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Re: ERT & MIRENA with AGUS on papFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Feb 2 06:23:30 2004
I would request expert consultation on the Pap smear. ASCCP has such a service available to its members. An Expert cytologist should be able to distinguish between hormonal effects and AGUS. Dan R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charon Gentile Sent: Monday, February 02, 2004 2:00 AM To: Multiple recipients of list OB-GYN-L Subject: ERT & MIRENA with AGUS on pap 62 yo G1 P1 on estratest h.s. and with Mirena in place for 2 years. No prior history abnormal paps. Recent pap reported as AGUS. Spoke with pathologist. His opinion is that this is likely due to the Mirena's hormonal effect and foriegn body effect. Spoke with Mirena Product Information Line. No helpful information. Will proceed with colpo to rule out cervical lesions. Does anyone have any experience similar experience or advise? Does Mirena have to be removed? Is it possible to do EMB while securing strings? Any thoughts appreciated.
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