Re: question about cervical stenosis
From: Alicia M. Lapidus M.D. (anonymous@obgyn.net)
Thu, 20 Mar 2003 12:50:04 -0600 (CST)
I think your OB is following the right steps.
At Thu, 20 Mar 2003, Memrie wrote:
>
>I am a 32 yr old mom of 3 boys. I have had 3 c-sections, but I have
>never had cervical surgery. I have been unable to get pregnant for 15
>mos now. I just changed OBs, as I felt my previous one was not very
>proactive. I just had a pap yesterday, and my new OB (who specializes
>in infertility and pelvic surgery) said I have cervical stenosis. He
>said that I was closed *so* tightly, he could not get a q-tip in. He
>said he would like to do a D and C, but that he would have to begin with
>a lacrimal probe (used for unblocking tear ducts), as I was *too* tight
>for the standard tool used for a D and C. He said that he didn't
>*think* this had been caused by the c-sections, as my cervix didn't look
>like they usually do if that has caused the problem. Of course, I'm not
>sure what that means. I have had prolonged spotting after my periods
>for years now, and am very frustrated that my former OB didn't diagnose
>this. My current OB says he can think of nothing that could have
>occurred in the last year that would cause this. (My last c-section was
>over 5 yrs ago.) He says it was certainly present at my pap a year ago,
>and probably for as long as I"ve been spotting (since the birth of my
>second son). I would like to know what, besides cervical surgery, can
>cause cervical stenosis? And was it incompetent of my former OB to miss
>this diagnosis?
>
>Thanks so much!
>~Memrie
--
Alicia M. Lapidus M.D.
Director Obgyn.net Latina
Chief of Staff Obstetrics, Hospital J. A. Fernández
Buenos Aires
Argentina
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