The smear results indicate inflammation?
Hello, Doctor.
I would like to ask a few questions.
I had a Pap smear in November, and the results indicated chronic inflammation.
I returned for a follow-up appointment, thinking that medication would suffice.
However, during the visit, the doctor informed me that I have cervical inflammation with erosion, and they performed cryotherapy on the spot.
I was aware of the cervical erosion before having my child (I gave birth last year), and at that time, the doctor said it was fine not to undergo cryotherapy.
I would like to ask:
1.
Does cervical erosion affect the Pap smear results? Because I had normal Pap smear results even when there was erosion before.
2.
Is cryotherapy a simple outpatient procedure that can be done quickly? It seemed to be over in no time.
3.
After cryotherapy, what should I pay attention to? The clinic doctor mentioned that I need to return for follow-up visits about three times.
Thank you for your answers, Doctor.
Xiao Xiao, 20~29 year old female. Ask Date: 2009/12/08
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, Miss: Thank you for your inquiry.
I would like to respond to your questions and provide the following suggestions: Your four questions generally have correct answers.
Cervical erosion is another term for cervical ectopy.
Cervical ectopy can be difficult to distinguish from cervical epithelial cell abnormalities, including cervical cancer, based on appearance alone.
Therefore, a Pap smear is necessary for differentiation.
If the smear results are normal or indicate inflammation, cryotherapy (approximately 1-3 minutes) can be used to destroy the affected tissue, and normal epithelium typically regenerates in about 2-3 weeks.
Consequently, follow-up visits are required weekly for about 2-3 sessions.
If abnormalities are detected, further examination is necessary.
Finally, I wish you safety and happiness!
Reply Date: 2009/12/08
More Info
Chronic cervical inflammation, also known as cervicitis, is a common condition that can arise due to various factors, including infections, hormonal changes, or physical irritation. Understanding the implications of chronic cervicitis and the treatment options available is crucial for managing your health effectively.
1. Impact of Cervical Erosion on Pap Smear Results: Cervical erosion, or the presence of raw areas on the cervix, can potentially affect Pap smear results. However, it is essential to note that the presence of cervical erosion does not automatically indicate abnormal cervical cells. In many cases, women with cervical erosion can still have normal Pap results. The key is to ensure that any inflammation or erosion is properly evaluated by your healthcare provider. If the inflammation is due to an infection, it may lead to atypical cells, but this is not always the case. Regular follow-ups and Pap smears are essential to monitor any changes.
2. Cryotherapy as a Treatment Option: Cryotherapy, or cryoablation, is indeed a simple and effective outpatient procedure used to treat cervical abnormalities, including chronic inflammation and precancerous lesions. During this procedure, extreme cold is applied to the affected area of the cervix, causing the abnormal cells to freeze and die. The procedure is typically quick, often taking only a few minutes, and patients can usually return to their normal activities shortly after. It is a well-tolerated procedure, but some may experience mild cramping or spotting afterward.
3. Post-Cryotherapy Care: After undergoing cryotherapy, there are several important considerations to keep in mind. First, it is common to experience some vaginal discharge or spotting for a few days following the procedure. You should avoid using tampons, douching, or engaging in sexual intercourse for at least two weeks to allow the cervix to heal properly. Your healthcare provider will likely schedule follow-up appointments to monitor your recovery and ensure that the treatment was effective. It is essential to attend these follow-ups, as they may include additional Pap smears or examinations to check for any recurrence of abnormal cells.
In terms of your treatment plan, it is crucial to follow your doctor's recommendations regarding follow-up visits. The typical recommendation of three follow-up appointments is a standard approach to ensure that the cervix is healing correctly and that no further treatment is necessary. If you have any concerns or experience unusual symptoms, such as heavy bleeding or severe pain, you should contact your healthcare provider immediately.
In conclusion, managing chronic cervical inflammation involves understanding the condition, following through with recommended treatments like cryotherapy, and maintaining regular follow-ups with your healthcare provider. This proactive approach will help ensure that any potential issues are addressed promptly and that your cervical health is monitored effectively. Always feel free to ask your healthcare provider any questions or express concerns you may have about your treatment and recovery process. Your health and peace of mind are paramount.
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