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J Pediatr Adolesc Gynecol. 2009 Oct;22(5):e139-41. doi: 10.1016/j.jpag.2008.12.001. Epub 2009 Jul 2.

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

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  • 1Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas, USA.

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.

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