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Re: Vaginal lacerationFrom: dahmd@gate.netThu Oct 26 12:02:55 1995
>Exam reveals superficial friable circular tear in posterior vault about >2.5 cm. proximal to hymenel remnant. Have used lubricant, Valisone, >Estrace and even cauterized w/AgNO3, but lesion continues to recur >w/coitus.
>Suggestions?? Biopsy??
>Thanks ,
>Gordon M. Goldman, M.D., FACOG As they say: "when in doubt, take it out"! It sounds like this woman does not fit the "classic" description of a post-menopausal patient with atrophy and a posterior fornix tear. Since this friable area keeps recurring, I would opt for excisional biopsy. Good luck. Keep us posted. D. Ashley Hill, M.D. dahmd@gate.net
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