Tuesday, August 28, 2012

Trichomoniasis & Abnormal Pap Smears

Trichomoniasis is a common and curable sexually transmitted disease (STD). Pap smears test cervical cells for signs of cancer, but they may also detect Trichomoniasis. Pap smears are not a reliable method for detecting STDs, and you should seek additional testing if you suspect an infection.


Indications


Trichomoniasis infection may exist if cells from a pap smear show a transparent halo surrounding the superficial cell nucleus. Red sores on the cervix or inflammation may also indicate Trichomoniasis.


Accuracy


Pap smears detect Trichomoniasis with 60 percent accuracy. Wet mounts, cultures and polymerase chain reaction tests are more accurate. Ectocervical smears that take cells from the vaginal side of the cervix are more effective for detecting Trichomoniasis than endocervical smears that collect cells from the inner cervix.


Complications


The presence of Trichomoniasis makes you more susceptible to HIV and the herpes infection. Trichomoniasis is also linked to pelvic inflammatory disease, tubal infertility and cervical neoplasia.


Treatment


Trichomoniasis is curable with an oral dosage or Metronidazole or Tinidazole. All sexual partners must be treated to prevent re-infection.


Considerations


Many factors can influence the results of a pap smear. Pap smears test for cell changes that can lead to cancer, but abnormal pap smear results may also be caused by unclear specimens or human error.







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