Cervical Issues: Symptoms, Treatments, and When to Seek Help

Cervical issues

On April 14, I visited an obstetrics and gynecology clinic for endocrine issues and experienced bleeding after intercourse.
The doctor performed a pelvic examination and found polyps, stating that the clinic could not handle them.
They also discovered bleeding on the right side of my cervix and asked about my Pap smear from last year, which I forgot to do.
The doctor said I need to wait for the Pap smear results to determine if there are any issues and prescribed three suppositories (Borinine).
Does this medication have an odor? After using the suppositories, I have been experiencing bloody discharge the next day.
Is this a sign of cervical cancer? Given my current situation, can I still have a Pap smear? Should I go to a larger hospital for further examination, or is the clinic sufficient?

Niming, 30~39 year old female. Ask Date: 2017/04/18

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On April 14, I visited a gynecology clinic for endocrine issues and experienced bleeding after intercourse.
The doctor performed a pelvic examination and found polyps, stating that the clinic could not manage them.
Additionally, there was bleeding on the right side of the cervix.
The doctor asked about my Pap smear from last year, which I forgot to do, and advised that I need to wait for the Pap smear results to determine if there are any issues.
I was prescribed three suppositories (Borinine).
Does this medication have an odor? After using the suppository, I have been experiencing bloody discharge the next day.

1.
Is this a sign of cervical cancer? Answer: We will discuss this after the examination results are available.

2.
Can I have a Pap smear done in this situation? Answer: No, it cannot be done while bleeding.

3.
Do I need to go to a major hospital for further examination? Answer: Since there are polyps and the clinic cannot manage them, it is advisable to go to a major hospital for further evaluation.

Reply Date: 2017/04/18

More Info

Understanding cervical issues is crucial for maintaining reproductive health, especially when symptoms such as abnormal bleeding or unusual discharge arise. Based on your description, it seems you have been experiencing some concerning symptoms, including bleeding during intercourse and the presence of a cervical polyp. Let's break down your situation and address your questions regarding symptoms, treatments, and when to seek further medical help.

Symptoms and Their Implications
1. Cervical Polyps: These are usually benign growths on the cervix and can cause irregular bleeding, especially after intercourse. While they are not cancerous, they can sometimes be associated with other cervical issues. It's essential to monitor them, as your doctor suggested.

2. Bleeding During Intercourse: This can be a sign of various conditions, including cervical inflammation, infections, or even more serious issues like cervical dysplasia or cancer. However, it is not definitive on its own.
3. Discharge and Odor: The medication you mentioned, "保理寧" (likely a form of vaginal suppository), may have a distinct odor, which can vary based on the formulation. If you notice a strong, foul smell, it could indicate an infection, and you should consult your doctor.

Treatment Options
You mentioned that your doctor prescribed suppositories. These are often effective for treating localized infections or inflammation in the vaginal area. If you experience side effects or if the symptoms persist, it’s important to communicate this to your healthcare provider.

When to Seek Further Help
1. Follow-Up on Pap Smear: Since you missed your Pap smear last year, it’s crucial to schedule this test as soon as possible. The Pap smear is a screening tool for cervical cancer and can help identify any abnormal cells that may require further investigation.

2. Persistent Symptoms: If you continue to experience bleeding, unusual discharge, or any new symptoms, it’s advisable to seek further evaluation. While your current clinic may be able to handle some issues, a larger hospital may have more resources for comprehensive evaluation, including imaging studies or more advanced diagnostic procedures.

3. Cervical Cancer Concerns: While your symptoms could be alarming, it’s important to remember that many conditions can cause similar symptoms. Cervical cancer typically presents with abnormal bleeding, but it is often preceded by precancerous changes that can be detected through regular screening.

Preventive Measures
1. Regular Screenings: Ensure you keep up with your Pap smears and HPV vaccinations if you haven’t received them. These are crucial for preventing cervical cancer.

2. Safe Practices: If you are sexually active, using condoms can help reduce the risk of sexually transmitted infections, which can contribute to cervical issues.

3. Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support your immune system and overall health.

Conclusion
In summary, while your symptoms warrant attention, they do not automatically indicate cervical cancer. It is essential to follow up with your healthcare provider for a Pap smear and discuss your symptoms in detail. If you feel uncertain about the care you are receiving or if your symptoms worsen, seeking a second opinion from a larger medical facility may provide you with peace of mind and more comprehensive care. Remember, staying informed and proactive about your health is key to managing any potential issues effectively.

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