On Clotrimazole And Clindamycin After Finding Inflammation In Pap Smear Test. Having Slight Bleeding. Any Suggestions?

Posted on Sat, 2 Nov 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 2 Nov 2013 Answered on

Mon, 25 Nov 2013 Last reviewed on

Question : Hi, My wife had her Pap-Smear done last week and the gyn noticed a small inflammation inside. She put her on a dose of Clotrimazole & Clindamycin (6days), Ornidazole (1000mgx3days) and Azithromycon(1000x3days). We started the meds on 28th. My wife says that she notices slight bleeding starting yesterday and her cycles were not due until 405th of November. Does any of these medicines cause the cycles to happen early? Should we get it checked at a hospital?

Answered by Dr. Aarti Abraham (10 minutes later)

Brief Answer: SPOTTING MOST LIKELY DUE TO CERVICITIS Detailed Answer: Hello XXXX Thanks for writing to us with your health concern. I have gone through the doctor's note that you have uploaded on the page. It clearly states that your wife had a complaint of contact bleeding - that is , some amount of bleeding / spotting after sexual intercourse. Also, the findings indicate cervicitis - that is, inflammation of the cervix, and in the notes, the doctor too has mentioned that the cervix bleeds on touch. This is because of inflammation and hence the tissue can become very sensitive and fragile and bleed on touch. Also, she has been prescribed vaginal pessaries, so your wife would be inserting them vaginally. Hence, the spotting could be due to touching of the cervix while inserting the pessaries. Slight bleeding is to be expected as long as the inflammation persists. You do not need to consult your doctor. Just finish the prescribed course of medications, and go for the follow up visit as scheduled. Avoid intercourse till then. All the best. Hope this answer helped you. Please feel free to ask for further clarifications.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Aarti Abraham (34 hours later)

Hello Doctor, Thank you for your reply. I would like to know if there are other reasons than "contact" for vaginal bleeding/spotting. We have been married for less than a year but haven't done complete penetrative intercourse, yet. We tried a few times and it was very painful for her. I'm not very sure she mentioned this to her gynec. It's a sensitive issue for her, but I'd like to know if I should be worried - about the spotting without there being a contact. Thanks, XXXX.

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer: DETAILED BELOW Detailed Answer: Hello again XXXX. " Contact " bleeding implies bleeding after sexual intercourse. The fact that your doctor has mentioned this terminology means that this is what she must have been told by your wife. Are you sure that there is NO actual penetrative intercourse yet ? Because then you need to seek medical attention for that also. She could be having vaginismus, where penetration is not allowed by the female partner, due to psychological issues, and the vaginal muscles just tighten up when there is attempt to penetrate. If that was the case however, then she would not have allowed a Pap smear or XXXXXXX check up also, which was done by the doctor. We have a reason for the spotting - cervicitis, which can cause spotting even without contact, but is exacerbated by sexual intercourse. I would ask you to mention this to the gynecologist the next time, as I fully understand that it is a very sensitive and private issue, but it also happens to be an issue which will have tremendous impact on your married and social life. All the best. Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar