
What Causes Pain In Right Lower Abdomen And Fluid In Uterus?

To top it all of, one and a half months ago my 2nd Pap smear came back positive as a “low grade squamous intraepithelial lesion” (effect of HPV) and I am scheduled for colposcopy (end of next month – July). I have not had children (I am 35) there is no history of gynaecological issues in my family.
Can someone –honestly- tell me what is going wrong? Could the 3 things (liquid in my uterus, PID and failed pap smear) be connected? Is this saying that there is “big trouble in my uterus” but only “mild “ in cervix from where the PAP smear is taken – should I start preparing for a hard hitting discussion with my gyno?
Cervical cancer needs to be ruled out
Detailed Answer:
Hi XXXXX, I have gone through your question and understand your concerns. Pain in the right lower abdomen, fluid in the uterus and the pouch in pelvis are suggestive features of pelvic inflammatory disease. However, loss of apetite, changes of low grade squamous intraepithelial neoplasia can be related and can be due to cervical cancer. It is to be confirmed by colposcopy and directed biopsy, if required. Since you are scheduled for colposcopy, it is the correct line of management. You should get a biopsy of endocervical canal also to rule out any occult cervical cancer, which is not detected by pap smear or colposcopy.
If there is an occult cervical cancer, then also it leads to collection of fluid in the uterus.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma


Colposcopy should be done earlier
Detailed Answer:
Hi XXXXX, thanks for responding. Yes, it would be better if you shift your colposcopy date earlier as diagnosis will be made earlier and appropriate treatment can be done.
Antibiotics should be continued keeping in mind that it can be pelvic inflammatory disease, which needs a complete antibiotic course to treat.
Intercourse should be avoided till the colposcopy is done, as it may alter its results.
You can very well do exercise at this stage.
I suggest you not to worry till the correct diagnosis is made.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma


Thanks for your kind words
Detailed Answer:
Hi dear, it was real nice helping you.
Please do get back to me in case of further query by asking direct question on health care magic
Regards
Dr Deepti Verma


apologies but whilst I wait for my gyno appointment I have to ask a follow up question in regards to this matter. 2 days ago - whilst still on the antibiotics, my period arrived. The pain and cramping during the 1st day was so bad I could barely get out of bed to grab a painkiller (stupid me for not leaving it near the bed) but had hardly any bleeding on the pad, whilst plenty was coming out during the visits of the restroom. Same thing happened on day2 - hardly anything on pads, plenty in bathroom. Now day3 my period is as good as over. The blood flow I have seen is about 75% less of my usual one if not 80%. The horrible menstrual pain is gone but the mild pain remains - is this normal when I am 95% through with the antiboitics I was given for PID (2x400mgr metronide a day +1dose of azithormycin)?
Inflammation will slowly heal
Detailed Answer:
Hi dear, the pain during the periods will slowly get relieved with time. The antibiotics will act to clear the infection, but the effect of infection ( inflammation) will take time to heal, nearly2-3 weeks after the antibiotic course is over.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Answered by

Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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