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Re: Large vaginal condyloma in pregnancyFrom: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Tue Mar 31 11:34:34 1998
At Tue, 31 Mar 1998, Dr Antonio Valdez wrote: > >>28yo G3P2 now 22 weeks pregnant and after an episode of vaginal bleeding >>a large 2-3 cm condyloma was noted high in the right vagina. This >>appears to be an isolated lesion. My inclination is to remove it but >>I'm not sure this would really make a difference for the pregnancy. Does >>anyone think a C-Section is warranted to protect the baby? Any comments >>are welcome. > >>Tim Brown > >I don't think to remove it makes a difference in this pregnant patient, >according to Ferency A. MD in a symposium about genital warts in the >Contemporary OB/GYN novembre/1997; he doesn't recommend treatment during >pregnancy; because half the time the woman's warts will disappear >spontaneously postpartum without treatment; and the lesions we treat today >may recurr 2 weeks later in pregnancy, so in this case, a single condyloma >is not worrysome...And I don't think that anyone would consider a C-section >ONLY for the presence of genital warts, only if those are so large that >obstruct labor or epysio... > >-- >Antonio Valdez-Torres MD FACOG >Hospital Guernika >Ciudad Juarez, Chihuahua, MEXICO > Well said Antonio, I agree 100%...Sorry Dan. Cal Siegers
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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