WOMENS-HEALTH Messages for February, 2001: Re: ??? about conversation held (for drs only)

Re: ??? about conversation held (for drs only)

From: M. Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 16 Feb 2001 17:58:33 -0600 (CST)

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In reply to: Kristy: "??? about conversation held (for drs only)"

At Fri, 16 Feb 2001, Kristy wrote: >
>Sorry for this being a duplicate but I forgot to add
>something to the subject line.
>
>------------------------------------------------------------
>
>------------------------------------------------------------
>Good a.m. Drs,
>------------------------------------------------------------
>------------------------------------------------------------
>
>------------------------------------------------------------
>--
>------------------------------------------------------------
>I have some questions about a conversation that was held on
>------------------------------------------------------------
>one of the other e-lists for endometriosis. Before I ask
>the questions here's the conversation in question
>pertaining to dilation of the cervix supposedly to make the
>pelvic exams easier:
>
>Girl 1: "My doc said to me they might have to dialate me in
>order to do it. Not sure what she meant by dialating."
>
>Girl 2: "I think he might have ment Dialating your cervix.
>Its not a big deal... I have it done every 6 months or
>so... Its not to bad."
>
>Girl 1: "Isn't dialating cervixes what happens when its
>time for the baby to come out? How do they do this?"
>
>My questions have to do with the statement of Girl 2. 1.
>Is she talking about a D&C?

I doublt it

2. If not, what?

with virgins, I often suggest using tampons before having a first pelvic exam as it may make it easier

3. Is it >normal for a dr to dilate the cervix of a woman who has
>endometriosis so that a pelvic exam is less painful?

no -- but if the doc thinks the cervix is stenotic (tight), it may be dilated to make menstrual flow easier and therefore decrease cramps

4. >If yes, how is this done?

witha small dilator passed thru the cervix

5. Is this something that I >should be asking my dr to do the next time I see her?

(I >had a D&C in 1997) 6. If it is a D&C that is being
>mentioned is there a way to do them in the exam room now so
>that the patient doesn't have to go to the OR or does this
>still have to be performed in the OR (like I tried to tell
>her)?

I do this (for a sightly stenotic cervix) in hte office >
>I'm totally confused and I want to be able to give more
>information to girl 2 as I have a feeling that she may have
>misunderstood what her drs have told her.

I bet misunderstanding is the reason for this conversation >

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

**this is for educational purposes only and does not supplant the need for you to consult your personal physician. *** Private e-mails WILL NOT be answered!!!!

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