Cervical Smear Results: Inflammation and Next Steps

The smear test results indicate inflammation?

During my visit to the gastroenterology department on June 20, I also had a Pap smear done.
Two days later, I received a text message informing me that the results indicated inflammation and that I should return for a follow-up as soon as possible.
However, since my menstrual cycle started afterward, I did not go back immediately.
I would like to ask:
1.
Do I have to return to the same hospital and see the same doctor to obtain the official report? Can I request them to send me a written report? The doctor who performed the test was somewhat rude, and I usually see the doctor who delivered my baby.
I feel more comfortable with them for any follow-up treatment or monitoring.
If I decide to see my obstetrician instead, will they be able to access my Pap smear results from the other hospital?
2.
How long after my menstrual cycle ends is it appropriate to schedule a follow-up appointment?
3.
Will a pelvic exam be necessary?
Thank you!

Vivi, 40~49 year old female. Ask Date: 2017/07/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
Do I have to return to the same doctor at the hospital where I had my initial examination to obtain the official report? Can I request them to send me a written report separately? Since the examination was a last-minute decision, the doctor assigned to me was a bit rude.
I usually see the doctor who delivered my baby, and I feel more comfortable with them for any follow-up treatment or monitoring.
If I switch to see the doctor who delivered my baby, will they be able to access my Pap smear report from another hospital? Answer: Ask the hospital that performed the cervical Pap smear examination.
2.
How long after the MC (miscarriage) is it appropriate to return for a follow-up appointment? Answer: You can return immediately after it ends.
3.
Will a pelvic exam be necessary? Answer: It may not be required.

Reply Date: 2017/07/05

More Info

When it comes to understanding cervical smear results, particularly when inflammation is detected, it's essential to approach the situation with clarity and a plan for follow-up care. Here are the answers to your questions based on medical knowledge and practices.

1. Accessing Your Cervical Smear Report: You do not necessarily have to return to the same hospital or the same doctor who performed the cervical smear to access your results. Most healthcare facilities maintain electronic health records, which means that your results can often be shared with other healthcare providers, including your trusted obstetrician or gynecologist. You can request a written copy of your report from the facility where the test was performed. They are typically required to provide you with your medical records upon request, although there may be a process to follow. If you feel uncomfortable with the initial doctor, it is entirely reasonable to seek care from the doctor you trust more, such as the one who managed your pregnancy. Just ensure that you inform your new doctor about the previous test and ask them to obtain the results from the other facility.

2. Timing for Follow-Up After Menstrual Cycle: After your menstrual cycle (MC) ends, it is generally advisable to wait about a week before scheduling your follow-up appointment. This allows your body to return to its baseline state, making it easier for the doctor to conduct any necessary examinations or tests without interference from menstrual bleeding. However, if you experience any unusual symptoms, such as severe pain or abnormal bleeding, you should seek medical attention sooner.

3. Need for a Pelvic Examination: Whether an internal examination (pelvic exam) is necessary will depend on your specific situation and the doctor's assessment. If the inflammation detected in your cervical smear is significant or if you have symptoms such as unusual discharge, pain, or bleeding, your doctor may recommend a pelvic exam to further evaluate your reproductive health. This examination can help determine the cause of the inflammation and guide any necessary treatment. If you are uncomfortable with the idea of an internal exam, communicate your concerns with your doctor; they can explain the reasons for the exam and what it entails.

In summary, it is important to follow up on your cervical smear results, especially when inflammation is noted. You have the right to access your medical records and choose a healthcare provider you trust. After your menstrual cycle, plan for a follow-up appointment, and be prepared for the possibility of an internal examination based on your symptoms and the doctor's recommendations. Always feel empowered to ask questions and express any concerns you may have during your medical visits. Your health and comfort should always be a priority.

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