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Re: Cervical stenosis 8 months post conizationFrom: Peter V. Weston, M.D. (weston@icsi.net)Tue Feb 23 16:38:36 1999
At 00:36 22-02-99 -0600, Yvonne Fried, M.D. wrote: >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? Try insertng a laminaria or 2 and see if the gradual dilatation prevents restenosis Peter Cap'n Pete -- Peter V. Weston, M.D. <weston@icsi.net> 2951 Marina Bay Drive 130-359, League City, Texas 77573 On Clear Lake, Texas Phone (281) 334-7480
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