Assessments of microbial infections via cytopathological examinations in transgender people

The oncotic cytology smear test created by George Papanicolaou is a valuable method for early diagnosis of diseases such as cervical cancer and other genitourinary tract infections. Currently, the preventive exam is periodically indicated for all women who have already had an active sexual life. In this context, transgender individuals, who do not identify with the sex assigned at birth, in addition to facing challenges of social acceptance, find it difficult to access preventive exams, such as the Pap smear. In addition, there is a lack of data and literature regarding the results and diagnoses based on the cytological evaluation of this population. Therefore, this review seeks to identify the main findings and diagnoses found in colpo-cytopathological smears of trans men, possible vulvovaginal infections (e.g. Human Papillomavirus (HPV) as well as the particularities of the results obtained, and also considering the social aspects of this portion of individuals.