WOMENS-HEALTH Messages for March, 2002: For Dr. McIntosh: Re: pap results- follow up question to one of the answers

For Dr. McIntosh: Re: pap results- follow up question to one of the answers

From: Alex (anonymous@obgyn.net)
Tue, 26 Mar 2002 14:43:58 -0600 (CST)

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In reply to: William McIntosh, MD: "Re: pap results"

At Tue, 26 Mar 2002, William McIntosh, MD wrote: >
>At Tue, 26 Mar 2002, Virgoix wrote:
>>
>>I have had several pap tests over the last 9 months with the same results each time.
>>GENERAL CATEGORIZATION:
>>EPITHELIAL CELL ABNORMALITY
>>
>>DESCRIPTIVE DIAGNOSIS:
>>ATYPICAL SQUAMOUS CELLS OF UNDETERMINED SIGNIFICANCE FAVOR A REACTIVE PROCESS PREDOMINANCE OF COCCOBACILLI CONSISTENT WITH A SHIFT IN VAGINAL FLORA THAT MAY REPRESENT BACTERIAL VAGINOSIS. CORRELATE WITH CLINICAL CIRCUMSTANCE.
>>
>>I had a hysterectomy in December 99- no longer have ovaries, nor cervix. Doctor has performed "vinegar test" with negative outcome, has treated me with antibiotics to address possible infection and still the pap test continues to report above results. He indicates and wait and see process- repeat the test every three months. Do I need a second opinion? Could wait and see result in- to late?
>>
>>What is coccobacilli and shift in vaginal flora mean?
>
>I doubt that a second opinion would be any different, but the purpose of
>a second opinion is to relieve YOUR mind. This is certainly not cancer
>and is very, very unlikely to be precancer. There is a predominate
>bacteria in the normal vagina called Lactobacillus, and a "shift"
>indicates that some other bacteria (coccobacilli) now predominates. That
>would suggest a hormonal shift,or some other environmental change in
>your vagina, no doubt due to your hyst.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute
>for consultation and examination by a licensed medical professional.

>Dr. McIntosh- could you elaborate on your comment regarding hysterectomies causing a change in vaginal flora? About a year after I had a hysterectomy, I began having an odor problem. Doctor did not find any infections or problems; suggested I douche with vinegar and water.(presumably to make the ph more acidic?)Thanks.

Next message: Katharine: "Finding a Doctor to treat Adenomyosis"
Previous message: faith: "Boric Acid"
In reply to: William McIntosh, MD: "Re: pap results"

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