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Re: Ob: When to do a first From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Aug 30 22:23:55 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski: "Re: Interesting puzzling case" Previous message: D. Ashley Hill: "Re: Interesting puzzling case" In reply to: ginny lee, CNM: "Re: Ob: When to do a first" Next in thread: Efrain Ramirez: "Re: Ob: When to do a first" Sorry if I wasn't clear. She had been sexually active for less than 3 years, so had she not been pregnant, she didn't meet the guidelines for a pap. The essence of the question was "Does pregnancy change the recommendation?" Ginny, easy to do a spec exam--did it, and did genprobes. Myer and others, playing the devil's advocate, a pap done for young women may find HPV disease that is transient and resolves quickly. Thus, the rationale behind NOT doing a pap is that any dysplasia they get which is significant won't be cancer in 3 years but won't be missed, and you avoid "unnecessary" intervention for low grade disease which is destined to go away. It rubs me the wrong way NOT to do a pap in this situation, pregnant or not, but someone smarter and better read than me made this guidelines. Garry At Wed, 30 Aug 2006, ginny lee, CNM wrote: > >sexually active, able to do a comfortable speculum exam...you're in, you >might as well pap. mom brings a terrified 14 year old in who can't even >use a tampon yet, those I wait on. will rx ocps to control cycle >without pelvic/pap. -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Rafael Haciski: "Re: Interesting puzzling case" Previous message: D. Ashley Hill: "Re: Interesting puzzling case" In reply to: ginny lee, CNM: "Re: Ob: When to do a first" Next in thread: Efrain Ramirez: "Re: Ob: When to do a first"

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