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STDs (Expert Forum)
can you tell me what this means, please?
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
can you tell me what this means, please?
by bklyngirl, Jul 07, 2006 12:00AM
Hi,
Because I was diagnosed with high risk types of HPV, my doctor performed a colposcopy, the results did come back negative for cervical cancer, but my biopsy determined that I have active chronic cervicitis with squamous metaplasia. Can you tell me what this actually means? My doctor just explained it as inflamation and prescribed metrogel to try and alleviate it.
I read that most cervicitis is caused by chlamydia or gonorrhea--I did test negative for these. Is it possible that the HPV lesions that are now healing caused this, or could it be from another type of infection?
Thanks for your time.
Because I was diagnosed with high risk types of HPV, my doctor performed a colposcopy, the results did come back negative for cervical cancer, but my biopsy determined that I have active chronic cervicitis with squamous metaplasia. Can you tell me what this actually means? My doctor just explained it as inflamation and prescribed metrogel to try and alleviate it.
I read that most cervicitis is caused by chlamydia or gonorrhea--I did test negative for these. Is it possible that the HPV lesions that are now healing caused this, or could it be from another type of infection?
Thanks for your time.
Doctor's Answer
by H. Hunter Handsfield, M.D., Jul 07, 2006 12:00AM
, Jul 07, 2006 12:00AM
The causes of cervicitis are mysterious. Chlamydia and gonorrhea indeed are common causes, but they explain only a minority of cases. A few cases may be caused by a recently (10 yr) discovered organism called Mycoplasma genitalium, but cause of most cases remains unknown. Many cases are accompanied by bacterial vaginosis, a bacterial overgrowth in the vagina; Metrogel is a treatment for BV and therefore perhaps worth a try. Most likely HPV is not part of the problem in most cases, but your provider is in a better position than I am to advise you about that possibility in your cases. (I hesitate in part because squamous metaplasia is often a sign of HPV, so you might ask your doc specifically about it.)
If your cervicitis persists, I suggest you request referral to an ObG with training (or at least lots of practical experience with) infectious diseases. Such specialists usually can be found at major medical centers in industrialized countries. But in the meantime, don't worry about it too much. Nobody has ever documented serious complications due to cervicitis; unlike those associated with chlamydia or gonorrhea, infertility, PID, or other complications seem not to occur.
Good luck-- HHH, MD
If your cervicitis persists, I suggest you request referral to an ObG with training (or at least lots of practical experience with) infectious diseases. Such specialists usually can be found at major medical centers in industrialized countries. But in the meantime, don't worry about it too much. Nobody has ever documented serious complications due to cervicitis; unlike those associated with chlamydia or gonorrhea, infertility, PID, or other complications seem not to occur.
Good luck-- HHH, MD
Thanks.
Good luck--- HHH, MD