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Re: Cervical stenosis in the office From: Charlie Chambers (cchamber@gorge.net) Mon Nov 1 22:45:37 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Early glucose screening" Previous message: Dr Eberhard W Lisse: "Re: Early glucose screening" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Reply: art fougner, md: "Re: Cervical stenosis in the office" Reply: Richard Chudacoff, MD: "Re: Cervical stenosis in the office" Reply: Joanne Bulley, MD: "Re: Cervical stenosis in the office" In order to get a better idea of the uterine lining, you could try a sonohysterography. Use the type that you get inflate a ballon and just get it inserted into the cervix. Can give you some good information. I've had a number of patients that I couldn't dilate, but I could insert the catheter. ************************************************************************ ** Charlie Chambers -- Hood River, OR USA cchamber@alumni. rice. edu "I'm a goin fishin. Yeah, I'm goin fishin And my baby's goin fishin too!" Taj Mahal ************************************************************************ On Nov 1, 2004, at 6:41 PM, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > I usually use lacrimal probes. I have done several hundred of these in > postmenapause and have only seen 2 cases of endometrial cancer in those > that did not have classic post-menapausal bleeding most of thses > patients have no symptoms or some light spotting from vaginal atrophy. > We will get a run of pathology reports insisting they see endometrial > cells in post menapuase almost all of these will have no endomterium or > atrophic pattern on D&C. The use of hysteroscopy in a tiny > postmenapausal uterus is of dubious value imho. One of the biggest > culprits for unnecessarry intervemtions in these patients is the > liberal > use of vag prob U/S some months it seems every postmenapausal women I > see has an endometrial thickness > 7mm and I never get any endometrium. > Classic post-menapausal bleeding is a great screening test in it self > ,I > see cancer in at least 5-10% when I get a classic history of > post-menpausal bleding. > > -- > Take care, John > Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Early glucose screening" Previous message: Dr Eberhard W Lisse: "Re: Early glucose screening" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Cervical stenosis in the office" Reply: art fougner, md: "Re: Cervical stenosis in the office" Reply: Richard Chudacoff, MD: "Re: Cervical stenosis in the office" Reply: Joanne Bulley, MD: "Re: Cervical stenosis in the office"

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