WOMENS-HEALTH Messages for March, 1999: Re: Any alternatives to a hysterscopy

Re: Any alternatives to a hysterscopy

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Thu, 18 Mar 1999 19:17:47 -0600 (CST)

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At Thu, 18 Mar 1999, Mary wrote: >
>My age is 66.
>
>If a hysterscopy can't be done because cervix unable to be found what
>attentive is there to see into the womb for any sigh of a problem. Two
>occurrences of spotting over a year - months apart on estrogen and
>progesterone for about seven years. They wish to perform an
>hysterectomy without knowing if cancer cells are present or not. It
>seems this is only for prudence sack.
>

Sometimes in postmenopausal women (especially those NOT on hormones), teh cervix can become stenotic, or closed up. By very carefully dilating the cervix, starting with the smallest instruments, a hysteroscopy or boipsy can usually be done. For the woman with a severely stenotic cervix, another optiopn is to do an ultrasound; the thickness of the uterine lining can be measured -- a very thin lining is highly unlikely to have cancer in it.

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe any doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor. Sorry, but personal e-mails will not be answered, due to time constraits and the desire to spend as much free time as possible with my husband and baby daughter

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