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Impact of antibiotics on pap smear, vaginal infection, dymennorhea - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hello
User :   i have some questions about my cytology report
Doctor :  
Sure
User :   1st what is the normal time table of a pap smear
Doctor :  
There are several gradings in it
User :   sorry i did not understand...
User :   would it take a few weeks to get exaxt results?
Doctor :   Not required
Doctor :  
Because once smear is taken
Doctor :  
it will be examined under microscope
Doctor :  
and reported
User :   oh ok so it means that even for 1 day it may be already be given the result?
Doctor :  
Yes
User :   can you see in a pap smear the correct problem if you just came out of the hospital which i was given antibiotics?
Doctor :  
Do you mean to see infection?
User :   i was hospitalized for 4 days and i was given strong antibiotics for my fever
Doctor :   Ok

Doctor :  
When was that?
User :   do you think it may conflict with the pap smear result?
Doctor :  
No
Doctor :  
Pap smear is a screening procedure to detect pre-cancerous and cancerous lesions
Doctor :  
which are not affected by antibiotics
User :   but what if i have infection in that area and because i went to the hospital and given medication
Doctor :  
No
Doctor :   Such lesions are not affected by antibiotics
Doctor :  
I understood ur query
User :   after 2 days would tha pap smear result would say that you have infection?
Doctor :  
Infection need not be bothered about much
Doctor :  
since you were already given antibiotics
Doctor :  
So even if there was infection it would have cleared
User :   pls correct me of what i understood
Doctor :  
But the cancerous and pre-cancerous lesions are not affected
Doctor :  
Could you get me?
User :   because i was given in the hospital antibiotics 2 days before i had a pap smear done
User :   if i had infection in the vagina or cervix by that time it will not anymore appear in the pap smear?
Doctor :  
Yes
Doctor :  
that is right
User :   ok
User :   that is also what im thinking
Doctor :  
But pap smear is mainly to detect Cancer at an early stage
Doctor :  
So infection detection is just a byproduct of the test
User :   but in the pap smear the result was shift of flora to bacterial vaginosis
Doctor :  
Ok
Doctor :   That means vaginal infection is still present
User :   would you be so kind to let me understand my result
Doctor :  
Sure, I would help you to my fullest extent
User :   and even they have already given me medications it will still appear?
Doctor :  
Even after the pap smear were you given antibiotics?
User :   what do this mean? parabasal/intermediate/superficial cells: 0%/60%/40%
User :   yes i have oral antibiotics to be still taken for 5 days
Doctor :   Ok

Doctor :  
You take antibiotics and it will be fine
User :   at the very end it says: maturation index not possible due to...
User :   and it stops there
Doctor :  
Ok
Doctor :  
Once the infection is cleared things will set right
User :   but for how many months already i have dymennorhea like pain but the problem is i am already hysterectomized 2005
Doctor :  
Could you be more clear?
Doctor :  
I got it
Doctor :  
Ok
User :   i have spotting and pain is getting worst
Doctor :   Ok

Doctor :  
I suggest you to continue with the antibiotics and get back to us
Doctor :  
It should clear up the infecion
Doctor :  
The pain is not dysmenorrhoea
Doctor :  
but mimics it
User :   i already finish drinking antibiotics 2 weeks ago and still the pain is there and more worst
Doctor :  
The antibiotic of choice is Metronidazole
User :   yes finish drinking that already
Doctor :   Ok
User :   the last tvs i had says rtaht
Doctor :  
Ok
User :   cervix visualized, showing a large lobular anechoic structure of aboutr 15.9mm size within its posterior upper level
User :   segment sorry not level
Doctor :  
Ok
Doctor :  
What is the final impression?
User :   a smaller nodule of about 4.8mm. size within its outline
Doctor :  
Ok
Doctor :  
Can you scan the report and send it to us
User :   which one the film or the writen report?
Doctor :   Written report
User :   i dont know how to send a scan to you can you teach me
Doctor :  
You get the copy scanned
Doctor :  
Attach it with the mail and send it
Doctor :  
Thats all
User :   i already have it here in the computer
Doctor :  
Ok
Doctor :  
Then attach it with the mail
User :   can i just copy paste it here where im typing?
Doctor :   Ok
User :   for a while
User :   when i right click it it doesnt show paste
Doctor :   Now, I suggest you take someone's help and mail it to us
Doctor :  
So that even I can go through that in detail
Doctor :   and come to an Impression
User :   can i mail it to www.healthcaremagic.com?
Doctor :   YYYY@YYYY
User :   will you ba able to receive it?
Doctor :  
You can mail it to this address
User :   ok ill do it right now
Doctor :   Fine
Doctor :  
We will get back to you on that within 24 hours
User :   oh but if you have another email add that would be much easier
Doctor :  
No, this is quite ok
User :   ok
Doctor :  
and the common procedure followed
Doctor :  
So I shall expect you tomorrow at same time
User :   yes, but how would i know that im still chatting with the same doctor?
Doctor :  
My name is Dr.Bharath
Doctor :  
You can ask for me
Doctor :  
They will transfer it then to me
User :   hope that you would be patient with me im just already so frustrated and tired with pain
Doctor :  
I am here to help you.
Doctor :   I will try to clarify the issue to the best possible method
User :   thank you very much
User :   im very greatful
Doctor :   Is there anything else I can help you with?
Doctor :  
Please fill the feedback form say done when done.
User :   ill send to you all my result here
Doctor :   Sure
Doctor :  
Have you filled the feedback form?
User :   yes i have already
Doctor :  
Ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   i will
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