WOMENS-HEALTH Messages for June, 1997: Re: Cervical Tear Not Healing

Re: Cervical Tear Not Healing

From: Robert Radnich, M.D. (anonymous@obgyn.net)
Sun, 15 Jun 1997 06:08:00 -0500 (CDT)

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At Sat, 14 Jun 1997, Kristen wrote: >
>About a year ago my doctor found a tear on my cervix. He originally
>prescribed MetroGel. When that didn't work, he started silver nitrate
>treatments every three weeks. The tear finally started getting smaller
>and eventually (I thought) healed about five months ago. Since my
>original visit with this problem, I've had a pap every six months which
>comes back abnormal. Just before my scheduled pap last week, I noticed
>the pain of the tear was back and discovered that the tear had reopened.
>He applied the silver nitrate and performed a biopsy (again) just to be
>safe. We cannot think of any reason that this tear would have occurred
>originally or reoccurred now.
>My problem is that the doctor suggests pricey laser surgery to try to
>heal the tear since it hasn't healed over the past year even with the
>previous treatments. I have recently started a new job and have new
>insurance that will only pay a small amount for pre-existing conditions.
>Can anyone suggest alternatives that his group (he works with 4 other
>OBGYNs) might not have thought of?
>My doctor says he's been very proud of my 'attitude' about this whole
>thing, but I'm starting to get a little worried and frustrated and just
>want this over and done.
>Any advice would ease my mind.
>Thank you in advance.

Kristin, I'm not sure from your description just what the problem with your cervix is. Old obstetrical lacerations are quite common and usually cause no symptoms and require no treatment unless they are associated with recurrant pregnancy loss. Cervical eversions are also common and may be associated with an increased vaginal discharge or chronic cervicitis. These are commonly treated with silver nitrate applications or some other form of cautery if they are symptomatic. I'm not aware of lacerations being associated with pain. What is the pain associated with? What is your physician proposing to do with the laser? Sorry I can/t be of more help. I would find out more before proceeding with laser surgery.

--
R.H. Radnich,MD,FACOG
OB/GYN Associates of Dover
540 S. Governors Ave.
Dover, Delaware 19904

Next message: Dr: "Re: surgical menopause/migrains."
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