instruction: hello doctor I am a 34 year old woman I have a year old son and I have been trying to conceive my second child with no success during the past several months during the pregnancy with my son I had a cervical cerclage placed which was not removed at the cesarean section the doctor forgot the cerclage got infected three months later after birth when resuming sexual activity I went to a different doctor who removed the cerclage and gave me a course of augmenting antibiotic I had no more infection however during my period I would perceive a vague fishy smell of the blood no other smell during any other time of the cycle I had multiple cervical and vaginal cultures done including mycoplasma ureaplasma gonorrhea chlamydia and everything is always negative my pap tests are also normal but show non specific reactive inflammation I was given doxycycline and metronidazole for 14 days and I also took cephalexin for seven days during this month for a ti however when repeating the pap and cultures last week it is still inflammatory with negative cultures I am also scheduled for a sonohisterosalpingography this week can this procedure be done when I have an inflammatory pap considering cultures are negative and the pap is still inflammatory despite antibiotic treatment is it safe can the inflammation be related to the cerclage somehow or can it show in fact some cervical cancer or dysplasia and if there are precancerous changes in the cells of the cervix although the pap did not say that could the sono hug actually push them into the uterus and ovaries and possibly cause cancer there or am I over reacting I need to mention my paps were always normal before the pregnancy and the cerclage situation I am worried and do not know what to do
output: hi do not think much if you have a negative culture and you had course of antibiotics after an inflammatory pap test then mostly infection or active insects are removed from the cervix now in hysterosalpingography dye is pushed inside the uterus and two or three rays are taken for tubal potency and along with that many times doctor prescribes one antibiotics course as a precaution for prophylaxis against infection inflammation can be chronic can be post delivery or age related but do not worry if you have taken antibiotics already secondly hysterosalpingography is mostly prescribed to see the tubal potency to rule out any problem related to fallopian tubes so it is a safe procedure do not worry I hope this helps