OB-GYN-L Messages for May, 2005: And I have another question, this time about cervical dysplasia

And I have another question, this time about cervical dysplasia

From: Missie

upholder_of_birth@yahoo.com

Mon May 30 23:54:30 2005

>Microglandular hyperplasia
>
>Microglandular hyperplasia refers to a clinically polypoid growth measuring 1->2 cm. It occurs most often in women who are on oral contraceptive therapy or >Depo-Provera and in pregnant or postpartum women and reflects the influence of >progesterone.
>
>Microscopically, it consists of tightly packed glandular or tubular units, >which vary in size, lined by a flattened-to-cuboidal epithelium with >eosinophilic granular cytoplasm containing small quantities of mucin. Nuclei >are uniform, and mitotic figures are rare. Squamous metaplasia and reserve >cell hyperplasia are common. An atypical form of hyperplasia can be mistaken >for clear cell carcinoma. Unlike clear cell carcinoma, it lacks stromal >invasion, has scant mitotic activity, and lacks intracellular glycogen.

I went looking because (and I know Lynn is going to yell at me) I have been checking my own cervix for almost 2 years, partly for fertility and partly as a self exam. In this time I have never spotted/felt this sort of difference. I have found something that feels bumpy kinda like a full cervical surface small bumpy (puckered lips bumpy), the sides of my cervix are smooth/normal (I don't have a speculum so I can't see it to see what it looks like), I don't think it is a nabothean cyst, and I believe I am post ovulation, so that would fit. I normally wouldn't have a pap until Feb, so I feel this is actually a good thing to be doing,because even though it seems to be fading a bit, I wouldn't want it to grow for another several months before having it checked out. It seems to be lessening as I get closer to AF, and I will be keeping an eye on it. If it doesn't go away after my period, I will be getting an early pap (these cancers seem to run in my family) within the next couple of weeks (waiting for insurance to start and then the time for an appointment). And when I make my appointment should I tell of these findings? Would it get me in sooner, do you think?

Anyway, what experiences do you have with this, going away after a pregnancy, after a menstruation or do you think paps are better done before ovulation because of something benign like this that mimicks cancer? Don't worry that I am not going to get it checked out, I will and soon (ins kicks in Wed), just looking for opinions...

TIA and I know I am not supposed to ask personal questions.

-- Missie

Doula/CBE

Women can give birth by the action of their own bodies, as animals do. Women can enjoy the process of birth and add to their dignity by being educated to follow the example set by instinctive animals. Women can take joy and pleasure for the privilege of being women and bless God for being able to give birth, instead of showing snarling hostility toward the men who love them." page 20 Husband Coached Childbirth, by Robert A Bradley, MD, copyright 1965, 1971, 1996

We have created our own mythology of birth. The drama of this myth is in the medical emergency, the speeding ambulance, the urgent bleep, the staccato calls for assistance, the struggles of a team of doctors and nurses to combat death…It is a drama that feeds the fears inherent in the medical model of birth and, in this way, further conditions pregnant women to submit to its ritual. Pg. 63; Rediscovering Birth by Sheila Kitzinger

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