-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Where's the os? From: art fougner, md (evsono@pipeline.com) Sat Mar 11 15:22:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lily Kay CNM: "Re: Heroin Addiction" Previous message: Joanne Bulley, MD: "Re: Where's the os?" In reply to: Alexandra Borisova: "Is it gestational diabetes?" laser procedure has been described to re-open such a cervix. using operative colpo and laser, a funtional canal could be achieved. could contact burt krumholz at LIJ, New Hyde Park NY for details. Art At Fri, 10 Mar 2000, Braun, R. Daniel wrote: > >A 38 y/o patient had a conization in 1982. About 7 days later, she developed >post cone bleeding and had another operation. Do not know either the >Pathology or the nature of the second operation. In 1990, she had a Pap >smear reported as HGSIL. Because of her previous experience with conization, >she refused colposcopy because it could lead to conization. Since then, she >has had 6 Pap smears, All revealed NPC and all but 1 were reported as >Inadequate due to lack of endocervical or metaplastic cells. The one >exception makes no comment at all about adequacy. >On speculum exam, there are many infoldings in the vagina at the apex and >nothing that looks like a cervical os. (She has monthly periods, fairly >regular and assoc. with moderate cramping) On bimaual exam there is what >feels like a normal cervix and a normal uterine exam. TVS reveals normal >uterus and ovaries. Repeat Pap by me reported as inadequate, no endocervical >or metaplastic cells noted. >I had her come in during a menses. She has blood in the vagina. I am unable >to find the opening through which it is coming. No real tract visualized. >Suggestions??? Conization is unacceptable to the patient. > >Dan >R. Daniel Braun, MD FACOG >Clinical Professor >Department of Obstetrics and Gynecology >Indiana U. School of Medicine >Indianapolis, IN 46202 > >OBGYN.net >International Representative for United States > >Certified AllExperts Expert >Check out my bio/ratings page! >http://www.allexperts.com/displayExpert.asp?Expert36 -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Lily Kay CNM: "Re: Heroin Addiction" Previous message: Joanne Bulley, MD: "Re: Where's the os?" In reply to: Alexandra Borisova: "Is it gestational diabetes?"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:43:51 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.