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Re: GENERAL: tissue granulation 18 months post partum? The condition you describe may be related to an infected stitch. If thearea does not heal then your physician should consi

From: Dr Herbert Goldfarb (@obgyn.net)
Thu, 10 Jan 2008 21:17:24 -0600 (CST)


At Wed, 2 Jan 2008, D. Ashley Hill, M.D. wrote: >
>It should be easy to tell if there is granulation tissue (it looks very
>red and bleeds easily). It's more likely that you have a neuroma (also
>called a trigger point) at the area where the granulation tissue first
>appeared. If so, your doctor may want to either prescribe estrogen
>cream for 4-6 weeks or inject the area with a combination
>steroid/lidocaine solution. Best wishes.
>
>At Sun, 30 Dec 2007, sharlene wrote:
>>
>>I was diagnosed by my OB-GYN with tissue granulation at approx. 3
>>months postpartum, silvernitrate applied and all seemed fine. However I
>>noticed it again at 6 months postpartum, and again at 1 year, both times
>>silvernitrate applied. Now it's 18 months postpartum and I am
>>experiencing slight pain and discomfort in the perineal area again...
>>Could it be a reoccurrance of the tissue granulation? If so, how would
>>you reccomend it be treated?
>>
>>Thank you.
>
>--
>D. Ashley Hill, MD
>Division Director, Dept. of Obstetrics and Gynecology
>Florida Hospital Orlando
>Medical Director
>Loch Haven Ob/Gyn Group
>235 East Princeton Street, #200
>Orlando, Florida 32804
>http://www.lochhavenobgyn.com
>
>Please understand that due to time constraints I am unable
>to answer any personal emails, therefore they will receive no response.
>
>These comments are general educational comments and should not
>be construed as specific medical advice. The best person to
>answer your health care questions is your physician or other
>health care provider. Thank you very much.
>

--
if the tissue is not atypical I would use megace for three months and then repeat the evaluation. I have treated many  women for this condition in this manner and have never been sorry.



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