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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Wet Prep Test Result While Having Mild Dysplasia Indicate?

I have had 2 wet preps in the past 6 months, both showing a vaginal pH pH of 5.0, and 10-25 WBC, no clue cells, no yeast, everything else has been negative.I have been tested for every STD there possibly is, the only thing that was abnormal was my PAP smear which showed LSIL with slight dysplasia. Dr said this could be just normal for me, or the pH could be affected by large amounts of sugar in my diet, and that WBC are sometimes normal in wet preps.I am a med tech so I know WBC usually point toward infection. I am at a loss here.Any thoughts
Tue, 13 Aug 2019
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General & Family Physician 's  Response
Hello,

WBC can be present during inflammation as well. So not always suggestive of infection.

LSIL is low-grade squamous intraepithelial lesion. For that regular screening is need to be done with PAP smear. The interval can be range from 6 months to one year for such LSIL case.

If in your next pap smear HSIL developed that is high-grade lesion than treatment needed. So screening with pap is necessary.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Parth Goswami, General & Family Physician
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What Does This Wet Prep Test Result While Having Mild Dysplasia Indicate?

Hello, WBC can be present during inflammation as well. So not always suggestive of infection. LSIL is low-grade squamous intraepithelial lesion. For that regular screening is need to be done with PAP smear. The interval can be range from 6 months to one year for such LSIL case. If in your next pap smear HSIL developed that is high-grade lesion than treatment needed. So screening with pap is necessary. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician