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Re: Abnormal Pap & microplasmic test relating to bacterial vaginitis

From: E. (anonymous@obgyn.net)
Fri, 18 Aug 2000 18:30:56 -0500 (CDT)


Well, I had this discharge for about one year before seeing a doctor and I'm fearful that it possibly developed into something worse since the flagil and cream didn't "fix" everything. Now I have to take doxycycline and my partner tetracycline.

The first doctor did not run any cultures and kept telling me that since my cervix is so close to the vaginal opening (because I am a short person), this is all the more reason to never have unprotected sex with my monogamous partner because of contact between the cervix and male organ. Is there any truth to this, meaning, could the contact be eroding my cervix? I was constantly in sexual contact, but mostly wasn't lubricated enough for the first minutes during penetration, possibly aggravating my health?

I'm also confused when you wrote that "Mycoplasm is not necessarily an infection that needs to be treated unless the patient has symptoms." What are these symptoms? Everytime I read up on bacterial vaginitis, it tells me the same basic information, without mention of m-plasm. This subject is new and I'm also scared again about a recurrence despite the fact that I have to take this second round of antibiotics and my partner, his first time.

At Thu, 17 Aug 2000, Harvey S. Marchbein, M.D. wrote: >
>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
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
>Please be aware that all e-mail on this forum is archived and can be viewed at
>http://forums.obgyn.net/womens-health,
>http://forums.obgyn.net/pregnancy-birth or
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>and is accessible to anybody on the
>internet including internet search engines. This should be taken into
>consideration before sending postings of a personal or confidential nature.
>

--
E. F.



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