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Re: moval of cervix with uterus

From: William D. McIntosh, MD (anonymous@obgyn.net)
Tue, 29 Dec 1998 22:01:28 -0600 (CST)

At Tue, 29 Dec 1998, Joanne wrote: >
>I have a fibroid on my uterus (both about 6.5 cm in size). It causes
>pressure and discomfort in my abdomen. So as a 41 year old woman, i am
>having a hysterectomy. I am leaving the ovaries intact, but cannot
>decide whether to remove the cervix. I have had abnormal pap smears and
>a cone biopsy (which was negative). Should I remove the cervix as well?

There are people who would advise you both ways, but with a history of abnormal pap smears and a cone biopsy in the past, the question you need to ask yourself is this; is preserving something which is most likely nonfunctional (I know some would argue with this, but there is little convincing evidence for that point of view), and is very possibly going to be the source of future problems, even future surgery, do I really need this? 

--
William D. McIntosh, MD
Clarksville, TN


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