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Re: Cervical stenosis 8 months post conizationFrom: Rafael Haciski, MD (haciski@earthlink.net)Mon Feb 22 22:10:36 1999
How did you close the defect after the cold-knife cone? How deep was the cone? That may have some bearing on the situation. She may have internal scarring, adhesions, etc which may benefit from hysteroscopic approach, followed by estrogen treatment (much as we do with Asherman's syndrome). I would evaluate the cervical canal closely, with HSG and/or hysteroscopy, then proceed to treat based on the findings (if any). BTW, this is another example that cones have a potential for significant harm, and perhaps it is best to leave the "lesser" lesions alone (if subject to close colposcopic scrutiny). Have I not sen somewhere that majority of CIN I regresses spontaneously?? Perhaps we are too aggressive (myself included).
-- Rafael Haciski, MD FACOG Gynecology & Infertility Assoc. Baltimore MD http://www.ivf-md.com
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