WOMENS-HEALTH Messages for January, 2003: Re: abnormal paps and abnormal biopsies

Re: abnormal paps and abnormal biopsies

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Tue, 14 Jan 2003 00:07:25 -0600 (CST)

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Reply: deb: "Re: abnormal paps and abnormal biopsies"

At Mon, 13 Jan 2003, deb wrote: >
>I am postmenopausal for two years. In the past few months I have had
>bleeding, spotting, cramping. A endometrial biopsy was done, which came
>back shwoing hyperplasia. I then had a D & C done with the results
>showing mild hyperplasia.

and are you being treatd for this???

I recently had a pap smear done, which also >has come back abnormal for which I am now scheduled for a colposcopy.
>
>As I am postmenopausal, have not had a period for two year and two tests
>in a short time have come back abnormal I am now a little concerned. Is
>this is a common thing in postmenopausal women or do I have reason to
>possibly be concerned.

it certainly hsould be investigated further. >
>I have not talked personally to my doctor since the pap test as he very
>informally sent me a letter telling me my pap was abnormal or atypical
>and to schedule an appointment for a colposcopy. I talked to his nurse;
>she said that the results were "atypical". What does this mean.

it means the cells are not quite normal. Now, one thing you need to know is if it is the outer cervical cells (squamous cells) or cervical canal or uterine lining cells (glandular cells) that are abnormal. If it is the latter, it may merely reflect teh hyperplasia you already know aobut.

I >asked her if she thought I should get in sooner for the colposcopy; she
>told me to keep my appointment for when it was scheduled, that way if
>anything was there it would give it a chance to grow more. I don't like
>the sounds of that.
>
>Am I entitled to copies of the biopsy and pap smear report?

absolutely! You may have to pay a copying fee, though >
>I am getting scared now..do you have any advice?

you may want to get a copy of all yoru results and get a second opinion

I discussed with his >nurse, my wish to have a hysterectomy done before something real serious
>happens.
>Is this overreacting?
>
>Thanks for any info or help you can give me.
>
>--
>Deb
>
>P>S> I may have sent this twice in error. When I registered I type my
>quesstion in the comments section. If you receive this twice, I whole
>heartedly apologize.
>

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

author of "Your Over-35 Week-by-Week Pregnancy Guide"
working on "The Hip Chick's Guide to Menopause"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

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