Pap Smear Results: Inflammation and HPV Testing Concerns

Pap smear examination

Hello, Director: Four years ago, my Pap smear report at the health center was normal, but for the next three years, I have had continuous inflammation at the clinic.
I asked the doctor if I needed to have another Pap smear after three months due to the inflammation, and he said it was not necessary, just medication would suffice.
He mentioned that the cells were normal, and it was just inflammation.
Is this considered normal?
Secondly, during the Pap smear, the doctor noticed excessive discharge and advised me to treat it before proceeding with the test.
After 1-2 weeks of treatment, I did not use any medication three days prior to the Pap smear.
I asked the doctor if it was okay since I had used medication three days before, and he said it was fine.
I went ahead with the Pap smear and HPV test, and the report showed inflammation again, but the HPV test for type 18 was normal and negative.
Am I being overly cautious with this testing procedure?
Lastly, I am really unsure about what to do as I constantly experience lower abdominal pain.
The doctor mentioned uterine inflammation.
Could this be due to not drinking enough water? Thank you for your assistance, Director.

Mavis, 30~39 year old female. Ask Date: 2016/06/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is possible that you are experiencing vaginitis.
I recommend continuing to follow up and receive treatment from your physician.
Thank you! Wishing you peace and good health.
Dr.
Chang

Reply Date: 2016/06/07

More Info

Understanding Pap Smear Results: Inflammation and HPV Testing Concerns
When it comes to cervical health, the Pap smear is a crucial screening tool that helps detect abnormal cells in the cervix, which could indicate the presence of precancerous changes or cervical cancer. In your case, you have experienced recurrent inflammation over the past three years, yet your Pap smear results have remained normal. This situation raises several important questions regarding the implications of inflammation, the necessity of retesting, and the relationship between HPV and cervical health.

1. Understanding Inflammation in Pap Smear Results:
Inflammation in the cervix, often indicated by the presence of inflammatory cells in a Pap smear, can be caused by various factors, including infections, hormonal changes, or irritation. Your doctor’s assessment that the cells are normal but inflamed suggests that while there is an inflammatory response, there are no abnormal or precancerous cells detected. It is common for healthcare providers to recommend treatment for inflammation, such as topical medications or antibiotics, rather than immediate retesting. The recommendation to wait three months before repeating the Pap smear is standard practice, as it allows time for the inflammation to resolve.

2. Impact of Treatment on Pap Smear Results:
You mentioned that you had a treatment for excessive discharge before your Pap smear. It’s important to note that while some treatments may affect the results, your doctor indicated that the timing of your treatment was acceptable. The presence of inflammation in your Pap smear indicates that the treatment may not have fully resolved the underlying issue, but it does not necessarily indicate a failure of the treatment. The HPV test results being negative for 18 types of HPV is a positive outcome, as it suggests that you are not at high risk for HPV-related cervical changes.

3. Addressing Symptoms and Concerns:
Your ongoing symptoms of lower abdominal pain and the diagnosis of uterine inflammation warrant further investigation. While dehydration can contribute to various health issues, including urinary tract infections, it is unlikely to be the sole cause of persistent abdominal pain. It is essential to communicate these symptoms to your healthcare provider, as they may need to conduct additional tests, such as an ultrasound or further gynecological examinations, to determine the underlying cause of your discomfort.

4. Next Steps and Recommendations:
Given your history of inflammation and the current symptoms, it may be beneficial to schedule a follow-up appointment with your healthcare provider. Discuss your concerns about the recurrent inflammation and abdominal pain, and inquire about the possibility of further diagnostic tests. Additionally, maintaining open communication with your healthcare team about any changes in your symptoms or concerns is crucial for effective management of your cervical health.

In summary, while your Pap smear results indicate normal cells with inflammation, it is essential to follow up on your symptoms and continue monitoring your cervical health. Regular screenings, appropriate treatments for inflammation, and addressing any ongoing symptoms will help ensure that you maintain optimal reproductive health. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized guidance and support.

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