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Re: Gyn: Post-coital bleeding From: Braun, R. Daniel (rbraun@iupui.edu) Mon Oct 14 06:47:46 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Post-coital bleeding" Previous message: Braun, R. Daniel: "Re: Post-coital bleeding" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Post-coital bleeding" Next in thread: Joanne Bulley, MD: "Re: Gyn: Post-coital bleeding" Reply: Joanne Bulley, MD: "Re: Gyn: Post-coital bleeding" Where do you get triple sulfa cream any more?? Dan -----Original Message----- From: Joanne Bulley, MD [mailto:islesannie@yahoo.com] Sent: Sunday, October 13, 2002 9:02 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Post-coital bleeding If I don't see an area that bleeds with light touch, then I ask them to call when the spotting / bleeding is present - and I will make every effort to see them while it is happening. I write it in the chart and tell the woman to tell the receptionist that I told her I'd try to squeeze her idn , that we are following this particular problem. Usually I can eventually find the site of the bleeding. I have used AgNO3, cryo, triple sulfa (gee bet the young folks haven't used that!) estradiol, it all depends on what I see. If I cryo for a friable cervix (used to get called cervical erosion) I make sure there is a new pap - with good endocervical specimen before doing the cryo. But that usually works. I have had one woman turn out to have endometriosis of the cervix and that is whay it bled. Also always had endometrial cells on the Pap. That one eventually identified by LEEP. Usually it is from the transformation zone (in my experience...) Joanne Joanne At Sun, 13 Oct 2002, Garry E. Siegel, M.D. wrote: > >A few times a year, a patient will complain of this, and I'm wondering >how others evaluate this complaint. For this example, let's assume a >married, 30-something whose paps have been normal, and who exam is >normal--i.e. no vaginitis, etc. > >I have done ultrasound, even Saline sonograms, usually to no avail. > >A few are on the pill, taken correctly, they say. A few have had LEEPs >done, and I wonder is the cervical mucosa is to blame. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Joanne Bulley, MD Keene, NH, USA Next message: Efrain Ramirez: "Re: Post-coital bleeding" Previous message: Braun, R. Daniel: "Re: Post-coital bleeding" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Post-coital bleeding" Next in thread: Joanne Bulley, MD: "Re: Gyn: Post-coital bleeding" Reply: Joanne Bulley, MD: "Re: Gyn: Post-coital bleeding"

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