Re: GYN: Cytotec for hysteroscopy

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Fri Oct 29 17:12:13 2004


Despite all the people who say they use cytotec in the post menopausal woman with good effect I absolutely doubt that it has any effect in a non-pregnant let alone postmenopausal cervix. What you are seeing, if you think you are seeing an effect, is a placebo type effect which would have happened anyway. The only way to achieve a reversal of cervical stenosis is to use oestrogen for a week beforehand, and even then you may have to use physical dilatation in order to insert a hysteroscope. If the use of oestrogen in someone with atypical endometrial cells fills you with horror, all I can say is that one 7-day course is unlikely to be a problem. Steve Raymond

Garry E. Siegel, M.D. wrote:

>I am facing a hysteroscopy on a postmenopausal patient with atypical
>endometrial cells on pap, in whom I could not pass an instrument into
>the endometrium in the office. I don't even think that I can get
>laminaria in, either, or if in, that they'll stay in.
>
>Can anyone remind me how to use Cytotec in this situation?
>
>Garry
>





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