Re: Cervical stenosis 8 months post conization

From: 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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