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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Gonorrhea Be Determined Through A Urinalysis And A Gram Stain Test?

Hi Doctor, Urgent request. I am suffering from painful bumps and some small ulcer in my labia majora for a week now. It started after shaving twice with 2 days apart from the first shaving and I had an intercourse with my husband. I had my first consultation with an OB Gyne and she ordered urinalysis, tranvaginal ultrasound, CBC, KOH and Gram stain ( specimen: vaginal discharge only). Urinalysis, UTZ and CBC are all normal. KOH + positive for fungal elements while the Gram stain result is : *Pus cell: few, *Epithelial cells: Moderate, *Organism: Gram negative bacilli = MANY Gram positive bacilli = Moderate Yeast cells = Moderate She prescribed antibiotics, pain killer, ointment and suppositories. My concern is the result in my Gram stain result, I want to know what does GRAM Negative bacilli *MANY means because according to her I have Gonorrhea and it is so depressing. I have doubts on her diagnosis. She prescribed me more meds yesterday and convincing me to have HPV vaccine on the same day for I may have cancer very soon. Please help me. Thank you.
Wed, 20 Feb 2019
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Pathologist and Microbiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

The gram stain report shows presence of bacterial. Gonorrhea is confirmed by serological tests. The clinical features - painful bumps and ulcer on labia majora are suggestive of gonorrhea. HPV vaccination is important since HPV infection often accompanied other STDs. You need to take HPV vaccination and regular pap smear test. In addition, safe sex should be practiced and your spouse should also get tested for STDs.

Hope I have answered your query. Let me know if I can assist you further.
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Can Gonorrhea Be Determined Through A Urinalysis And A Gram Stain Test?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The gram stain report shows presence of bacterial. Gonorrhea is confirmed by serological tests. The clinical features - painful bumps and ulcer on labia majora are suggestive of gonorrhea. HPV vaccination is important since HPV infection often accompanied other STDs. You need to take HPV vaccination and regular pap smear test. In addition, safe sex should be practiced and your spouse should also get tested for STDs. Hope I have answered your query. Let me know if I can assist you further.