[Question #2504] Cervical Discharge

45 months ago
Hi,

I was just tested for bacterial vaginosis and had a "few" leukocytes on my BV score of 1. I was wondering if the leukocytes would mean that I had some type of infection, or if having a "few" is normal. I recently had a follow up "test of cure" for chlamydia that was negative after being treated for doxycycline for 7 days. I had additional repeat testing weeks later just to confirm as I was still having symptoms.

Thank you for your help.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
I'm afraid you're getting in a habit of using this forum as back-up for ongoing care of your past chlamydia and genital infections in general. We do not provide direct medical care, and these are the sorts of questions you should be asking the doctor managing these issues. She or he is in the best position to judge the importance of leukocytes in your vaginal fluid. I'll just say that having a few white blood cells in vaginal fluid, or even a fairly large number, is very frequent and not necessarily abnormal.

I'm going to repeat the same warning I posted in one of your previous threads. From here on the policy definitely will be enforced.

Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about these issues will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.


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45 months ago
Thank you. My follow up question is how reliable is the  Aptima Combo 2  
transcription-mediated amplification and nucleic acid probe assay  for detecting chlamydia? I was retested 3 weeks after completion of therapy and was negative. But decided to be retested for peace of mind, and also continued to have vaginal discomfort and intermittent cramping. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Combo 2 is completely reliable. You can be sure your chlamydia is gone, also that you don't have gonorrhea.

Any genital tract infection in women probably disrupts normal bacteria that may result in various symptoms. That's why diagnosis of some conditions, such as pelvic inflammatory disease, is based mostly on clinical diagnosis (pelvic exam, etc) and not on tests for gonorrhea, chlamydia, or any other direct causes. And it may take a few weeks for symptoms from bacterial disruption to clear up. Continue to work with your doctor if symptoms persist.

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45 months ago
That makes sense. I have had two pelvic exams that were said to not reveal PID as I did not have severe tenderness. Just intermittent cramps. I've read this often goes undiagnosed. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Thanks. All I can do is reiterate the advice to keep working with your doctor. Or just give it time. You may find your symptoms fade away. 

That completes this thread. Going forward, thanks for adhering to the policy on repeat questions.

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