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Re: No internal exam at post op from TAH/partial BSOFor more information on symptoms and treatment of endometriosis visit www.EndometriosisZONE.org. From: William McIntosh, MD (anonymous@obgyn.net)Mon, 5 Mar 2001 15:12:16 -0600 (CST)
At Mon, 5 Mar 2001, Tina wrote: > >Just to fill all in, a little over a month ago I had a TAH/partial BSO >with only the right ovary being removed. This surgery was done because >of chronic pelvic pain (12 years worth), cysts on cervix and right ovary >and adenomyosis. > >Now here is my question.....is it normal for no pelvic exam to be done >at follow up appointment? And is it necessary for me to continue to have >yearly exams and pap smears when I no longer have a cervix or uterus? I >am pretty sure that I should continue to have them, as I have always had >a yearly exam, but just want to make sure. > >Please advise. > >Thanks > >-- >Tina > I have 2 post op checks normally, one at 2 weeks, at which I do not do an internal exam, and the final one at 6 weeks, at which I do. I would not do one before that time, and if I were only allowed one visit for some reason, I would delay it until 6 weeks so that I could. You will continue to need periodic pelvic exams, but not so often as before. For example, I will see my patients one year later, and then every 2-3 years thereafter, unless they are at high risk for vaginal cancer. They still need yearly breast exams, and if the ovaries are present, they need to be checked as well.
-- William D. McIntosh, MD, FACOG
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