BackgroundPathologically the cervix is affected by infective, inflammatory, and neoplastic diseases. Non-neoplastic lesions of the cervix are seen often in sexually active women. Inflammatory lesions include chronic granulomatous cervicitis, acute and chronic cervicitis. In India, cervical cancer is a significant health problem. Many factors contribute to the differences in the spectrum of cervical diseases in the rural population compared to urban areas, but the studies in these populations are scarce. Materials and methodsA retrospective analysis of all gynecological lesions over one year was studied. All case files were manually extracted, and the data was entered in an Excel sheet. The information included was clinical history (symptoms, signs, menstrual history, duration of illness, parity status), physical examination, per vaginal examination, investigations, including pathological diagnosis. The curated data was then analyzed using IBM SPSS for Windows version 22 (IBM Corp., Armonk, NY). ResultsThere were 164 women in the study, with a mean age of 46.07 ± 8.17 years. A majority (n = 124, 75.6%) presented with excessive bleeding. Two-thirds of the study population had a normal cervix on examination. Twenty-seven women had squamous metaplasia, six had low-grade (LSIL) and high-grade squamous intraepithelial lesions (HSIL), and one had malignancy. Excessive bleeding was significantly associated only with LSIL. Among the microscopic findings, only squamous metaplasia (p < 0.001) and dysplasia (p < 0.001) were significantly associated with the final diagnoses, such as LSIL, HSIL, and chronic cervicitis. ConclusionMost studies involving rural populations have involved the knowledge, attitude, and practices of the study cohort rather than the histomorphological spectrum of cervical lesions. Since these disorders are also influenced by education, parity, hygiene, and socioeconomic status, it behooves us to be aware of the spectrum of cervical lesions in a rural cohort who differ in these aspects when compared to urban populations. Most of such lesions of the cervix in the population that our medical institution served were benign in nature.

Background: Sexually transmitted infections (STI) rank among the top five conditions for which sexually active adults seek health care in the developing countries. The disease prevalence is about 6% in India. Syndromic management remains the core intervention in the WHO strategy in resource poor setting were laboratory services are not available. This study was done to determine the effectiveness of syndromic management of STIs in women of reproductive age [15-49 years] attending gynaec outpatient block at Institute of Obstetrics and Gynaecology (IOG), Chennai. Methods: It is a prospective analytical study where 500 women of reproductive age symptomatic for STI were studied. A well-structured proforma was prepared for selection of women, history and examination. Based on the findings they were classified into STI syndromes and color-coded kits were given accordingly. Follow-up of patients was done to assess the effectiveness of treatment. Results: Overall there was 84.8% good response to Syndromic management. The follow up rate was 85.6%. Vaginal discharge syndrome was the commonest syndrome followed by lower abdomen pain syndrome. Conclusion: STIs cause major health problem and it is important to diagnose and treat them at the earliest. Syndromic management is definitely an effective tool to manage STIs particularly in low resource settings. Original Research ArticleObs Gyne Review: Journal of Obstetrics and Gynecology Available online at: www.medresearch.in 232 |P a g e Syndromic management remains the core intervention in the WHO strategy for delivering prevention and care for people with STI in resource poor setting were laboratory testing is not available [1,2]. It involves the use of simple flowcharts to help health care workers to identify groups of symptoms and easily recognizable signs and guide treatment that covers the most probable cause of the syndrome. The Common STI Syndromes