Re: Abnormal Pap & microplasmic test relating to bacterial vaginitis
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 19 Aug 2000 21:51:37 -0500 (CDT)
At Fri, 18 Aug 2000, E. wrote:
>
>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?
That answer would require an exam. I'm good but not that good. Even
for a short person, it shouldn't be close enough to cause a problem
(statistically speaking).
>I was constantly in sexual contact, but mostly wasn't
>lubricated enough for the first minutes during penetration, possibly
>aggravating my health?
Not usually.
>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?
Chronic bothersome discharge not caused by anything else.
>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.
You can also get a reculture after finishing the medication to see if
it's clear.
HSM
>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
>>http://forums.obgyn.net/young-women
>>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.
>
--
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
http://forums.obgyn.net/young-women
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.
![[ Young Women's Health Forum ]](/images/young-women-forum.gif)