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Re: GYNECOLOGIC: Unsatisfactory pap with inflammatory exudate
From: missyhelly (anonymous@obgyn.net)
Wed, 31 Oct 2007 16:17:18 -0500 (CDT)
Can ectropion be seen during pap smear? My doctor told me my cervix
looked normal. Can you have inflammatory exudate when there is no
infection or cause? Is it true that cervix needs at least 3 months to
restore itself, so a follow up pap should be after those months? I
apologize for all these questions, but I just want to arm myself with
most knowledge when visiting my doctor. I do believe that it's
patient's right and duty to know correct info.
Thank you!
At Thu, 25 Oct 2007, D. Ashley Hill, M.D. wrote:
>
>Herpes infections are probably an uncommon cause of cervical
>inflammation. I agree that usually you would be able to see herpes
>sores (lesions) elsewhere, for example on the vulva. If your STD and
>Pap workup is negative then it's either an ectropion or "just because"
>and, although annoying, the bleeding would not be medically worrisome.
>Best wishes,
>
>>
>>At Thu, 25 Oct 2007, D. Ashley Hill, M.D. wrote:
>>>
>>>There are several things that can cause inflammation of the cervix. It
>>>sounds like you have been tested for gonorrhea and chlamydia. A vaginal
>>>swab may or may not test for B.V. or yeast, depending on what type of
>>>swab your doctor performed. I certainly would make sure you don't have
>>>either, because both can cause cervical irritation. A simpler method
>>>would be to look at the discharge under the microscope.
>>>
>>>I'm not sure why you had another Pap when your last one was only in
>>>March. We don't do Pap smears for urinary symptoms, because Pap tests
>>>only rule out cervical cancer or precancer, and no other conditions.
>>>
>>>Some women have a cervix that is more "out" than others (the medical
>>>term is ectropion). It's not dangerous, but can cause the symptoms you
>>>describe. Sometimes gynecologists get frustrated and try an antibiotic
>>>cream, which, in fact, sometimes helps. You may want to check with your
>>>doctor to find out which infections have been ruled out and if an abx
>>>cream might help you. Best wishes,
>>>
>>>Thu, 25 Oct 2007, missyhelly wrote:
>>>>Hope someone can help me explain my result. I just got my pap result
>>>>from my doctor, and it stated "Unsatisfactory...most of the cells are
>>>>obscured by inflammatory exudate".
>>>
>>>--
>>>D. Ashley Hill, MD
>>>Division Director, Dept. of Obstetrics and Gynecology
>>>Florida Hospital Orlando
>>>Medical Director
>>>Loch Haven Ob/Gyn Group
>>>235 East Princeton Street, #200
>>>Orlando, Florida 32804
>>>http://www.lochhavenobgyn.com
>>>
>>>Please understand that due to time constraints I am unable
>>>to answer any personal emails, therefore they will receive no response.
>>>
>>>These comments are general educational comments and should not
>>>be construed as specific medical advice. The best person to
>>>answer your health care questions is your physician or other
>>>health care provider. Thank you very much.
>>>
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