WOMENS-HEALTH Messages for December, 2000: Re: Biopsy

Re: Biopsy

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 10 Dec 2000 22:55:30 -0600 (CST)

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At Sun, 10 Dec 2000, Tina wrote: >
>I went to my ob/gyn on this past Friday to determine if a hysterectomy
>can be done. During the pelvic exam, which I might add hurt like hell,
>he said and I quote, "yep it is big".
>
>He and I, along with my primary physician had already determined that a
>hysterectomy was warrented due to severe pelvic pain and an enlarged
>uterus, as of 10/23/00 was 10.6 x 4.9 x 5.9 cm and deemed a fibroid
>uterus. Since he said the above statement I am assuming that it has
>grown signaficatly in the past 2 months. I look like I am 5 months
>pregnant.
>
>He also mentioned that he wants to do a biopsy? I asked if that meant a
>pap smear and he said yes. Now this was the second ob/gyn I have gone
>to in the last month. The first one, I couldn't even tell he was doing
>a pelvic exam, meaning I don't think he did one, and he said the problem
>wasn't from my uterus and it must be my hip/pelvic bones causing the
>pelvic pain. I was then sent to an orthopedic surgeon who requested an
>MRI of my lower spine and pelvis both which were normal. That ob/gyn
>did a pap smear but all I have gotten is a verbal NORMAL, my doctor's
>office was supposed to get a report of the office visit along with the
>test results, but have not received them even after several phone calls,
>and it has been almost a month. I told this to my new ob/gyn and he
>said that he cannot take a verbal result to heart and wants to do
>another test.
>Mainly to determine if there is cervical cancer and to determine the
>type of hysterectomy he does.
>
>Here is my question:
>Does this mean another Pap smear? I have always gotten my yearly pap
>smears like clockwork and they have always come back normal. If so, and
>this one comes back normal what are my surgical options? I asked his
>staff which types of hysterectomies he does and they said TVH TAH and
>LAVH.
>
>Please advise
>
>--
>Tina
>

Tina

I suspect he means an endometrial biopsy. A small instrument is placed into the uterus and some tissue is sucked into it. This is then evaluated and may help decide what type of hyst is done. Hope this helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Linda: "Re: OK to take Midrin within 10 day pre-op period?"
Previous message: William F. von Almen, II, MD, FACOG: "Re: Vaginal Hysterectomy"
In reply to: Tina: "Biopsy"
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Reply: Tina: "Re: Biopsy"

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