YOUNG-WOMEN Messages for August, 2000: Re: Abnormal Pap & microplasmic test relating to bacterial vaginitis

Re: Abnormal Pap & microplasmic test relating to bacterial vaginitis

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 17 Aug 2000 19:43:26 -0500 (CDT)

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In reply to: Eve: "Abnormal Pap & microplasmic test relating to bacterial vaginitis"
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Reply: E.: "Re: Abnormal Pap & microplasmic test relating to bacterial vaginitis"

There's about 12 things going on here. I'll do my best

At Thu, 17 Aug 2000, Eve wrote: >
>I recently went to see a gyn for a 2nd opinion about chronic vaginal
>discharge (fishy-froggy odor, very thick, white, monthly).

By the odor, it sounds like bacterial vaginosis, an overgrowth of bacteria. Regardless of the treatment, the recurrence rate is 75% but most women have no symptoms. It's an overgrowth, not an infection.

>The 1st
>doctor prescribed flagil and a cream (she said it was a combination of a
>yeast infection and bacteria from unprotected sex). She also kept
>prescribing vaginal cream for months with small results. She said that
>the problem would persist if I continued to have unprotected sex and did
>not seem aware of sexual lifestyle today (meaning, unprotected sex in a
>monogamous relationship for two years) Nothing was prescribed for my
>partner.

For yeast and bacteria, it wouldn't be.

>I got another Pap through the 2nd doctor: the cells are abnormal.

There are different levels of abnormality. Some are quite minor.

>The
>microplasm tested positive and I am being prescribed an antibiotic for
>three weeks.

Mycoplasm is not necessarily an infection that needs to be treated unless the patient has symptoms.

> I finally had sex once four months ago and I am spotting
>between periods since
>then.

Sex doesn't cause spotting for 4 months. There has to be another reason.

>Is this a common, recurring problem that possibly no antibiotic will
>cure, which might result in cancer?

Infections other than HPV (a virus) have not been associated with cervical cancer.

>Any suggestions for finding more information?

Read the archvies on OBGYN.net

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
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Next message: Harvey S. Marchbein, M.D.: "Re: The Neverending Period"
Previous message: Harvey S. Marchbein, M.D.: "Re: Gynecology and Sex"
In reply to: Eve: "Abnormal Pap & microplasmic test relating to bacterial vaginitis"
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