Do I Need a Repeat Test for Vaginal Symptoms?

Q: Do I Need a Repeat Test for Vaginal Symptoms?

Hello： Cauliflower-like lesions typically appear as papillomatous growths on the skin or mucous membranes. <br>If you notice any suspicious lesions in the perineal area, it is advisable to consult a gynecologist for examination.

Is it necessary to retest the specimen?

Hello, Director Chen.
Previously, I visited a gynecologist due to itching in the genital area.
During the internal examination, the doctor mentioned that there were warts in the vagina and advised me to go to the hospital for further testing.
Later, I was given vaginal infection suppositories and an ointment to apply.
I then went to another gynecologist for a check-up and mentioned the possibility of warts.
I also informed the doctor that I felt small lumps on the labia.
The doctor collected samples for testing (only from the labia, not from the vaginal area).
The examination coincided with my menstrual period, and after the report came back, the doctor said it was a polyp, not warts.
However, I would like to ask if collecting samples only from the labia, without sampling from the vagina, could lead to discrepancies in the results.
Do I need to undergo another examination?

Niming, 20~29 year old female. Ask Date: 2018/12/03

Dr. Chen Liqin reply Obstetrics and Gynecology

Hello: Cauliflower-like lesions typically appear as papillomatous growths on the skin or mucous membranes.
If you notice any suspicious lesions in the perineal area, it is advisable to consult a gynecologist for examination.

Reply Date: 2018/12/03

More Info

Based on your description, it seems you have undergone a thorough examination regarding your vaginal symptoms, including the presence of warts (which you referred to as "菜花" or "cauliflower"). The initial diagnosis suggested the presence of warts, but subsequent tests indicated that what you have is a polyp rather than warts.
To address your question about whether you need a repeat test, let's break down the situation:
1. Understanding the Tests: The tests conducted by your healthcare provider involved collecting samples from the labia (the outer part of the vulva) rather than the vaginal canal. While this can provide valuable information, it is essential to note that certain conditions, particularly those affecting the vaginal walls or cervix, may not be detected if only external samples are taken.
2. Polyp vs. Warts: Polyps are generally benign growths that can occur in various parts of the body, including the cervix and vagina. They are not typically associated with sexually transmitted infections (STIs) like human papillomavirus (HPV), which is responsible for genital warts. If the lab results confirmed a polyp, this is a reassuring finding, as polyps are usually not a cause for concern unless they cause symptoms or are atypical.

3. Need for Repeat Testing: If you are still experiencing symptoms such as itching or discomfort, or if you have concerns about the accuracy of the initial test due to the sample collection method, it may be prudent to seek a follow-up appointment. A healthcare provider can perform a more comprehensive examination, potentially including a Pap smear or HPV testing, which would involve collecting samples from the cervix and vaginal walls. This would provide a clearer picture of your reproductive health.

4. Timing of Tests: It’s also important to consider the timing of your tests. If you were on your menstrual period during the sample collection, this could potentially affect the results, especially if blood interfered with the sample quality. If your symptoms persist or worsen, or if you have new symptoms, it would be wise to consult your healthcare provider for further evaluation.

5. Communication with Your Doctor: When you return for a follow-up, be sure to communicate all your symptoms clearly and express your concerns about the previous test results. This will help your doctor determine the best course of action, whether that involves repeat testing or alternative diagnostic procedures.

In summary, while the initial results suggest that you may not have warts, if you continue to experience symptoms or have concerns about the accuracy of the tests conducted, it is advisable to seek further evaluation. Your health and peace of mind are paramount, and a follow-up visit can help clarify your situation and ensure that you receive appropriate care.

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