Re: Paps after hysts

From: Myer S. Bornstein, MD, CPE, FACOG (mborn@massmed.org)
Mon Jan 29 14:10:12 2001


If the patient has no history of abnormal paps, then I will obtain a pap q 5 years after the patient has a hysterectomy. with H/O CIN paps at least yearly Myer S. Bornstein, MD, MMM, CPE, FACOG

>----- Original Message -----
From: "Steve & Eryl Raymond" <eryl@intekom.co.za> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net> Sent: Monday, January 29, 2001 3:57 PM Subject: Re: Paps after hysts

> OK, all those paps - how many abnormal reports? Even here in SA where the
> ca cervix is such an aggressive disease, and 50% appear after the
menopause > we are not doing paps after hysterectomy as I don't believe it's going to
be > worthwhile.
>
> Steve
>
> Joanne Bulley wrote:
>
> > There are many who say women do not need yearly paps after certain
> > points. No Paps at all if she has had a hyst and Paps only every three
> > years just cause she reached age 65 (Medicare won't pay for them).
> >
> > As for Paps after hysts - I believe in doing them. Usually not every
> > year - the frequency depends on whether she has had things such as
> > previous dysplasia or venereal warts.
> >
> > There are plenty of docs and public health people who say it wastes the
> > medical dollar and so don't do them at all after hyst - except if there
> > was cancer.
> >
>
> -
> Dr. S.H. Raymond
> Department of Obstetrics & Gynaecology
> Empangeni Hospital
> Private Bag X20005
> Empangeni
> South Africa 3880
> Ph. (+27) (035) 7721111
> Fax (+27) (035) 7922596
>





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