Hello Polly, Low absolute monocyte count is usually nothing to worry about and with the recurrent baterial vaginosis, you would need to ensure pap smears are regularly done. The total cholesterol level is a bit high although you have not provided the normal range as it will vary with analyzers. The MCV is definitely raised, and the common reason is alcohol consumption. B12 and folate deficiency are also reasons, that you can find out with a blood test. A reticulocyte count will help understand the bone marrow function with the raised MCV. The tiredness may be related to low Vitamins, and the oral vitamin pills usually have a tenth of the Vit B12 dose you need if you are deficient. A single IM injection of 1mg VitB12 usually suffices, unless you have pernicious anemia, when you would regular B12 injections for life. Hypothyroidism is another reason for the high MCV, so please ensure you get this checked as well. Hope that helps.