Abnormal Vaginal Discharge and Pap Smear Results in Women

Pap smear examination

Hello doctor, about a week before the Pap smear, I experienced greenish discharge that lasted for about three weeks.
During the Pap smear screening, the physician noted that there was severe vaginal inflammation.
Since there was no pain or itching, the outpatient physician suggested waiting for the Pap results.
The Pap results indicated a "benign cellular response," but also mentioned that the cause could be inflammation or epithelial repair, etc.
The discharge has now resolved, so does that mean there is no issue? I have been taking Tamoxifen for almost eight months, and due to some bleeding, an endometrial check showed about 0.5 cm thickness.
The gynecologist believes that if there is no ongoing bleeding, we can just monitor it.
Since this was the first occurrence of the aforementioned symptoms, could it possibly be related to the medication?

sunny, 30~39 year old female. Ask Date: 2017/09/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology

About a week before the Pap smear, I experienced green discharge, which persisted for about three weeks.
During the Pap smear screening, the physician noted that there was severe vaginal inflammation.
Since there was no pain or itching, the outpatient physician suggested waiting for the Pap results.
The Pap results indicated a "benign cellular response," but also mentioned that the cause could be inflammation or epithelial repair, etc.

1.
Since the discharge has resolved, does that mean there is no problem?
Answer: Yes, there is no problem.
2.
I have been taking Tamoxifen for almost eight months.
Due to some bleeding, an endometrial examination showed about 0.5 cm thickness.
The gynecologist believes that if there is no ongoing bleeding, we can just monitor it.
Given that the previous symptoms occurred for the first time, could they possibly be caused by the medication?
Answer: It is possible that the symptoms were caused by the medication.

Reply Date: 2017/09/08

More Info

Understanding abnormal vaginal discharge and Pap smear results is crucial for women's health, especially when there are changes in discharge and the results of routine screenings. In your case, the presence of green discharge for three weeks, followed by a Pap smear that indicated a benign cellular response but noted inflammation and epithelial repair, raises several important points to consider.

Firstly, the green discharge you experienced could be indicative of a few different conditions. Common causes of abnormal vaginal discharge include bacterial vaginosis, yeast infections, and sexually transmitted infections (STIs) such as trichomoniasis. The fact that you did not experience pain or itching may suggest that the inflammation is not severe, but it does not rule out an underlying infection. It's important to note that some infections can be asymptomatic, meaning they do not always present with noticeable symptoms.

The Pap smear results showing a benign response are reassuring, but the mention of inflammation and epithelial repair suggests that your body was responding to some form of irritation or infection. This is not uncommon, and many women experience similar results, especially after an episode of vaginitis. The inflammation noted in your results could be a response to the abnormal discharge you experienced, and since the discharge has resolved, it may indicate that your body has successfully dealt with the underlying issue.

Regarding your use of Tamoxifen, it is essential to consider that this medication can have various side effects, including changes in vaginal discharge and potential effects on the endometrial lining. Tamoxifen is often used in the treatment of breast cancer and can influence estrogen levels in the body, which may lead to changes in vaginal health. The endometrial thickness of 0.5 cm you mentioned is within a range that is generally considered normal, especially if you are not experiencing any abnormal bleeding. However, continuous monitoring is advisable, particularly if you have a history of abnormal bleeding.

In summary, the resolution of your discharge is a positive sign, and the benign Pap smear results suggest that there is no immediate cause for concern. However, it is crucial to maintain regular follow-ups with your healthcare provider, especially given your Tamoxifen treatment. If you experience any new symptoms, such as unusual bleeding or persistent discomfort, you should seek medical advice promptly.

To further ensure your health, consider discussing the following with your healthcare provider:
1. The potential side effects of Tamoxifen and how they may relate to your symptoms.

2. The need for any additional tests or follow-ups based on your Pap smear results and history.

3. Any lifestyle changes or preventive measures you can take to maintain vaginal health, such as proper hygiene practices and safe sex practices to reduce the risk of STIs.

Overall, staying informed and proactive about your health is key, and maintaining open communication with your healthcare provider will help you navigate any concerns that arise in the future.

Similar Q&A

Addressing Abnormal Vaginal Discharge After Pap Smear: What to Do?

Hello, doctor. I am due for my annual Pap smear, but since I had my last Pap test last year, I have been experiencing yellow-green vaginal discharge (despite taking numerous antibiotics, suppositories, and probiotics) with no improvement. There is basically no itching or pain. Pr...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, usually treatment focuses on symptoms. Please undergo a gynecological examination and treatment. It is advisable to wear cotton underwear and avoid using sanitary pads. Wishing you good health.

Understanding Abnormal Pap Smear Results and Unusual Discharge in Women

The usual discharge is a dark yellow color, and while it remains clean and does not have a strong odor, there is a strong fishy smell after intercourse with my husband. Previously, I had a Pap smear at the hospital that showed mild abnormalities, and after that, I underwent a bio...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If vaginal discharge has a fishy odor, it may indicate bacterial vaginosis, which should be treated with broad-spectrum antibiotics. A Pap smear should be performed after recovery for accurate results. 2. May I ask what the report of your cervical biopsy indicates? &quo...

Understanding Abnormal Pap Smear Results: What You Need to Know

Hello Doctor, I recently went to the hospital for an examination due to abnormal bleeding. During the first ultrasound and vaginal examination, there was a suspicion of hormonal imbalance, and both the uterus and ovaries appeared normal. For precaution, I also underwent a Pap sme...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Related to the infection with the HPV virus and the inability of the autoimmune system to produce antibodies.

Understanding Abnormal Discharge and Lower Back Pain in Women

After my third year in college, I experienced my menstrual cycle twice within a two-week period. After consulting with a gynecologist and undergoing an ultrasound, the doctor prescribed birth control pills to regulate my cycle, which has since stabilized. However, I later develop...

Dr. Lin Manying reply Obstetrics and Gynecology
It is recommended to undergo a Pap smear if one has not had one in the past year. Recurrent vaginitis is related to individual constitution and lifestyle habits, so it is advised to reduce the intake of sweets and avoid staying up late.