Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Cause of severe vaginal discharge, tiredness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
User :   Hi Doctor...A very Good morning
Doctor :   Dr. XXXXXXXX here.
Doctor :   please proceed with your health query
User :   I am 32 yrs old female,severley facing problem of white discharge
Doctor :   ok. since when you are having this problem?
Doctor :   please describe the appearance of discharge in detail
User :   my doc asked me to undergo PAP smear test,report is with me ,but cannot interpret it
Doctor :   is there foul smell associated? is there any burning, itching associated?
User :   The discharge is yellowish whitish ,watery & with foul smell sometimes,no itching
User :   it is since 4 yrs
Doctor :   PAP smear report can be interpreted in correlation with your symptoms and characteristics of discharge. I will help you in interp[retation
User :   I feel very exausted and tired every time
Doctor :   please answer few questions that I need to ask such that I can answer you in a better way
User :   PLs ask
Doctor :   is there pain, discomfort associated with intercourse?
User :   No
Doctor :   do you have children? if yes, when was your last chiuldbirth?
User :   I hv sone 2 yrs old,it was a ceasarian
Doctor :   when was your last menstrual period? are your periods regular?
Doctor :   is there any alteration on blood flow, smell associated with menstrual discharge?
User :   yes ,last was on 16th Aug
Doctor :   do you have pain. discomfort, cramps associated with periods?
Doctor :   is there any alteration on blood flow, smell associated with menstrual discharge?
User :   No to both the ques regd menstrual pd
Doctor :   ok. please go ahead with telling me the PAP smear report
User :   Diagonisis says Negative for intraepithelial lesion or malignancy 2nd reactive cellular changes associated with inflammation (severe inflammation)
User :   Statement of adequacy-smears are satisfactory for evaluation
Doctor :   ok. could you tell me the entire report rather than the Impression?
User :   how do i share
Doctor :   if possible please send the report to YYYY@YYYY
Doctor :   for me to have a look at it
User :   fine
Doctor :   please tell when you have sent it, for me to check
Doctor :   Put PAP smear report and your name in subject line or put - 'PAP smear report for Dr. Paul'
Doctor :   are you there?
User :   Ya I am scanning 7 sending u the report..pls give me some time
Doctor :   ok. sure take your time. please tell when you have sent it, for me to check
User :   I also wanted ur suggestion on my constant tiredness
User :   I have got my thyroid ,lipid profile,CBC ,etc done...all is fine
Doctor :   yes we will discuss your problems one by one. let us first finish with one problem
User :   I have sent the report
Doctor :   if the thyroid ,lipid profile,CBC ,etc done are fine , then the tiredness could be attributed to the pelvic congestion and your current problem
Doctor :   ok. let me check. please give me sometime to go through the report
User :   Very fine
Doctor :   i still have not got them. please resend it.
User :   Doc,its from XXXXXXXX Askandani's email ID frim India.i have zipped it ,it might take some time.
Doctor :   ok. let me check again
Doctor :   zip file will take time to be received. and it will take sometime for me to unzip it. please bear with me for a reply. once i receive the e-mail from you. i will intimate you
User :   That is perfectly fine..........pls take ur time ....Shud I b online uptill then
Doctor :   ok.
Doctor :   i have recieved your e-mail
Doctor :   as per the report, then cell types seen suggest severe inflammation of the cervix.
Doctor :   the presence of only squamous cells in the smear are normal but since you have got intermediate squamous cells, and squamous metaplastic cells along with endocervical cells, it suggests possibility of PID (pelvic inflammatory disease.
Doctor :   you will need to get a vaginal smear test and the culture sensitivity for vaginal discharge done
Doctor :   are you there?
Doctor :   are you following what I am saying?
User :   Ya I am there
Doctor :   are you following what I am saying?
Doctor :   the further tests that I have advised will help in identifying the cause for the PAP smear changes
Doctor :   and if infection is detected, you will be put on treatment as indicated by the test results
User :   What if there is possibility of pid
Doctor :   and in case infection is detected, then even your husband should be treated simultaneously, and avoid having unprotected intercourse while being on treatment to avoid chances of reinfection
User :   What kind of infectioncould it be..............can this be a possibility for cervical cancer
Doctor :   as I said, the further tests that I have advised will help in identifying the cause for the PAP smear changes and if infection is detected, you will be put on treatment as indicated by the test results, and in case infection is detected, then even your husband should be treated simultaneously, and avoid having unprotected intercourse while being on treatment to avoid chances of reinfection.
Doctor :   infection could be bacterial, fungal or protozoal
Doctor :   the cervical cancer changes are still not started, but with continued inflammation, the changes can start to occur
Doctor :   so do not delay your treatment
User :   My mother had Cervical cancer so i am afraid for myself
Doctor :   and get follow up PAP smear report after 3 months and then after 1 year
Doctor :   it will help in identifying cervical cancer changes early
Doctor :   keep getting PAP smear done every year since there is family history of cervical cancer.
User :   I have taken the 3 doses of the vaccine for cervical cancer . vaginal smear test and the culture sensitivity for vaginal discharge done
User :   still there would be chances of this type of cancer to appear
Doctor :   cervical cancer due to HPV can be avoided by taking vaccine
Doctor :   but cervical cancer occuring due to cancer gene present in you cannot be stopped
User :   I will get the tests done as suggested by u and hw can I get back to u
Doctor :   you can come for live chat like today and ask for Dr AAAAAAA i will help you in interpreting the results
Doctor :   be in constant follow-up with your treating gyne as well
Doctor :   and discuss further course of treatment with her
User :   Okay fine doctor...Thanks a lot....it was a great help
Doctor :   is there anything else i can help you with?
Doctor :   are you there?
User :   Not as of now Doctor...Thansk a lot
Doctor :   thanks for consulting me. bye for now.
User :   It is a great job being done by u people ....really appreciable
User :   Bye Doctor
Doctor :   bye
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor