Question: chlamydia infection

Blue asked:

how can a woman get chlamydia if she and her husband hasn’t had sex in 9 years? I went to emergency cause of a very high fever along with 2 other things well I had a papsmear done and thats where they told me I have it I was totally shocked and surprised.

You may be infected with chlamydia if you’ve been infected in the past and didn’t went through proper treatment. Without further information, there’s one thing I can assure: pap smear is definitely not the right exam to diagnose this type of infection. In order to detect chlamydia you’ll have to collect a cervical sample and get it tested using specific procedures.

Question: post-coital bleeding

Kaycee asked:

I am 42 year old mother. Routine history of annual negative Pap smears for 23+ years. Vigilant about smears. No STDs. History of cervical erosion and bleeding throughout pregnancy . No treatment given . colposcopys performed with negative results. Not taking any OCPs. no contraception used. PCOS diagnosis 20 years ago. Continue to have heay post coital bleeding every time. Due for Pap smear again. Is there any other test I should be having to assess PCB ? Heaviness bothers me. Starts bright red. Following day bleed is brown. Please help.

The cervix is the part of the uterus in direct contact with the vagina. Cervix morphology changes throughout a woman’s life, and these modifications are hormone related. In addition to those changes, several factors, such as STDs, HPV infection, tobacco, and OCPs, explain the development of cervical diseases that may cause post coital bleeding. These are usually diagnosed with Pap smears or biopsies. However, women may bleed after intercourse due to “cervical erosion” (also known as cervical ectropion) that occurs as a consequence of the hormonal status. So, post coital bleeding may occur when no serious cervical disease underlies. I think this should be your case – with regular Pap smears and negative colposcopies it’s unlikely that you have a cervical disease. You say that it starts bright red becoming brown the following day – this is explained by the decreasing amount of blood you loose after intercourse. You don’t take OCPs, which is helpful for this particular issue. But now, what to do? First line treatment consists in vaginal preparations; in Europe, Nelex is an available solution – it eliminates damaged tissues and has haemostatic properties (meaning it can stop the bleeding). Although you should start with this type of treatment, it is possible that it won’t work considering the heaviness of your bleeding. Otherwise, there are destructive treatments available such as cryocoagulation / LASER vaporization of the cervix.

Question: motorcycle riding during pregnancy

bf asked:

Is it safe to ride a motorcycle while I am 23 weeks pregnant?

Generally speaking, motorcycle riding carries a higher risk than driving a car. Other than that, unless you’re planning a bumpy ride, there should be no danger to your baby. Any harm caused would be due to shock in your belly, not by the simple vibration of a soft ride. Better safe than sorry, that’s my advice!

Question: Bleeding after intercourse

LiLi asked:

Just to preface this, I am 22 years old and on the lowest level birth control.Back in December I was diagnosed with HPV, went to the gynecologist, got a coloscopy/biopsy and the 2 abnormal cells they found were not cancerous or precancerous. She said it was probably the changing of my cervix due to my body changing as I get older and that I was fine. Just 2 weeks ago when my bf and I were having intercourse I started bleeding. I have never bled during intercourse before. The blood was bright red like a period, but no pain and the bleeding stopped after a few minutes. So this week we had sex and I began to bleed again, no pain, bright red, bleeding only when I wiped and when I wiped the next morning I was still bleeding but very very lightly. I’m not due for a gyn visit until June (a 6month pap followup) what’s going on?

Once you’ve already been submitted to a colposcopy and your doctor told you that everything was fine, it’s unlikely that you have a serious cervical disease. Bleeding after intercourse may occur even without underlying problems. There are two causes that can explain your problem, the first being the most likely:

1) a friable cervix, meaning it’s prone to bleed when touched; this can occur spontaneously and hormonal birth control doesn’t help (but don’t stop having them!). Most usually it’s not associated with other symptoms such as pain or vaginal discharge.

2) genital infection – usually women also refer pain during intercourse and/or vaginal discharge.

First line treatment for 1) consists in vaginal preparations; in Europe, Nelex is an available solution – it eliminates damaged tissues and has haemostatic properties (meaning it can stop bleeding from the cervix). Should it fail to work, destructive treatments are available such as cryocoagulation / LASER vaporization of the cervix. However, in your case, spontaneous resolution is a possibility, since you lost a lesser amount of blood in your second time.

Treatment of 2) – genital infection – involves drugs to kill the responsible microorganisms (such as antibiotics or antifungal medications).

If discomfort becomes a major concern, you should consider an earlier reschedule of your next Gyn visit. Otherwise, you can address your concerns when the next visit occurs.

 

Question: uncomfortable urination following strepB test

bakinglovemuffin#3 asked:

Hello,?Today I had a strepB test at 36 weeks. As my ob inserted the swab, it made me flinch my legs and hurt a little. After the exam I went to urinate right away even though I just had and I immediately felt irritable and uncomfortable. I went home and peed again and it was painful and burned and has been ever since when I urinate. Is it possible that the doctor accidentally inserted the swab in my urethra? If so, how can I tactfully tell her this?
Group B streptococcus colonization is ruled out through vaginal and anal swab analysis. This is not a painful procedure and it is unlikely that your doctor inserted the swab in your urethra – that would be very painful. However, you’re having symptoms of urinary infection. Having felt these symptoms after the exam is most likely a coincidence. I think your doctor will appreciate your honesty and my advice is to schedule a consultation to confirm if you have a urinary infection because, should it be the case, you must start proper treatment.