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What should I do if my PAP smear results showed Streptococcus B which is not responding to antibiotics?

Gynaecology

Hi my gp did a pap smear and the tests showed that there was a heavy growth of yeast and streptococcus b. The yeast is cured. She put me on a 10 day course of amoxicillin. I have finished the course but still feel discomfort. Itchiness and rawness and pain during intercourse. What should I do?

DOCTOR’S ANSWER (1)

Hi M2 – it’s unlikely that the culprit for painful sex in your situation is Streptococcus B – the PAP smear result was just an incidental pick-up. It’s actually a commonly found bacteria in women, found in the vagina of up to 1 in 4 women (and causing no symptoms whatsoever in most).

Strep B in the vagina is more relevant when a woman is pregnant, in which case it has to be eradicated to prevent dangerous infections to the baby.

My money would be on the recent yeast infection as the cause of your itchiness and feeling of rawness with sex. It will likely go on it’s own with time (1-2 weeks), and in the meanwhile you can use more lubricant during sex.

If that doesn’t resolve, revisit your GP as there could be other underlying issues. Eg any of what you’ve described could also be symptomatic of an STD (especially if you’ve been exposed or had unsafe sex), for which you would need other specific tests.

Cheers

290 views 26 Jan 2018
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