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Re: Fibroids, Premarin Vaginal Cream, Pap smear

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From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 19 Dec 1997 15:07:56 -0600 (CST)


At Fri, 19 Dec 1997, Judith wrote: >
>I am 57 and post menopausal. Some years ago I had severe bleeding
>problems due to fibroids which subsided after menopause. After having
>some bleeding problems recently my physician performed an endometrial
>biopsy which was negative. I asked if fibroids, therefore, could have
>caused the bleeding. Her reply was, "It's possible."

Agreed. Possible but unlikely.

>I also am
>scheduled for a follow-up Pap smear because my hormone level was down
>during the previous smear. She has prescribed using Premarin Vaginal
>Cream, half-full applicator every other day for two weeks. I note in
>reading enclosed information that "Estrogens may cause benign fibroid
>tumors...to get larger." Could the Premarin cause the fibroids to
>enlarge causing bleeding some months later?

Not likely. They're talking about oral estrogen for the most part given in sufficient doses prior to menopause.

>Then because fibroids are
>active, does that cause an inaccurate Pap smear?

Nope.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, N.Y.
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisor/harveym.htm

*Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions.

**Private emails cannot be answered.

**Thank you.




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