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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Foul Smelling Papsmear Indicate A STI?

I went for a papsmear at our local clinic, the nurse who done it says that is has a smelly odor. She thinks it must be a STI. How does she know that? Is it because of the foul smell? Im starting to worry because does that mean my partner has been unfaithful. That is the way she made me feel.
Mon, 16 Mar 2015
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Infectious Diseases Specialist 's  Response
The condition that is associated with odor is most likely Bacterial Vaginosis (BV), or nonspecific vaginitis. Symptoms include Vaginal odor (the most common, and often initial, symptom of BV); often recognized only after sexual intercourse, mildly to moderately increased vaginal discharge, vulvar irritation (less common) and dysuria or dyspareunia (rare). This is not a sexually transmitted disease and the diagnosis is made by physican examination and on microscopic examination of the discharge or vaginal secretions to look for what we call clue cells. Treatment is easy once diagnosis is confirmed.

The other possibility is trichomonas vaginitis which is a sexually transmitted disease and also requires examination and smear to confirm the diagnosis before any final decision is made.
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Does A Foul Smelling Papsmear Indicate A STI?

The condition that is associated with odor is most likely Bacterial Vaginosis (BV), or nonspecific vaginitis. Symptoms include Vaginal odor (the most common, and often initial, symptom of BV); often recognized only after sexual intercourse, mildly to moderately increased vaginal discharge, vulvar irritation (less common) and dysuria or dyspareunia (rare). This is not a sexually transmitted disease and the diagnosis is made by physican examination and on microscopic examination of the discharge or vaginal secretions to look for what we call clue cells. Treatment is easy once diagnosis is confirmed. The other possibility is trichomonas vaginitis which is a sexually transmitted disease and also requires examination and smear to confirm the diagnosis before any final decision is made.