WOMENS-HEALTH Messages for October, 2001: Re: 2nd ASCUS Pap

Re: 2nd ASCUS Pap

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 31 Oct 2001 09:19:13 -0600 (CST)

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In reply to: kelley: "2nd ASCUS Pap"

At Tue, 30 Oct 2001, kelley wrote: >
>I have searched prior messages concerning an ASCUS pap and
>some questions have been answered. I still have some worries
>and would appreciate your help and advice.
>
>My annual pap was in June. The results came back with
>the ASCUS thing. My gyn told me to repeat the pap in three
>months. Due to prolonged bleeding and anemia, I was put
>on bc pills(which made things worse) and then progesterone
>that really made things worse. He finally decided to take me off
>everything. I also have sever endo.
>
>I was told yesterday my repeat pap came back with the same DX.
>Things weren't any worse nor any better. The nurse said he
>wants me back in 1 month for another repeat, but this time he
>is suppose to go further into the cervical canal area for cells.
>Gosh what is going on? Is this a biopsy or should one be done?
>Dysplasia was never mentioned nor cancer. I am 42 with two
>children and never had an abnormal pap until June.
>
>Could the removal of an endometrioma last April cause problems
>in that area? A lap. was done.
>
>Thanks and God Bless.
>
>--
>k.c.
>

What you need is a colposcopy, a minor proceedure for looking at your cervix under magnification, and possibly directed biopsies. Two sequential ASCUS paps require this approach. This is not likely to be a result of your endo or your proceedure.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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