. Methods Adolescent girls of age 10–19 years were included in this study. Various gynecological problems were evaluated by detailed history taking and thorough clinical examination. Investigations like haemogram, coagulation profile, hormonal assays and ultrasonography were done wherever indicated. Descriptive analysis was done and results are expressed in terms of percentage. Results A total of 824 (8.33%) adolescent girls attended the gynecology outdoor patient department (GOPD) during the study period. Menstrual disorders (67.11%) were the commonest complaint, followed by vaginal discharge (18.68%) and UTI (9.8%). Menstrual disorders varied from irregular menstruation (55.15%), dysmenorrhea (30.74%) and amenorrhea (14.10%). Dysfunctional uterine bleeding was the commonest cause of menstrual irregularity followed by polycystic ovarian disease (PCOD). Teenage pregnancy (0.84%) and ovarian tumor (0.60%) was found in a few cases. Conclusion Adolescent girls’ gynecological problems should be evaluated thoroughly and managed accordingly. Adolescent health education needs to increase awareness and give further attention to gynecological problems.