Aims and objective-Present study was conducted to evaluate the cervical cytomorphology in symptomatic postmenopausal woman with symptoms related to urogenital atrophy. Material and methods- A total of 62 postmenopausal women presented with symptoms related to urogenital atrophy and cervical smear has examined for adequacy, density of inflammation with numerical scoring, specific pathogens and predominant cell type were assessed in each smear and correlated with presenting symptoms and duration of menopause were included in the study. Result- Smears of all patients showed inflammation, varying in intensity, irrespective of the presenting symptoms with a high incidence of candidiasis (9%). cytological smears showed that all patients of the study group with evidence of inflammation and density ranged from 1+ to 4+. 04 smears showed features of bacterial vaginosis. Coccobacilli overgrowth was observed in 19 smears. Lactobacilli were present only in 13 smears. The predominant cell found was the intermediate cell in 42 cases. Conclusion- Cytology (Pap smear) in post menopause can be used to assess hormonal status, to screen for malignancy, pathogens in inflammation and also to monitor hormone replacement therapy.