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Question about pap without cervix due to cervical cancer Question about pap without cervix due to cervical cancer

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  #1  
Unread 04-20-2003, 03:22 PM
Question about pap without cervix due to cervical cancer

I am concerned that I am not getting the proper "continued care" that I should be getting. I ended up going in for my first follow up pap since my hyst earlier this month. I had read that they are supposed to do a colposcopy each time, not just a regular smear. And that I should be seen every 3 months for the first two years. Well he did a regular pap, didn't even check my ovaries or feel around. I then had to ask him in the hallway when to come back and he said 6 months. This is a regular OB/GYN. I think I finally found a GYN/ONC at The Women's Cancer Center, in Modesto CA. I was told I had to have a referral to get in though. I don't want to ask my Ob/gyn, wonder if my gp can refer me. I actually went to my gp after appt with the gyn because I feel like my ovaries still aren't working due to hot flashes, mood swings, frequent yeast infections, depression...he gave me Premarin to try for a few months. I wanted him to check my hormone levels, but I guess the gp isn't into that. Or because it is only about 5 months since my hyst.
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  #2  
Unread 04-20-2003, 04:02 PM
Question about pap without cervix due to cervical cancer

Hi Peaches,

Sorry you are not getting the follow-up care that you probably should. Make absolutely sure that the doctor does do colposcopies and keeps up the 3-month Pap follow-up! My doctor gave me the same follow-up schedule that you had mentioned in your post, but yet I have had the same issues that you are having (surgery in July and I've only had one Pap since??), so I went to another doctor. I ended up paying out of my pocket because there are only two gyn/onc groups in Tucson and the "new" doc doesn't take my insurance. So I didn't need a referral. It's definitely necessary to get the right-follow up, if only for your peace of mind!

I'm not sure if your GP can give you a referral, it works differently with different types of insurance, but I think maybe you can get one if you consult with the GP. If not, and you still don't want to ask your gyn, call your insurance company and ask their advice. Don't give up!

Beth
  #3  
Unread 04-20-2003, 07:55 PM
Question about pap without cervix due to cervical cancer

Hi Peaches,

I was on a "every 3 months" schedule after my hyst. My first one was at about 4 1/2 months, however. I had a post-op visit every week for 4 weeks and they scheduled the pap for 3 months from that last check up. I haven't had any colposcopies since my hyst, though. I didn't know that they were recommended. I'll be interested in what others ladies here say about that.

My dr is a GYN/Oncologist. He retired Friday and I got in to see him a couple of days before. He made arrangements with another Gyn/Onc to take all his cancer patients.

I hope you do hook up with an oncologist. They know their stuff...and you'll be more at ease.
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  #4  
Unread 04-21-2003, 06:49 PM
Question about pap without cervix due to cervical cancer

I was on the every 3 month schedule for the first 2 years. I now go every 4 months. Starting next Spring we will probably go to every 6 months and stay there for the indefinite future. I get a colposcopy once a year with vinegar test.

If you are uncomfortable with your follow-up care, absolutely seek the care of another professional.
  #5  
Unread 04-21-2003, 11:09 PM
Peaches...

I believe after my hyst, I was seen every three months unless there was something questionable, then I would see my gyn/onc every two months.

I've never had a colposcopy and I had my hyst 03/31/01. However, I do get a rectal exam every time I see my Dr. I thought it was because my cancer is located at the back wall of my vagina, and is between my bladder and my rectum. So he can tell how big the tumor is when he does a rectal exam.

I have to agree with the others, if you think you aren't getting the proper treatment, maybe you should see about getting another Dr. It makes a world of difference to have a Dr that you trust.

's and ers to you.
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