Patient's question:
On December 22, 2010, colposcopy findings:1. Complete squamocolumnar junction (SCJ) visible with mild cervical erosion, metaplastic epithelium, iodine salt appearing as spotting, and microcystic or microgyroid acetowhite epithelium.
Diagnosis recorded: Chronic cervical inflammation, SPI (subclinical warts) ?
Treatment suggestion for vaginal pseudowarts: HPV test, follow-up, and colposcopy re-examination in three months.
History of previous treatment and outcomes:
- February 9, 2009, colposcopy cervical examination: The mucosa was smooth and pink, with uniform thickness and good elasticity. After acetic acid application, it showed thin acetowhite changes.
Diagnosis: Mild cervical inflammation (Note: No sexual activity until late August 2010).
- September 22, 2010, pre-abortion surgery: The cervix appeared relatively good under visual inspection.
- September 22, 2010, abortion surgery.
- September 27, 2010, uterine aspiration (no anesthesia, very painful).
Post-abortion bleeding persisted until around October 10, 2010.
- October 29, 2010, protected intercourse (only two sexual encounters this year).
- November 3, 2010, menstrual period.
Desired help:
I would like to ask what the colposcopy findings mean. The doctor said the cervix was fine before the abortion surgery, but this check shows mild erosion. Could it be due to trauma during the surgery? Why did the doctor add a question mark for SPI (subclinical warts)? Is SPI subclinical warts the same as genital warts? Besides an HPV test, what else do I need to do, such as DNA, TCT, cervical imaging, etc.? How is mild cervical erosion treated? Can I have sex and get pregnant? Will an HPV test indicate cervical cancer? Thank you, doctor.
Doctor's answer:
Many, but basically without any major diseases, your careful examination results only show some vaginal inflammation. There is absolutely nothing in the blood regarding the HPV virus—neither positive nor negative results have clinical significance. You may currently be part of the normal population, and if necessary, you can visit another top-tier hospital to see an expert to rule out the results you mentioned as not being accurate. You can also undergo another pre-pregnancy test. If it comes back normal, you can then conceive and give birth.