Re: GYNECOLOGIC: Vaginal discharge and cervicitis
From: kulala (anonymous@obgyn.net)
Thu, 27 Sep 2007 16:03:46 -0500 (CDT)
Thank you so much for your reply. May I ask a couple more questions?
If the cervicitis is not caused by STDs, will it cause any
complications, such as PID, complications during pregnancy, infertility
or heightened risk of cancer? And does it need treatment, such as
cryosurgery, cautery (I came across these in my own research and they
sound very serious and the views about them seem to be mixed).
Again, thank you.
Kulala.
At Wed, 26 Sep 2007, D. Ashley Hill wrote:
>
>This is a very frustrating problem. There are several possible causes
>of this. Sometimes a condition called "cytolytic vaginitis" can cause a
>persistent discharge. In addition to a physical exam, pH and wet prep
>(looking under a microscope) there are DNA swabs that your doctor can
>perform that will help diagnose specific causes. If you are on the pill
>or some other types of birth control, the hormones can cause your cervix
>to change, leading to more discharge. Also, it is possible that this is
>just "your discharge" and is not due to a disease or infection. Some
>women produce more vaginal discharge as a normal physiologic process. I
>would suggest that you ask your doctor to leave no stone unturned. He
>or she should perform a careful history and exam including a wet prep
>and pH, and look for cervical infections (chlamydia and gonorrhea) and
>vaginal infections (yeast, BV, cytolytic vaginitis). Good luck and best
>wishes.
>
>--
>D. Ashley Hill, MD
>
>At Wed, 26 Sep 2007, kulala wrote:
>>
>>Ever since my late puberty years (I am 28 now), I have a vaginal
>>discharge problem. It happens everyday, sometimes barely and other
>>times a lot more. It is mucus/pus-like, can be creamy, white with a
>>slight yellowish tint, often more yellowish than not. When the
>>discharge comes out, it doesn't have a foul odor but it sometimes
>>develops a sour smell on my underwear if I don't have time to wipe it. I
>>have no other symptoms and self-screening kit shows that my pH is not >
>>4.5. I've been diagnosed with Bacterial Vaginosis several times before,
>>and was prescribed MetroGel, Clymacydin, oral antibiotics, or
>>intravaginal gel with oral pills at the same time, you name it, and I
>>have yogurt and L. Acidophilus in my regular diet now. But nothing
>>seems to help with the symptoms. I was tested negative for chlamydia
>>and gonorrhea and trichomonas. I never had abnormal paps. My regular
>>GYN said in my last two visits that this is normal for me. But when I
>>went to another GYN today, she said I have cervicitis (my cervix is
>>inflammed) and gave me doxycycline. After the swab at the clinic, I
>>noticed slightly brown discharge. Does that indicate bleeding? Should I
>>be worried about HSV or HPV although I never had sex before (even when I
>>had the discharge) only except for oral sex in a monogamous relationship
>>recently? Can this be a case of chronic cervicitis or mucopurulent
>>cervicitis or even endometritis and what are my options for treatment?
>>
>>Thank you in advance for your help. I am so worried that I am not sure
>>if I should even be in any relationship now.
>>
>>Frustrated and confused,
>>Kulala.
>
>--
>D. Ashley Hill, MD
>Division Director, Dept. of Obstetrics and Gynecology
>Medical Director
>Florida Hospital Orlando
>Loch Haven Ob/Gyn Group
>235 East Princeton Street, #200
>Orlando, Florida 32804
>http://www.lochhavenobgyn.com
>
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