Abnormal Pap Smear Results and Ovarian Pain: A Guide for Women - Obstetrics and Gynecology

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Pap smear examination


Doctor Tsao, I have had sexual intercourse and have undergone Pap smears three times, all of which showed inflammation.
Will this ever get better, and what should I do? In the past, I might have wanted to engage in sexual activity, but now I have no desire at all.
Is there something wrong? Additionally, my menstrual flow used to be heavier, but in recent years it has been lighter, lasting only about four days before stopping.
What should I do? Every time I visit the doctor, I don't get any real answers.
The doctor just asks if I want to have a baby, and when I say I don't want to at the moment, they say it's fine as long as I have my period.
Is that really the case? I'm very concerned about my health; I often feel pain in my left ovary.
What should I do?

Mini, 20~29 year old female. Ask Date: 2018/07/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the smear report indicates inflammation, which can be treated.
If menstrual flow is too light, menstrual regulation can be considered.
Sometimes there is pain in the left ovary, so it is recommended to see a gynecologist for examination.
Wishing you good health.

Reply Date: 2018/07/29

More Info


Understanding abnormal Pap smear results and ovarian pain can be quite challenging for many women. It’s essential to address both the concerns regarding your Pap smear results and the pain you are experiencing in your left ovary.
Firstly, an abnormal Pap smear typically indicates that there are changes in the cells of the cervix, which could be due to various reasons, including inflammation, infection, or even precancerous changes. If your results have consistently shown inflammation, it might suggest a persistent infection or other underlying issues that need to be addressed. It’s crucial to follow up with your healthcare provider for further evaluation, which may include tests for sexually transmitted infections (STIs), a colposcopy (a more detailed examination of the cervix), or even a biopsy if necessary.
Regarding your concerns about your menstrual cycle, it’s not uncommon for women to experience changes in their menstrual flow over time. Factors such as hormonal imbalances, stress, weight changes, and underlying health conditions like polycystic ovary syndrome (PCOS) can all contribute to lighter periods. If your periods have become significantly lighter and shorter, it’s worth discussing this with your doctor, as it may indicate an underlying hormonal issue that could be addressed.

The pain you are experiencing in your left ovary can be attributed to several factors. Ovarian pain can arise from ovulation, ovarian cysts, or conditions like endometriosis or pelvic inflammatory disease (PID). Since you mentioned that you have had pain specifically on the left side, it may be beneficial to have a pelvic ultrasound to check for any cysts or other abnormalities. Additionally, if you have a history of pelvic inflammatory disease or endometriosis, these could also be contributing to your pain.

It’s understandable to feel anxious about your health, especially when you are not receiving clear answers from your healthcare provider. It’s essential to advocate for yourself and seek a second opinion if you feel your concerns are not being adequately addressed. You have the right to understand your body and your health, and it’s important to have a healthcare provider who listens to your concerns and provides you with comprehensive care.

In summary, here are some steps you can take:
1. Follow Up on Pap Smear Results: Discuss with your doctor the next steps for addressing the inflammation noted in your Pap smear. This may include further testing or treatment for any infections.

2. Monitor Your Menstrual Cycle: Keep a record of your menstrual cycle, noting any changes in flow, duration, and associated symptoms. This information can be helpful for your healthcare provider.

3. Evaluate Ovarian Pain: Consider scheduling a pelvic ultrasound to investigate the cause of your left ovarian pain. Discuss the possibility of conditions like ovarian cysts or endometriosis with your doctor.

4. Seek a Second Opinion: If you feel your concerns are not being addressed, don’t hesitate to seek a second opinion from another healthcare provider.

5. Lifestyle Considerations: Maintain a healthy lifestyle, including a balanced diet and regular exercise, as these can positively impact your hormonal balance and overall health.

Remember, your health is a priority, and it’s essential to seek the care and answers you deserve.

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