Re: Cervical stenosis 8 months post conization

From: Roger Klam, M.D. (tstork2@intrnet.net)
Mon Feb 22 22:06:33 1999


You could reopen the internal os with a loop... wide enough for it to stay open

--
Roger Klam, M.D.

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Yvonne Fried, M.D. Sent: Monday, February 22, 1999 12:37 AM To: Multiple recipients of list Subject: Cervical stenosis 8 months post conization

I performed a cold knife cone in a young woman with CIN I of the endocervical canal. Surgical margins were clear. She had normal withdrawal bleeds to her oral contraceptives for 8 months after the conization. She then presented with severe dysmenorrhea and ultrasound showed a hematocolpos. She underwent dilation of the cervix with evacuation of the hematocolpos. Over the last 6 months, however, she has had persistent amenorrhea with multiple cervical dilations. The external os is open but the internal os continues to restenose. She continues to be on oral contraceptives.

Does anyone have any recommendations or know of someone that I can call to obtain some help with this patient?

I used to subscribe to this listserve but had to give it up because I couldn't keep up with the volume of email.

Thank you for your help,

Yvonne Fried, M.D. hcw@mind.net





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