Background: Decline in morbidity & mortality due to cervical cancer in developed countries can be mainly attributed to early detection of precancerous & cancerous lesions due to extensive screening programme of cervical Pap smear examination. HPV infection is a known etiological agent for cervical cancer. HIV infected women are at higher risk of contracting HPV infection due to immune compromised status. The aim of  the present study is to assess Pap smear among HIV infected females to screen cervical premalignant and malignant lesions.

Methods: The study was carried out on 50 HIV infected females attending Integrated Counseling &Testing Centre of government institute. 50 females (not falling under high risk category),attending the Obstetrics& Gynecology OPD with various gynecological complaints were taken as control & results were compared.

Results: Squamous cell abnormalities were seen high as compared to control group. High incidences of squamous cell abnormalities were noted in patients with high parity and low CD4 count.

Conlcusion: Regular gynecological examination including Pap smear examination is highly recommended for HIV infected females. Pap smear examination is a simple,cheap,safe and practical diagnostic tool for early detection of cervical cancer in high risk population.