Inflammation in Pap Smear Results and Vaginal Discomfort During Arousal - Obstetrics and Gynecology

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The smear results indicate inflammation?


Hello Dr.
Tsao,
I would like to ask about my Pap smear results, which indicated inflammation.
However, when I followed up with my gynecologist, the doctor mentioned that I do not have true inflammation and advised me to continue regular Pap smears without any treatment.
Why would the Pap smear results show inflammation?
Additionally, I sometimes experience pain in my vagina during foreplay or when I feel aroused while watching adult films.
The pain usually lasts for a short time and then goes away.
I'm unsure if this is due to increased sensitivity in my vagina or if there are other reasons.
Thank you, doctor.

Xiao Duo, 20~29 year old female. Ask Date: 2016/04/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if the results of a routine Pap smear show inflammation but no abnormal cells, I generally recommend treatment.
Sometimes, during arousal, the vagina may feel painful, which could be related to vaginal contractions during excitement.
Wishing you good health.

Reply Date: 2016/04/09

More Info


When it comes to understanding the implications of inflammation in Pap smear results and the discomfort experienced during sexual arousal, it is essential to consider several factors that could contribute to these issues.

Firstly, regarding the Pap smear results indicating inflammation, it is important to understand that inflammation can be a common finding in cervical cytology. The presence of inflammation does not necessarily indicate a serious condition; it can be due to various benign causes such as infections (like bacterial vaginosis or yeast infections), irritation from hormonal changes, or even physical irritation from sexual activity or hygiene products. Your doctor’s assessment that you do not have a "true" inflammation suggests that the inflammation observed may not be significant enough to warrant immediate treatment. Instead, regular monitoring through follow-up Pap smears is a prudent approach, as it allows for the detection of any changes over time without unnecessary interventions.

In many cases, inflammation can resolve on its own, especially if it is related to a transient condition. Your healthcare provider likely believes that the inflammation observed in your Pap smear is not indicative of a serious underlying issue, which is why they recommended regular monitoring rather than treatment. However, if you experience persistent symptoms or have concerns, it is always advisable to communicate these with your healthcare provider for further evaluation.

Now, addressing your second concern regarding pain during sexual arousal or foreplay, this can be attributed to several factors. One possibility is that your vagina may be sensitive or reactive to certain stimuli, which can lead to discomfort. This sensitivity can be influenced by hormonal fluctuations, stress, anxiety, or even the use of certain lubricants or contraceptives that may cause irritation. Additionally, if you are not adequately aroused or lubricated, this can lead to discomfort during penetration or stimulation.

Another potential cause of pain during arousal could be vaginismus, a condition characterized by involuntary muscle contractions in the pelvic floor that can make penetration painful or difficult. It is essential to differentiate between occasional discomfort and persistent pain, as the latter may require further evaluation by a healthcare professional.

If the pain you experience is brief and resolves quickly, it may not be a cause for concern. However, if you find that the discomfort is frequent or worsening, it would be wise to consult with a gynecologist or a sexual health specialist. They can help determine if there are any underlying conditions contributing to your symptoms and provide appropriate recommendations or treatments.

In summary, while inflammation in Pap smear results can often be benign and not necessitate treatment, it is crucial to maintain regular check-ups to monitor any changes. Regarding discomfort during arousal, understanding the potential causes and discussing them with a healthcare provider can help address any concerns and improve your sexual health and comfort. Always prioritize open communication with your healthcare provider about any symptoms you experience, as this is key to ensuring your overall well-being.

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