Re: IUD & CIN

From: Joanne Bulley, MD (islesannie@yahoo.com)
Sun Sep 7 20:11:01 2003


Thanks to John and all others who gave their opinion - experience.

I just got home - was away for the weekend.

The Pathology Department does the HR HPV testing reflexly on all the ASCUS smears. I am not enthused about it - but figured as the one out of five ObGyn's at our hospital (and then there are 2 midwives and 2 ARNPs at the multispecialty group's gyn dept - I didn't feel like bucking the trend.

Out next conversation will definitely include not only the results (should be sitting in my office or in my mailbox right now) - but the "how many partners do you have now - or have you had since you got your IUD" and related issues.

Fertility issues among other things will be reviewed also.

Joanne

At Fri, 5 Sep 2003, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>Take the IUD out, if all biopsies and ECC are negative repeat PAP in 4
>months if the results point to an inflamtory effect I would consider a
>course of flagyl also. Joanne was the the Pap ASCUS suspicious for High
>risk lesion, or was it just ASCUS and you did something silly like order
>a reflex HPV serotype.
>
>--
> Take care, John
>

--
Joanne Bulley, MD
Keene, NH, USA

----- Work to create peace everywhere you go and with everything you do. ----- Let us accept truth, even when it surprises us and alters our views. -George Sand





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Dec 2 04:42:19 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.