WOMENS-HEALTH Messages for December, 2007: Re: ABNORMALPAP: Agus Pap

Re: ABNORMALPAP: Agus Pap - Hyperplasia

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 27 Dec 2007 19:35:47 -0600 (CST)

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In reply to: Deanna: "ABNORMALPAP: Agus Pap - Hyperplasia"
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Deanna

Well, there is not a clear answer to that as you still need and EMB for evaluation.

The question you ask really relates to endometrial hyperplasia. There is a correlation between endo hyperplasia and decrease of progesterone (or increase of estrogen-same effect, different problem). There is not necessarily correlation between glandular hyperplasia and lack of progesterone/increase of estrogen, unless it is an extension of endometrial hyperplasia. Thus, you need an EMB to fully evaluate your problem...Dr. von Almen

At Thu, 27 Dec 2007, Deanna wrote: >
>I had an abnormal pap that was a AGUS result in October. The doctor did
>another pap with the same AGUS result and also tested for HPV which was
>negative. I just had a coloscopy and it was negative as well.
>
>On the ECC, the doctor said the results were hyperplasia.
>
>My question is on the hyperplasia diagnosis. Could this be a result of
>me going off birth control pill right before I got my first AGUS result?
>Another factor that seems to fit is that my periods have been lighter
>since going off birth control in October. Could I not be producing
>enough Progesterone after going off the pill and this is causing the
>AGUS result and the hyperplasia diagnosis? Could it be that the lining
>of the uterus is not shedding enough every month and this is causing the
>hyperplasia?
>
>I asked my doctor if it had anything to do with going off the pill and
>he said no, but so many things seem to fit into place after going off
>the pill.
>
>Any thoughts?

-- Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

Next message: mjak: "Re: ABLATIONS: pre-testing for surgery & doctor thinks I had a past heart attack (re-worded)"
Previous message: Hope Waltman: "Re: BREASTHEALTH: Sore Breast"
In reply to: Deanna: "ABNORMALPAP: Agus Pap - Hyperplasia"
Next in thread: Garry Siegel, MD: "Re: ABNORMALPAP: Agus Pap - Hyperplasia"

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