When a woman gets an early pre-cancer of the cervix, called mild dysplasia, or CIN I, she is likely to resolve her infection, or at least keep it in check so that it doesn't progress, and it's only likely to progress to overt invasive cancer in about 1/100 cases. Even if she has severe dysplasia, or CIN III, she only has a 1/10 chance of progressing to invasive cancer. The reason that so many women clear or control their disease is related to an innate immune response that some women can count on. The cervical pre-cancer is caused by the Human Papilloma Virus (HPV). Various types of HPV viruses cause other diseases rather than just cervical cancer, including genital warts. It has been shown that the warts too can be cleared by an immune response. To aid the ability of the body's immune response to clear the HPV Virus a novel wart treatment called imiquimod was developed and approved for use in 1997. In 1999 a small group of women (56 women) were given the opportunity to have treatment of their dysplasia either by medication with imiquimod or by a surgical treatment. The results were reported in the January 2012 issue of the American Journal of Obstetrics and Gynecology, the imiquimod treatment of the cervix was tolerated well and helped to clear HPV types, but it did not reliably clear the pre-cancer (dysplasia). So we cannot yet prescribe creams, but surgery, weather performed with knives, lasers, freezing or burning is still the treatment of choice when you do need to be treated.
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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