Re: Cervical stenosis in the office

From: ginny lee, CNM (glocnm@obsrus.com)
Mon Nov 1 15:01:41 2004


At Mon, 1 Nov 2004, Joanne Bulley, MD wrote: >
>46 yo G2P2 woman (vag deliveries) with DUB and cervical stenosis. No
>prior cervical biopsies, cryo, laser etc.
>
>Can't get into the os in the office -- including the teflon os-finder
>and tenaculum and uterine sound (most of the time I find the teflon os
>finder is better than a sound)
>
>US -- negative except for a 6.4 mm endometrial thickness. Now she is
>pre-menopausal so the 6.4mm does not hold the same meaning as for the
>post menopausal.
>
>In addition she is someone who uses homeopathy and "natural" therapies
>... and has been using the OTC "progesterone" creams...
>
>Any suggestions for getting through the cervix in the office?
>
>What would you do?
>
>Joanne
>
>--
>Joanne Bulley, MD

some of our docs use po cytotec >Keene, NH, USA
>
>"Every gun that is made, every warship launched, every rocket fired, signifies
> in the final sense a theft from those who hunger and are not fed, those who
> are cold and are not clothed."
>
>President Dwight D. Eisenhower
>April 16, 1953
>





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