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Re: Ob/Gyn US practice in Asian countriesFrom: James Smeltzer (James.Smeltzer@wellstar.org)Wed Jun 8 12:16:15 2005
Hi, Sorry to disagree.... C/Sections are NOT a problem. Prior hysterectomy in menopausal can be better evaluated by TVS, IMHO. Jim Smeltaer
>>> bouthina_ibrahim@yahoo.com 6/7/2005 11:19:19 PM >>> thank you so much for your ideas i think that EVS is diffcult after repeated CESAREAN SECTION as normal anatomy is distorted in pelvis ad also after hysterectomy. Tapash Bedajna <saamveda@yahoo.com> wrote:I agree with your opinion. I have been practicing Sonography in India for about 15 yrs and even after continuous endeavor I failed transvaginal study acceptable to all. Of course I never think of offering it to unmarried women as any sort of examination per vagina in unmarried is unlawful in India. The matter is solely cultural. Tapash Bedajna Allen Worrall <jworrall@alaska.net> wrote: Interesting question and area of investigation. I guess if Asian women are generally a little smaller in stature than US women, it would be reasonable to assume that Asian women has slightly smaller vaginas. I have practiced obstetrics and gynecology for 55 years and do not think there is any significant difference in the size or capacity of the female vagina between various ethnic groups. Of course it makes a huge difference if the woman has had vaginal births or not. Also the woman's state of mind at the time of the exam will make a huge difference in terms of the "fit" of the transducer into her vagina. I have noticed that in India and Pakistan, if a woman is unmarried, it is assumed that she is a virgin and that transvaginal ultrasound is not possible or desirable. I think I understand at least some of the reasons for this. In the US we tend to assume that transvaginal ultrasound is possible in any adult woman regardless of her marital state. And I would say that most of the time we are correct. I would guess that virginity in the US is not prized or considered necessary (or even desirable) by many young women, whereas in India and Pakistan the opposite is true. I have never practiced in India or Pakistan, but I would guess that transvaginal ultrasound is better accepted by US women than Indian or Pakistani women, because of the cultural differences. This better acceptance is probably the main reason that you noted different data from US and European sources compared to Asian sources. I hope that some of our colleagues in India and Pakistan will comment on this. Allen Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, AK 99701 Yahoo! Mail - Helps protect you from nasty viruses. Find restaurants, movies, travel & more fun for the weekend. Check it out!
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