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Perimenopause and its complications - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi
Doctor :   Hi, I am Dr. AAAAAAA .Please proceed with your query
User :   I am 48, female. Now in the midst of perimenopause. My periods (every 2-3 months are very heavy, lots of clotting). I had an ultrasound. No issues reported. I also had a pap test. My test indicated endometrial cells. My doctor now has referred me to ob/gyn. Should I be alarmed and what tests should I request?
Doctor :   Did your doctor specify why he is refering you to ob/gyn?
User :   Due to the endometrial cells reported in the pap test.
Doctor :   Could you please tell me any other details of the pap smear test?
User :   No malignancy reported, all I was provided was endometrial cells detected.
Doctor :   Ok, since the endometrial cells were found, which are not normally seen
Doctor :   in pap smear unless the smear has been taken
Doctor :   just after bleeding
Doctor :   or some other causes like inflammation, HOV infection,
Doctor :   or in women on hormone replacement therapy
Doctor :   sorry its not HOV, but HPV
Doctor :   Hence, you need a diagnostic test now
User :   I am not on HRT; strong family history of cancer. Mom - breast cancer (64); father throat cancer and lymphoma 63; grandmother (paternal) ovarian cancer 66.
Doctor :   to confirm what caused the endometrial cells to appear in the pap smear
User :   What diagnostic tests should I request, or at least be aware of. And is this urgent?
Doctor :   They would now conduct a D & C
Doctor :   Dilatation & currettage
User :   Why a D&C, and does this require general anesthetic?
Doctor :   to rule out endometrial cancer
Doctor :   it does not require general anesthetic
Doctor :   But before this, a repeat cytology
Doctor :   colposcopy & cervical biopsy will be done to rule out cervical cancer
Doctor :   all are simple procedures,
User :   Thanks for the information, I will ask about the procedures, and should this be considered urgent?
Doctor :   The chances of cervical cancer is low as it would have shown in the pap already done
Doctor :   yes
Doctor :   time is most important factor in precancer/cancer
Doctor :   follow the doctors timing, that will do
User :   Thanks again, I will ask that these be expedited.
Doctor :   Your welcome
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