HIV-RNA (qualitative)

LBC monolayer cytology + Mycoplasma genitalium DNA

Clinical significance

Cytology is a prophylactic examination that should be performed prophylactically, every year during a routine gynecological examination. Cyclic cytological examinations should begin after the age of 25, but not póź later than the age of 30. In the case of early initiation of cohabitation, cytology should be performed no more than 3 years after sexual initiation. In women 30 years of age and older whoóre not found to have lesions and whoóre found to have normal 3 consecutive cytology results, and in women after removal of the uterus including the cervix due to benign lesions, screening cytology can be performed every 3 years. In women infected with HIV, HPV type of high oncogenic risk, taking immunosuppressive drugs, treated in the past for mediastinal neoplasia (CIN2,CIN3) or cervical cancer, examinations should be performed at least once a year. Cytologic examination over a period of more than 12 months should be performed in women whoóre not found in previous cytologic smears to have cells from the transformation zone or endocervix, as well as if the legibility of previous smears is poor due to inflammation, admixture of mucus or blood. The presence of certain characteristic chambersórek in the cytological examination can suggest infections with herpes virus, human papillomavirus, chlamydiosis, vitamin deficiencies, radiation lesions and the presence of an IUD. It also allows to assess the phase of the menstrual cycle and indirectly the secretion of sex hormonesów. It gives the opportunity to eliminate certain infections that affect the process of procreation, the course of pregnancy and the health of the newborn. The presence of coilocytesów suggests HPV infection, which allows to expand the diagnosis and, if necessary, implement cervical cancer prevention early enough. In 75% of women and about 50% of men infected with chlamydia, there are no symptoms. If symptoms do occur, they appear within 60 days of sexual intercourse with an infected person, usually one to three weeks after infection. Disturbing symptoms: Unfortunately, the early forms of cervical cancer are virtually asymptomatic, but already in the early stages of the disease there may be some symptoms that shouldóre a warning to the patient. These include recurrent vaginal inflammation with uncharacteristic discharge, minor bleeding or spotting after sexual intercourse, itching or burning in the vagina, and sometimes increased vaginal wetness. Symptoms become more troublesome and more characteristic with the advancement of cervical lesions. What should prompt the patient to perform an examination include: watery discharge in the nature of "meat washings," frequent contact and intermenstrual bleeding, foul-smelling discharge, sometimes colored with blood. A serious warning is bóle radiating to the lower extremities, ból during intercourse and bóle in the lower abdomen. Unfortunately, even these symptoms, because they appear with róe intensity, are very often ignored by patients, whoóre considering them as insignificant and temporary complaints. Mycoplasma hominis and Mycoplasma genitalium belong to the group of genital mycoplasmas. The presence of these microorganismsów is found in the genitourinary tract of men and women. Infection occurs through sexual contactós route. Mycoplasma hominis can cause non-urethral urethritis, cervicitis, ovariesów, fallopian tubesów, pyelonephritis, fever and postpartum sepsis. The possibility of premature birthsów associated with infection with this microorganism has also been noted. Mycoplasma genitalium can cause non-urethral urethritis. Women infected with this pathogen have mucositis, fallopian tube inflammation, cervicitis, pelvic inflammatory disease. Symptoms in both women and men are associated with chronic urethritis. Women most often experience: - discomfort with urination - soreness and burning in the urethra - frequent urination - a feeling of urinary urgency Men may additionally observe: - urethral leakage - penile irritation

Patient preparation

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