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Irregular periods. Done with smear test. Cervix is red. Referred for colposcopy. What does red cervix mean?

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General & Family Physician
Practicing since : 2010
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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.
21st January – 25th January (5 days bleeding)

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
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

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)

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
16th October – 20th October (5 days bleeding, only light)
Cycle 9th September – 15th October = 31 days

Posted Mon, 4 Nov 2013 in Women's Health
Answered by Dr. Manjeth Kumar G 7 hours later
Brief Answer:
Cervicitis. Antibiotics and NSAIDS will be helpful

Detailed Answer:
Welcome to XXXXXXX

Thanks for your query.
I have gone through your query and understand your concern.

As far as your menstrual cycle is concerned, It is normal. Some women have slight irregular bleeding then and there in life.
It is mostly due to Hormonal change and stressful situation.

As your screening test smear does not show any abnormal cells, you do not need to worry about the cancer.

Red colored cervix is mostly due to infection and irritation in the cervix and genital tract. It is called cervicitis.
Even allergy to douches and latex condoms may cause cervicitis.
Many women with cervicitis do not have any symptoms other than red cervix.

We can treat it easily by antibiotics and removal of allergic agents.

My advice is go for colposcopy and get VIA VILI test for cervix .
Mostly it shows the inflamed areas in cervix.
If it shows other changes, then small biopsy specimen will be taken from cervix to rule out cervical cancer.

Irregular bleeding, bleeding with foul smelled discharge, bleeding while having sex, Pain while having the sex are usual symptoms of Cervical cancer.
You do not have such symptoms.

Thus do not worry about the red cervix.
It will be mostly a cervicitis and it is treatable as well as curable.
If it is due to infection, Please get treated for partner too.

As far as your PCOD is concerned, Please do following investigations.
1. Check blood sugar
2. Check Thyroid hormones.
3. Do Sperm test for viability, count and other factors.
4. Consider hysteroscopy and diagnostic laproscopy as last resort.

Discuss with your Gynecologist regarding the use of clomiphene, Gonodotrophins etc.. for conception.

PCOS does not have any relation with cervical cancer.

Hope this helps.
Please reply for further queries.
Wishing you good health.
Above answer was peer-reviewed by
Follow-up: Irregular periods. Done with smear test. Cervix is red. Referred for colposcopy. What does red cervix mean? 30 minutes later
Does a colposcopy hurt? What happens? I am very scared of this procedure
Answered by Dr. Manjeth Kumar G 19 minutes later
Brief Answer:
No. Magnified examination.Biopsy if needed.

Detailed Answer:

Colposcopy is just a procedure to look for changes in vagina and cervix with a magnified scope like microscope which we used in laboratory.

It is followed by swabbing with vinegar (acetic acid) and sometimes iodine (Lugol's solution) on the vagina and cervix with a cotton swab or cotton balls to see problem areas more clearly.

This is called VIA VILI test.
If the areas are demarcated and separate colored, then biopsy will be taken from suspected areas.

Usually we used to take Punch Biopsy. Then we will send it for pathological examination.
It does not hurt too much.

Thus the procedure is not too much painful.

Hope this helps.
Please reply for further queries.
Wishing you good health.
Above answer was peer-reviewed by
Follow-up: Irregular periods. Done with smear test. Cervix is red. Referred for colposcopy. What does red cervix mean? 55 minutes later
Do you see that I should be able to conceive naturally if all this is ok?
Answered by Dr. Manjeth Kumar G 30 minutes later
Brief Answer:
Yes. Get treatment for PCOS.

Detailed Answer:

If all the below said investigations are normal, then there is high possibility of natural conception.
1. Blood sugar.
2. Thyroid hormones.
3. Semen of your partner.
4. Pituitary hormonal levels.
5. No anatomical or pathology in your genital tract. This can be ruled out by hysteroscopy with XXXXXXX injection and Diagnostic laproscopy.

Please do the above investigations.
If there is any deviation in above said tests, get treated.

Now get treated for Polycystic ovarian syndrome, it may the reason for your infertility.

If not get conceived even after all things are normal, then try drugs like clomiphene or gonodotropins
Hope this helps.
Please reply for further queries.
Wishing you good health.
Above answer was peer-reviewed by
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