RESUMEN
Background: The fourth most frequent gynecological malignancy worldwide is cervical cancer. Due to the high incidence of risk factors, cervical cancer is a pressing concern in Bangladesh. One of the most prevalent sexually transmitted viruses that can be chronic and can result in cervical cancer is the human papillomavirus (HPV). Investigating the epidemiology and clinical traits of this specific kind of HPV requires the identification of the high-risk (HR) HPV type. The aim of the study is to find out High risk HPV genotype (16, 18, and others) distribution among asymptomatic women and compare the diagnostic performance between the test of HR-HPV and visual inspection of cervix with acetic acid. Methods: This cross sectional study was carried out in the Department of Gynecological Oncology, Bangabandhu Sheikh Mujib Medical University, Dhaka. A total of 300 asymptomatic women, aged 30 to 60 years, fulfilling inclusion criteria were included in this study. Study data was collected by a structured questionnaire designed for interview, clinical examination, HR-HPV genotyping, visual inspection of the cervix with acetic acid (VIA), and colposcopy of the women. HR-HPV genotyping was performed by a reverse transcriptase polymerase chain reaction. Results: Among all of the HPV genotypes, HPV 16 (4.7%) was the most prevalent type, followed by HR-HPV (3.7%), HPV 18 (0.7%), and a combination of HPV 16 and other HR-HPV (0.3%). Conclusions: HPV genotype can be used as an effective method for cervical cancer screening, including the identification of women at risk of cervical cancer.