Re: GYNECOLOGIC: bleeding during intercourse and loss of tissue
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 31 Dec 2007 22:10:16 -0600 (CST)
Michelle
Based on what you have stated here, I would be somewhat more aggressive.
I would at a minimum suggest a cold knife cone of your cervix, and
depending on what that says about the dysplasia and depending on what
the bleeding does, I would follow it very quickly with a hysterectomy.
Just my last $0.02 of 2007...Dr. von Almen
At Mon, 31 Dec 2007, Michelle wrote:
>
>Dear Doctors,
>
>Over the last 2 1/2 years, I have had severe menstrual bleeding during
>and between periods. Twelve months ago I was diagnosed with
>mild/moderate cervical dysplasia and 6 months ago I had the novasure
>surgery completed on my uterus. This procedure has stopped the heavy
>bleeding. My last pap result, biopsies, and coposcopy results 5 months
>ago indicated severe dysplasia but no presence of fibroids or tumors. I
>am still bleeding during and after intercourse and there is now a
>presence of considerable tissue loss as well in the last 3 months. I
>have no pain during intercourse but this causes great stress and concern
>for my husband and I. My oby/gyn has suggested for treatment that I
>continue to come in for pap smears, biopsies, ultrasounds, and
>coposcopies every 6 months and that I am to "destress" my life so that
>the HPV virus will not grow past the walls of the cervix. If my cervix
>has changed from mild to severe within a 12-18 month period is this the
>proper course of action and what is the newly appearing bloody tissue
>that is present, does this indicate that the abnormal cells have
>extended beyond the cervix? Please advise.
>
>Sincerely,
>Michelle M
>age 37
--
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William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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