Issues After Colposcopy For Carcinoma In Situ Posted: 11-04-07 23:10pm
I am 31 and I had a cold knife conization
15 weeks ago for Carcinoma in Situ after a
HGIL pap and colposcopy. At the same time
I had tubal litigation. My OB said she had
to cut pretty deep. A week after I had a
spontanous hemorage on the vaginal wall
which the doctors couldn't explain except
maybe presure from a rectrator. I have
had a period yet since the surgery nor 3
months before surgery and have other
symptoms like bleeding after sex, mood
swings, fatigue, migranes, cramps and pain
in my lower back. At my checkup almost 2
weeks ago Doc had me take aygestin for 5
days to induce my period but had to stop
after 4 days due to severe migrane. It
has been 8 days and no period yet. Should
get the results of my latest pap then
also. Doc suggest if this comes back with
anything abnormal I should go ahead and
have a Hestorectomy. I am unsure of how to
deal with these symptoms and if I need a
second opinion. I do like my doc and
trust her but this is a big deal to me.
Any Advise would be helpful.
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MandMs
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Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
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Posted: 11-06-07 03:20am
What type of contraception you have used
before ligation?
Are you experiencing spotting?
Do you suffer from migraine for longer
period?
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nicoler76
New User, Becoming EHEALTHy
Joined: 04 Nov 2007 Posts: 4
Posted: 11-06-07 08:46am
I have not been on birth control for 10
years. Before that I was I used an IUD. I
have 3 kids, 14,10 and 4. Usually healthy.
I have had some spotting, and bleeding
after intercourse. I rarely have headaches
or migraines. I have been having severe
cramping since the last 2 weeks. During my
normal cycle I've always only had some
mild discomfort.
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MandMs
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Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
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Posted: 11-08-07 06:59am
Abnormal bleeding like in your case can be
a symptom of gynecologic cancer(cervical,
uterine, ovarian cancer)
Fatigue is one of the most commonly
experienced cancer symptom.
Are you experiencing general overall
change in your bowel habits?
Have you lost weight unintentionally?
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nicoler76
New User, Becoming EHEALTHy
Joined: 04 Nov 2007 Posts: 4
Update Posted: 11-08-07 11:09am
I have had some changes, I have not lost
any significant weight. I had a pelvic
ultrasound yesterday and my ovaries are
alive and everything looks okay but need
to wait for final report. Also had
bloodwork for FSH and TSH, should get
result next week. The fatigue and cramps
are the worst. I think I am going to seek
a second opinion.
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Ingi
Supporter
Joined: 09 Mar 2006 Posts: 8428 Location: Grinning like a Cheshire Cat,
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Posted: 11-08-07 11:11am
A second opinion would be a GREAT idea.
Good luck.
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
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Posted: 11-12-07 05:24am
The malignant potential of a specific
lesion cannot be predicted, so all types
of dysplasia must be observed and treated
if they persist or become more severe.
Have you received your last pap results
already?
In women who have completed childbearing,
total hysterectomy (removal of the entire
uterus) is the treatment of choice. In
other women, acceptable options include
cervical conization (surgical removal of
the entire "transformation zone" and
endocervical canal), or destruction of the
lesion with cryotherapy or laser
treatment.
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Santonica
New User, Becoming EHEALTHy
Joined: 14 Nov 2007 Posts: 2
Posted: 11-14-07 23:50pm
I would definitely recommend a second
opinion by a certified nurse midwife, they
are very knowledgeable in all areas of
women's health.
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nicoler76
New User, Becoming EHEALTHy
Joined: 04 Nov 2007 Posts: 4
Update Posted: 11-15-07 17:24pm
Thanks for all the advise. I had a pelvic
ultrasound...all clear. Bloodwork...not
in menopause. My OB did a cervical
dialation thinking I might have scar
tissue from the conization....not the
case. She got in a second doc and now I
am on a low dose Lybrel birth control for
3 weeks to see if that kick starts a
period. Cramps are still painful and I
have a dull persistent ache in my lower
back and some slight nausea. OB said my
she hasn't seen someones cervix still be
so tender 4 months after surgery and the
pain associated with that might never go
away.
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Posted: 11-26-07 03:09am
Pelvic discomfort and cramping are risks
or complications that can follow the
conization procedure. Most women describe
the sensation as being similar to
menstrual cramps.
Usually the discomfort is mild, although
some women develop marked pelvic cramps.
Another reason for pain can be infection
of regenerating cervix. If you are
experiencing foul smelling odor, too, you
are probably having an infection.
Because of the stress of tissue repair
that is taking place within the cervix,
women are developing abnormal periods for
1-2 months following the cervical
conization.
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