Re: Inflammatory Pap

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Oct 31 17:45:51 1997


>QUESTION #1: Would you recommend, at this point:
>
>A) Colposcopy
>B) Empiric treatment of some sort
>C) Repeat Pap in 1 year
>D) Repeat Pap sooner (e.g., 4-6 months)
>
>?
>
>I chose D. Which gets us to:

I agree, but a colpo is no big deal.

>4/97: Normal Pap.
>
>QUESTION #2:
>
>Would you now continue more frequent Paps, revert to annual schedule, or
>do something else?
>

If the 4 month is normal, why not do another in 6 or so months, and if normal, revert to yearly again? >(Disclaimer: My medical director is disagreeing with my recommendation
>after the second "inflammation" pap--thinks colposcopy should have been
>done then. I obviously disagree, but I doubt that either of us can point
>to any hard data to support our positions.)

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.




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