WOMENS-HEALTH Messages for June, 2000: Re: Abnormal cervix location

Re: Abnormal cervix location

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Jun 2000 16:41:49 -0500 (CDT)

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In reply to: Janet: "Re: Abnormal cervix location"

At Wed, 28 Jun 2000, Janet wrote: >
>At Wed, 28 Jun 2000, Janet wrote:
>>
>>Thanks a lot for your response. It's very reasuring to know I'm probably worrying unnecessarily, and also to know that I'm asking for the right things!
>
>I have already asked why early menopause (41 actually, not 43), and had
>no answer other than blood tests to confirm menopause. (Again what
>blood tests and what results I don't know) - that was the gyn who
>conducted first painful smear - at which point I (maybe unfairly)
>changed gyn 'cos of lack of confidence.
>
>No, I'm not on estrogen therapy.
>
>I assume my early menopause is due to hereditary factors - my mother
>also menopaused at 40 (and died of ovarian cancer three years later). I
>have also asked for an ultrasound - either instead of or as well as the
>CA 125 - and prepared a whole list of reasons justifying my request
>which I supplied to the gyn. To date my request has been ignored, and I
>don't know if my gyn is just trying to take one step at a time or if he
>just thinks if he ignores me long enough I'll go away. He also goes on
>holiday for most of July which might or might not be a contributory
>factor!
>
>With regard to my concern about the inherited characteristics which may
>or may not result in ovarian cancer, I am concerned that for screening
>purposes, it is always stated that one must have two first degree
>relatives with ovarian, colon, or breast cancer. In my particular case
>I only have one first degree female relative! I have also just had a
>very large but benign colo-rectal tumour removed which would
>'undoubtedly' have turned cancerous had it been left. Does that count?
>Further, it seems awful that an elder sister may have to be diagnosed
>before a younger sister can be screened! Am I reading the guidelines
>correctly?
>
>Thanks again for your prompt and reasuring response.
>
>--
>Janet
>

Janet, First, I think you should get on estrogen therapy. You are placing yourself at great risk for cardiovascular disease, fractures and certainly unhealthy vulvar vaginal tissue-which you have already experienced.

Second, I think your gyn has already sent you the message. Take his hint and seek out another gyn who will listen to your history and provide you with the indicated screening for your familial history of ovarian cancer... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: clomid and delayed menses"
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In reply to: Janet: "Re: Abnormal cervix location"

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