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Having Problems With Periods. Unable To Conceive And Had Smear Tests. Cervix Is Red. Had Ultrasound. Is It Cervical Cancer?

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Posted on Wed, 6 Nov 2013
Question: I have been having problems with my periods for a few months. I am really worried about not being able to conceive but I now have more problems. I have had 2 smear tests and they have not been enough cells to report on but my cervix is red so I am being referred for a colposcopy. I am worried to death I have cervical cancer. What does a red cervix mean?
I am actively trying to conceive had a ultrasound scan which shows numerous small follicles, blood work does not show PCOS as originally thought. I am attaching a couple of reports for you to look at.

JANUARY 2013
21st January – 25th January (5 days bleeding)

FEBRUARY 2013
23rd February – 28th February (6 days bleeding)
Cycle = 21st January – 22nd February = 34 days

MARCH 2013
22nd March – 26th March (5 days bleeding)
Cycle = 23rd February – 21st March = 27 days

Light Bleeding 5th April, 6th April (1 Panty Liner all day)
7th April only when wipe pink colour

APRIL 2013
24th April – 28th April (5 days bleeding)
Cycle = 22nd March – 23rd April = 33 days

MAY 2013
18th May – 24th May (7 days bleeding)
Cycle = 24th April – 17th May = 24 days
XXXXXXX 2013
16th June– 21st XXXXXXX (6 days bleeding)
Cycle = 18th May – 15th XXXXXXX = 28 days

JULY 2013
14TH July– 18th July (5 days bleeding)
Cycle = 16th XXXXXXX – 13th July = 28 days

AUGUST 2013
7th August– 15th August (9 days bleeding) – Only Been Brown/Pink Discharge
No Normal Stomach Cramps etc (one Panty Liner daily)

Cycle = 14th July – 6th August = 26 days

20th August – 25th August (5 days) Light Bleeding Pink Discharge (one Panty Liner daily)

SEPTEMBER 2013
9th September – 13th September (5 days bleeding)
Cycle 7th August – 8th September = 33 days

DAY 16/17 24th/25th September light bleeding only when wipe, brown discharge
OCTOBER 2013
16th October – 20th October (5 days bleeding, only light)
Cycle 9th September – 15th October = 31 days
doctor
Answered by Dr. Dr. Rakhi Tayal (2 days later)
Brief Answer:
Red cervix is not suggestive of a cancer.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Your cycle length is varying between 24-34 days. Since you are having periods every month and no polycystic ovaries have been found on an ultrasound scan, the irregular length of the cycle seems to be due to a mild hormonal imbalance.
Insufficient cells on a cervical smear is not worrisome. The redness of the cervix can be due to a chronic inflammation or cervicitis or an infection in the area. This is not suggestive of a malignancy. A colposcopy is recommended to find out the exact cause.
Since you are having a difficulty in conception, some basic investigations for infertility are advised as follows:
1) Husband semen analysis test.
2) Serial follicular study in mid cycle to check proper ovulation.
3) Tubal patency test- by HSG (hystero salpingography) or laparoscopy.
4) Complete hormone assay with thyroid profile, blood sugar & prolactin test.
5) Test for cervical factor- Post Coital Test (PCT), Anti-sperm antibody (ASA) etc.
Do consult a competent infertility specialist for proper investigations and treatment.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rakhi Tayal (24 minutes later)
For a red cervix will they do biopsies?

I am worried to death that this is going to hurt, I have read loads of reports and 50% say it hurts and 50% says not
doctor
Answered by Dr. Dr. Rakhi Tayal (12 hours later)
Brief Answer:
Biopsy is not needed in all the cases.

Detailed Answer:
Hello.
Thanks for writing again.
Biopsy is not required in all the cases. It is only done when there is a visible malignant looking lesion on the cervix. The procedure is slightly painful but the pain is bearable and it is best for you to have this procedure done.
Hope my answer is helpful.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (9 hours later)
If all my investigations are normal for conceiving should I conceive naturally?
doctor
Answered by Dr. Dr. Rakhi Tayal (14 hours later)
Brief Answer:
Yes.

Detailed Answer:
If all your investigation reports are normal then having a regular intercourse during the fertile days of your cycle will help in a successful conception naturally.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14039 Questions

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Having Problems With Periods. Unable To Conceive And Had Smear Tests. Cervix Is Red. Had Ultrasound. Is It Cervical Cancer?

Brief Answer:
Red cervix is not suggestive of a cancer.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Your cycle length is varying between 24-34 days. Since you are having periods every month and no polycystic ovaries have been found on an ultrasound scan, the irregular length of the cycle seems to be due to a mild hormonal imbalance.
Insufficient cells on a cervical smear is not worrisome. The redness of the cervix can be due to a chronic inflammation or cervicitis or an infection in the area. This is not suggestive of a malignancy. A colposcopy is recommended to find out the exact cause.
Since you are having a difficulty in conception, some basic investigations for infertility are advised as follows:
1) Husband semen analysis test.
2) Serial follicular study in mid cycle to check proper ovulation.
3) Tubal patency test- by HSG (hystero salpingography) or laparoscopy.
4) Complete hormone assay with thyroid profile, blood sugar & prolactin test.
5) Test for cervical factor- Post Coital Test (PCT), Anti-sperm antibody (ASA) etc.
Do consult a competent infertility specialist for proper investigations and treatment.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.