Patient's question:
Leukorrhea turns yellow, contact bleeding, frequent lower abdominal pain. Tests show only BV positive, while other mycoplasma, chlamydia, etc. are negative. Biopsy diagnosis: (cervix) chronic severe mucosal hyperplasia with erosion, squamous epithelial metaplasia.Doctor's answer:
Hello, after reviewing the medical records you provided, I would like to offer some explanations: The cervical TCT result is ASC-US (atypical squamous cells), and an HPV result should be included, which was not provided. The current pathology only indicates cervical inflammation, and a follow-up TCT test is recommended in 4-6 months. Bacterial vaginosis (BV) is a common gynecological vaginal inflammation, and there is no need to worry excessively. During the acute phase, vaginal suppositories or oral metronidazole should be used for treatment. Pelvic effusion is a description from the ultrasound examination and cannot be used alone to diagnose a specific disease. Sometimes physiological activities like ovulation or menstruation can also cause a small amount of pelvic effusion.Currently, your treatment should include:
1. Actively treating lower abdominal pain by visiting a local clinic to rule out acute pelvic inflammation. The treatment goal should be symptom relief. If pelvic inflammation is confirmed, standardized antibiotic treatment for 10-14 days is recommended.
2. Actively treating bacterial vaginosis (BV).
3. Scheduling regular follow-up for cervical TCT.