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Recent ob gyn questions
Specific punchline questions first: 1) if a woman had a
Specific punchline questions first: 1) if a woman had a polyp removed after an AGC PAP, how certain is it that the AGC's were actually from the polyp, 2) could HPV-16 be dormant (integrated?) for 20 years, and 3) how certain can I be that a D&C wouldn't miss a cervical adenocarcinoma?20 years ago, I had a positive HR-HPV (type unknown) and a "bad PAP." They couldn't find anything to biopsy in the culposcopy, and since I had been celibate for about 10 years, I suggested that the test had been mixed up with someone else's. They thought that might be possible, but seemed very uncomfortable.Over the next 20 years, I had at least six negative PAP's; nobody did any HPV testing. Then I started bleeding, a couple of years past menopause. I got an AGC PAP, plus endometrial cells that weren't supposed to be there, and a 8 mm endometrial stripe. A D&C removed a 4.2 cm polyp that was determined to be benign. Six months later, my then-Gyn FINALLY did an HPV along with my PAP: both negative.3.5 years later, about a month ago, I started bleeding again - just a little. I found out I'm HPV-16 positive, and my PAP is supposedly negative (through a receptionist who talked to the back office who talked to the nurse). I had a D&C two days ago and will find out the results in four days.I've done a ton of online research and now know all the protocols and statistics - and they don't seem to fit my situation. I'm PAP-/HPV+, but I'm not starting from scratch here as I was positive 20 years ago. I had AGC which was held to be from an endometrial polyp, but I'm not convinced this had to be the case, especially considering my HPV status. I also know that AGC's are very likely to be missed on a PAP, especially a liquid prep.I'm going to get at least some answers in four days, but I want to be prepared with educated questions; it seems to me that I wasn't followed as I should have been and I have have a somewhat rare combination of HPV+ and AGC's and don't trust that a random GYN is going to know what to make of my situation.I'd really like to have a hysterectomy and get this over with (I have big plans for my future that I'll have to postpone or drop if this drags on) but I doubt that I meet the protocol requirements. I wonder how many bleeds, D&C's, polyps, and culposcopies it takes to qualify.Oh yes, one more thing: I took unopposed estrogen for several years as a teenager, and then 10 mg Enovid (the big gun) for almost a decade: I had ovarian cysts (not PCOS) and had really high levels of estrogen and testosterone.I have the maturity to be soberly concerned without being freaked out. I'm not writing because I'm devastatingly frightened, but because I've really looked at my situation in light of the literature and I'm sure I will still have questions even if the PATH is normal.If the PATH turns out to be normal, what would you recommend for future management? Do I need to go to a university to find someone to answer this? HPV and PAPs annually, or every six months? I saw one recommendation for annual culposcopies and that doesn't thrill me.
Radiation Oncology Attending Director
I am have period problems. I am considered obese and have
Hello. I am have period problems. I am considered obese and have always had irregular periods that took months to arrive and when they come finally, they are very heavy. But my last period like that was in July. Starting last month I started a very light period at the same time as the girls in my office. It stayed light for 6 days and thenights went away. This month I started at the same time as the same girls again, but it was very light again and has been on and off for almost 3 weeks now. Never ends up on a pad or underwear. Just when I wipe. I have been under high stress since January and I dont know what is happening. But I'd really like to see a real period. What could this be?
I have a lot to ask about haha So, I'm 19, I have always had
I have a lot to ask about haha So, I'm 19, I have always had the weirdest periods. They have always been horrible to deal with. I have the worst cramps that usually results in me crying intensely in pain. They usually last about 4 or 5 days. They are sometimes irregular as well. Sometimes they are 2 weeks late or even close to a month late. My last period was on April 27/28, around those days. I had the horrible cramping and heavy flow. But this time I notice a lot of stuff coming out?? They looked like red clumps of something, not exactly sure. It was really heavy and then it ended I would say a day or two early. (i'm not sexually active. the closest i have done to something sexual is a hand job which i did 3/4 days before my last period) so i'm not pregnant, I also took a pregnancy test a couple days ago to make sure (it came out negative). About a week ago, for 2 days straight, I felt very nauseous and dizzy. I also had Diarrhea and on one of the days i saw some white mucus discharge. I haven't had these symptoms since.. But one thing i have noticed that has been consistent for almost a week or 2 is bloating/gas. Also, i have been taking calcium and vitamin d-3 supplements (500mg of calcium and 1000mg of vit D once or sometimes twice a day for the past couple of weeks) not sure if this affects anything? I did some blood tests a couple months ago and the only thing I saw that was a bit abnormal i guess was my testosterone levels were just a bit too high. I asked my doctor and she said it was normal for my age. Anyways, my period is 3 days late now. I'm really worried. I guess i'm a bit scared this time because of my first somewhat sexual experience. I'm just wondering am I too paranoid? Is this normal? should i see a doctor?? I have been very very stressed and anxious for the passed 2 months from final exams. Could be from that, but i just want to make sure. like i said im 19. im 5'3 and i weigh 112 lbs.I hope all of the medical info i gave will help hahaThanks!
Internal Medicine Physician
I have been having bad pain through my pelvic region and
Hi Dr.,I have been having bad pain through my pelvic region and burning gearing pain in my abdomen for 9 days now, thought it was just bad cramps at first but never got my period.(not pregnant, and always have had irregular periods). Been to the ER and they did ultrasound of ovaries and CT of abdomen/pelvis and did not find anything, my bloodwork is normal except a slight hormonal imbalance maybe PCOS. I am 18. Can't get into an OB/GYN before I leave to go abroad, so I am pulling my hair out as to what to do. Could an ulcer cause pain extending to the pelvis or endometriosis? Any advice would help. This follows being sick with a bad cold for a week so is it possible the virus spread?
Radiation Oncology Attending Director
I had an abscess inside my vagina that two gynecologists
I had an abscess inside my vagina that two gynecologists disarmed and told me it was normal tissue.A back story that's a bit long (sorry), I had a yeast infection followed by a horrible reaction to monistat that made everything inside and out raw. I was put on a topical steroid, and diflucan because I still had the yeast infection. Visit #1 for abscess was 2 weeks later, the abscess had been there the whole time, but until that point, I thought it was part of the reaction. It had started bleeding when I beared down, and I kept checking to make sure it was coming from my vagina. Doctor #1 said she didn't see what tissue I was talking about, but my cervix was raw, and the culture for BV came back positive. 2 days of 2 tindamax pills. The abscess (that I was told was normal tissue) went down for a couple days, but then went back to its previous size. Went in a week after appt #1, and doctor #2 (my regular gyn) said it was normal broken hymen tissue. She didn't know why it suddenly appeared in the last month nor why it was painful, but she insisted it was normal. I asked for a CBC, my platelets had sky rocked, and my WBC had lowered significantly but were still in the normal range. I called the office to talk about that and how I thought everything pointed to infection. To make me happy (my doctors words, not mine), I was given double the last tindamax, 4 pills/day for two days.I wanted a second opinion before I took them, and on this past Sunday the abscess popped. I went to urgent care to make sure that's what happened, and they accidentally drained the rest of it with the speculum. I took the tindamax that day, and the tissue was normal the next day (Tuesday).The problem is, I forgot to take the pill on Tuesday, and took it when I remembered - 16 hours later than I should taken it.Now the mass is back. Not nearly as big, but I was wondering the chances of it still being the original infection, and if tindamax is a good enough antibiotic
I have a question my menstrual period been way off
Hello, I have a question my menstrual period been way off balance for almost 2 years. I seen two OBGYN they didn't check me they both just prescribe me with metformin pills. They didn't work still having the same problem til this day. Before I bleed every 3 months for the whole month. Now , 2016 it was normal Jan, Feb, March now April it been the whole month plus the days in May. Can I please have some advice on this.
I've been diagnosed with an 9cm cyst on my right ovary. IView more ob gyn questions
I've been diagnosed with an 9cm cyst on my right ovary. I haven't really had any symptoms and wasn't even aware it was there until a pelvic exam was performed.I'm really worried about this affecting the functions of the ovary and leading to infertility. My periods and ovulations had been very regular until a month prior to the diagnosis.Also, what are the changes that this ovary has gone gangrene and I'm just not exhibiting any symptoms?