### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter is 10 weeks pregnant with her 1st child (age 29). She just got her pap smear back & it was abnormal . She was told at the time of the pap smear that she had bacterial vaginosis. Could this be the most likely cause of the abnormal pap? Her doctor wants to do a colposcopy. Is this ok in the 1st trimester? Could it potentially cause a miscarriage?

### output:

Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. PAP smears report is showing a kind of vaginal infection only. It can be treated with medicines. I will suggest that she should seek prescription support from treating doctor for vaginal suppositories or vaginal gel containing metronidazole, as on today. After 14 weeks of pregnancy, a simple hanging Chat Doctor.  If present, a week-long course of Metronidazole tablets 3 times a day will be good enough. Basic idea of PAP smear during pregnancy is to know if there are any changes at cellular level that can be potentially harmful as far as cervical cancer is concerned. If there is report of mild, moderate or severe dysplasia or SIL-Squamous Intro epithelial Lesion then radioscopy is highly recommended. VIA - Visual examination of cervix with Acetic acid, is one simple OLD bases test that can give idea about suspicious pathology and can be used as screening test to go ahead for radioscopy. Radioscopy helps to know about changes in the cellular pattern and blood vessels appearance, that can be pre cancerous. Secondly, as such radioscopy is a non-invasive test, its merely inspection of cervix with high magnification. It is not known to increase risk of miscarriage. Let's follow up on this issue as suggested. Please feel free to communicate again. I hope this answer helps you. Thanks.