Re: GYN: Stenotic Vagina

From: art fougner, md (evsono@pipeline.com)
Tue May 11 18:20:08 1999


Garry,

with this woman - would do all paps with Thin Prep. the liquid medium specimen is saved. if ASCUS, you then have a specimen for HPV hybridization typing which can be used to stratify risks and triage further.

Art

At Tue, 11 May 1999, Garry E. Siegel, M.D. wrote: >
>Opinions please:
>
>22 YO nullip referred from FP with an ASCUS pap; she is not so good at
>her history (I think I had PID, I may have had a pap, yes, they told me
>it wasn't normal, and, of course, I did this elsewhere; can't remember
>where). Anyway, when going to do a pap/colpo, she has a circumferential
>narrowing of the vagina in the midportion, such that I had to use a
>pediatric speculum to see the os, and I couldn't visualize the whole
>cervix, yet I could pass one finger pass the area so I could feel the
>cervix, etc. Anyway, performing a colpo was not feasible (she was
>young, and had had several funny paps, so that's why I wanted to colpo,
>not just re-pap), so I just did as good of a pap as possible, and I
>think that I got the brush into the endocervix.
>
>Any thoughts/ideas? I'm not hot to do anything operatively on the
>vagina, but have no experience.
>
>Thanks
>
>Garry
>
>--
>Garry E. Siegel, M.D., FACOG
>Private Practice
>Roswell, Ga.
>

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com




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