Use of misoprostol for management of unsatisfactory colposcopy in the adolescent: a case report and review of the literature.

L Ayensu-Coker, J Sanchez, R Zurawin, J E Dietrich

Journal: Journal of pediatric and adolescent gynecology 2009;22(5):e139-41

PMID: 19576826

Full Text on Elsevier Science View on PubMed

Abstract

STUDY OBJECTIVE

To document the ability to use a prostaglandin analogue to achieve satisfactory colposcopy in a patient with cervical stenosis and unsatisfactory colposcopy.

DESIGN

Case report.

RESULTS

Satisfactory colposcopy was achieved by using 100mg of Misoprostol orally, administered the night before the planned colposcopic evaluation.

CONCLUSION

In the presence of persistent atypia in an adolescent female with an unsatisfactory colposcopy, consider using a prostaglandin analogue for adequate evaluation of the endocervix, prior to proceeding with an ablative or excisional therapy.

Address: Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas, USA.

DOI: 10.1016/j.jpag.2008.12.001

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MeSH Terms: Administration, Intravaginal, Adolescent, Cervix Uteri, Colposcopy, Constriction, Pathologic, Dilatation, Female, Humans, Misoprostol, Oxytocics, Preoperative Care, Reoperation, Uterine Cervical Neoplasms, Vaginal Smears, Uterine Cervical Dysplasia