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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following PAP Smear Report Indicate?

Hello doctor, i had a pap smear test, microscopy results is as follows : smear shows admixture of superficial and intermediate squamous epithelial cells occasional endocervical cells along with few clue cells and clumps of filamentous bacterial against the background of dense acute inflammation. what does this mean.............. is there some serious problem
Mon, 1 Aug 2016
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General & Family Physician 's  Response
Thanks you for asking this question. I have undergone through your question. I understand your concern. Presence of clue cells in PAP smear is a good indicator of bacterial vaginosis. In bacterial vaginosis only a few epithelial cells are clue cells which are loaded with bacteria on their surfaces. More than ten percent of the female population has been involved worldwide in bacterial vaginosis. Bacterial vaginosis is characterized by a thin malodorous vaginal discharge due to an alteration of bacterial flora caused by a shift in the acidity (pH) of the vagina. While bacterial vaginosis is a genital, or perhaps a sexual disease, it is not considered a sexually transmitted disease. Sexual contact is not responsible for it's presence nor is it spread through sexual contact. It arises from changes within host allowing for the disproportionate proliferation of native bacterial species.
Treatment
1.     Metronidazole 500 mg orally twice daily for seven days
2.     Clindamycin phosphate vaginal cream 2%, one full applicator (5 g) intravaginally each night for 7 days
3.     Metronidazole gel 0.75%, one full applicator (5 g) intravaginally twice daily for 5 days
Please do take any medicine without doctor’s prescription. This is not a serious condition. Complete cure is possible after a course of treatment. Visit to your gynecologist.
I hope this information will help you
I wish you a good health

     

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What Does The Following PAP Smear Report Indicate?

Thanks you for asking this question. I have undergone through your question. I understand your concern. Presence of clue cells in PAP smear is a good indicator of bacterial vaginosis. In bacterial vaginosis only a few epithelial cells are clue cells which are loaded with bacteria on their surfaces. More than ten percent of the female population has been involved worldwide in bacterial vaginosis. Bacterial vaginosis is characterized by a thin malodorous vaginal discharge due to an alteration of bacterial flora caused by a shift in the acidity (pH) of the vagina. While bacterial vaginosis is a genital, or perhaps a sexual disease, it is not considered a sexually transmitted disease. Sexual contact is not responsible for it s presence nor is it spread through sexual contact. It arises from changes within host allowing for the disproportionate proliferation of native bacterial species. Treatment 1. Metronidazole 500 mg orally twice daily for seven days 2. Clindamycin phosphate vaginal cream 2%, one full applicator (5 g) intravaginally each night for 7 days 3. Metronidazole gel 0.75%, one full applicator (5 g) intravaginally twice daily for 5 days Please do take any medicine without doctor’s prescription. This is not a serious condition. Complete cure is possible after a course of treatment. Visit to your gynecologist. I hope this information will help you I wish you a good health