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Re: uterine biopsy needed?From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)Sat, 8 Dec 2001 13:44:06 -0600 (CST)
At Fri, 7 Dec 2001, Alice wrote: > >I am 39 years old. I started out with occasional post coital bleeding, >that seemed to come and go. Then about six months ago my period started >to come early some months. This monthh I began to spot , light pink on >the 13th day of my cycle.I have had lots of tests done. Pap >smears,colposcopy with biopsy, endocervical cutterage, vaginal >ultrasounds,and a hysterosonogram. Everything came back normal. My doc >thinks I should go on the pill.I aasked her if I should have a >endometrial biopsy, and she said she did not think so.She seemed to >think the Hysterosonogram would have showed any uterine abnormalities. >This has been going on for two years,and I have been seeing a Doc the >whole time. My big fear is that I have some problem, like cancer,that >they are missing.Should I insist on a uterine biopsy,or would cancer >have shown up on the Hysterosonogram? I have heard the only true way to >tule out uterine cancer is with a D.+ C. What should I do? Am I being a >worry wart for no reason? Thanks Alice P.S. Could this all be hormonal? teh only way to detect cancer with certainlty is to do hysteroscopy and D&C, although a normal hysterosonogram is reassuring.
-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA
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