STD Questions?!


Question:

STD Questions?

Heres the background: Went to the hospital due to vaginal spottng, pain, and discharge. Was told there was pus on my cervix and it was an STD and cervisitis. They took cultures, doctor told me to leave my boyfriend if IM not cheating because he did this to me.... ghonorrea and chlamydia test(the two they took) came back negative today.. I went to the hospital yesterday again got checked(she just felt, didnt look) and said she just seen bloody discharge like im on a light day, no pus and it may not have been an STD..the hospital gave me tons of medicine the day before so if it was, its gone now...

Question: Was the doctor wrong with telling me it was an STD even though she didnt know?
Can it be some other STD even though it cleared up?
And pus on the cervix doesnt always mean STD, right?

Additional Details

3 weeks ago
It wasnt a clinic. It was an ER with a regular ER doctor.


Answers:

Pus is actually a collection of dead skin cells, white blood cells called neutrophils, and some bacteria that is still putting up a fight. It is a visible sign that you have an infection.

Cervicitis can be caused by a sexually transmitted disease (STD). Most common are chlamydia, which causes about 4 million cases per year in the United States, and gonorrhea, which causes about 600,000 cases. Trichomoniasis and genital herpes can also cause cervicitis. In some cases, cervicitis is not caused by infection. It may be due to trauma, frequent douching or exposure to chemical irritants.

Symptoms

Cervicitis often causes no symptoms at all, but some women will experience pain during intercourse, vaginal itching, a bloody vaginal discharge, or vaginal spotting or bleeding between periods (usually after vaginal intercourse). If the urethra (urine tube) also becomes infected, you may feel burning when you urinate or you may urinate more often. Cervicitis can spread to your uterus, fallopian tubes or ovaries, which is a condition called pelvic inflammatory disease (PID). If you have PID, you may have abdominal pain or fever.

Diagnosis

A health care professional will ask about your medical history and whether you have any new sexual partners. He or she will do a pelvic exam to look at your cervix. This is done with a device called a speculum. This is a metal or plastic device shaped like a duckbill that holds the vagina open. If you have cervicitis, the lining of the cervix may appear red, inflamed, swollen or irritated. In more severe cases, pus may be coming from the cervix. During the pelvic exam, your doctor will take a sample of discharge or pus from your cervical opening so it can be tested in a laboratory and examined under a microscope to determine if you have an infection such as gonorrhea, chlamydia, trichomoniasis or genital herpes. He or she may also check for yeast or bacterial vaginosis , which can cause similar symptoms, though they affect the vagina rather than the cervix. The health care professional also will examine your pelvic area using his or her fingers to look for tenderness of the cervix, uterus or ovaries. To do this, the health care professional will place his or her fingers inside your vagina.

If your cervix, uterus or ovaries are tender, it's possible you have PID (infection of the uterus, fallopian tubes or ovaries) in addition to cervicitis.

Expected Duration

Once cervicitis is diagnosed and the appropriate treatment is started, symptoms should start to improve within a few days. If there are any signs of PID, you will need to take antibiotics for two weeks.

Prevention

Cervicitis most often is caused by an STD, so it is important to use a condom every time you have sex and to limit the number of sexual partners you have. If you are diagnosed with an STD, your recent sexual partners also should get tested and treated as well.

Treatment

Treatment is guided by the type of infection you have. If you have risk factors for an STD, such as unprotected vaginal intercourse with a new or multiple sexual partners, or if the physical examination suggests you may have cervicitis, the health care professional may start treatment with antibiotics for STDs before the test results come back. Gonorrhea is usually treated with an injection of the antibiotic ceftriaxone (Rocephin) or treatment with an oral antibiotic such as ofloxacin or levofloxacin. Chlamydia is typically treated with oral antibiotics such as azithromycin (Zithromax), doxycycline (sold under several brand names), ofloxacin (Floxin) or levofloxacin (Levaquin). Trichomoniasis is treated with the antibiotic metronidazole. If you are allergic to any of these antibiotics, an alternative can be prescribed.

If you have genital herpes, an antiviral medication can be prescribed. This could be acyclovir (Zovirax), valacyclovir (Valtrex) or famciclovir (Famvir). You will need to take the medication for up to 10 days the first time you develop genital herpes. If the condition comes back, you will need to take the medication for up to five days.

If you are diagnosed with an STD, it is important to tell any recent sexual partners that they must see a health care professional for testing and treatment.

Cervicitis caused by trauma or an IUD is treated with an antibiotic targeted to the type of bacteria. The associated inflammation will heal within days to a few weeks. It will help to avoid sexual intercourse until symptoms improve to avoid any further irritation to the cervix.

Pus on the cervix doesn't always mean there is a STD, BUT you have an infection. It very well could be a bacterial infection.

As for your doctor, I would find another!
You went to the doctor to get medical advise, not relationship advise.......




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