Labor For Those Who Have Had a LEEP Procedure

Excision treatments of the cervix with an electrified loop are called "LEEP procedures. They remove a cone shaped piece of tissue and are used for the diagnosis an treatment of advanced cervical disease. A lot of research has looked into the risk for preterm labor in women who have had a LEEP procedure. But a research group from Washington University in St Louis, in a study presented at the Society for Maternal-Fetal Medicine's 32nd meeting in 2012, decided to look at how the cervix functions during labor itself, asking question if having a LEEP put a woman at risk for c-sections, prematurity (delivering before 34 weeks was defined as prematurity), or whether they had pregnancy losses before 20 weeks. They looked at women who had LEEPs, just pap smears, or pap smears and biopsies for abnormal pap smears. And it did not. This study looked at women over a 7 year period of time, so it was a more intense study than other studies, and they looked at a lot of detail about these women. In fact even very large specimens vs. smaller amounts of tissue removed did not affect the ability to have a full term vaginal birth, as in the LEEP group there was no increased risk for premature birth. Their point was that women with LEEP would not need any additional testing just based on the fact that they had a prior surgery of their cervix. Since this study the 2013 trend has, however, been to look more closely at the length and health of the cervix of all pregnant women, not just those who have had LEEP procedures, to see if we can identify a subset of women who might need progesterone treatment to help them go to full term.

Comments

Passing Your Uterine Lining, Menstrual Period Norms

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...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

GynoFiles

Search This Blog