Background: The Intrauterine Contraceptive Device (IUCD) is a contraceptive inserted into the uterus, primarily utilizing copper or progesterone. While effective and widely used, IUCDs can cause side effects, necessitating cervical smear studies through Conventional Cytology or Liquid Based Cytology for monitoring potential complications. This study is undertaken to study the cervical cytology in IUCD users and to assess the risk of infections and Epithelial Cell Abnormality among IUCD users compared to non- IUCD users. Materials And Methods: 36 patients in case group and 36 patients in comparative group were enrolled fulfilling the inclusion and exclusion criteria, from September 2022 to June,2024 in Department of Pathology in coordinationwithDepartment of OBGY, MGM Medical College and Hospital, Aurangabad. Detailed history was procured fromDept of Gynecology and participants underwent per speculum and per vaginal examination. Samples processed with Liquid Based Cytology (LBC) technique were examined using ‘The 2014 Bethesda System For Reporting Cervical Cytology’. Statistical Analysis- Statistical analysis involved Microsoft Excel and SPSS for data evaluation, using t-tests and Chi-square tests for significance.Result And Observations: Out of 36 Cases and 36 Comparative group, Majority, i.e, 47.22% in Case group and 44.44% in Comparative group, belonged to third to fourth decades of life. Majority of IUCD and Non-IUCD users, i.e, 58.33% and 55.56% respectively, were of Parity 2. In both the groups, study participants had regular menstrual history. Vaginal discharge was the main symptom in IUCD users, whereas, Non-IUCD users was mostly asymptomatic, which was a statistically significant finding(P<0.001). There was statistically significant difference between the two groups with respect to clinical complaints of vaginal discharge(P<0.001) and pain in lower abdomen(P=0.03). Statistically significant difference was found between the two groups with respect to characteristics of cervix on P/S examination. Healthy cervix and vagina were more common in Non-IUCD users (P=0.03). Whitish discharge with or without foul smell were more common finding in IUCD users (P=0.01). On comparing the two groups with respect to cervical cytology, Non-IUCD users revealed more normal cytology as compared to IUCD users. Bacterial vaginosis and fungal infection by Candida were more in IUCD users as compared to Non-IUCD users. 2.78% IUCD users showed Actinomycosis infection, while there was no actinomycosis infection among Non-IUCD users. However, there was no statistically significant difference between the two groups with respect to cervical cytology. Among IUCD users, Normal cervical cytology was more common with the age group of 31-40 years (P=0.04) while inflammation was more prevalent among younger age group of 21-30 years(P=0.03). There was no statistical association between parity or menstrual history and cervical cytology (P>0.05). Bacterial vaginosis was more prevalent with longer duration of use of Cu-T, i.e.,>1 year of use(P=0.04). Infection by Actinomycosis was seen with > 2years of use of Cu-T. Conclusion: IUCD is safe to use as Contraceptive device, however, routine screening with cervical smear is recommended to detect infection with longer duration of use.