instruction: hi doctor I need an opinion regarding my elder sister she is 52 years old she is diabetic and is suffering from severe vaginal pain for the last few weeks while collection of pap smear the swab was bloody and it was very painful for her she is currently using candid cream and candid ve tablet for vaginal insertion I have attached the reports of pap smear and sea carcinoembryonic antigen serum test please help
output: hello the reports of both pap smear and tumor markers are within normal limits and rules out any malignancy in terms of possible cervical cancer however the pain in vagina and blood tinge at her age where she is likely menopausal could be due to atrophic vaginitis there will be severe burning sensation and vaginal dryness which can cause pain especially on moving or walking revert back with the details to an obstetrician and gynaecologist online