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Doctors' Answers to "Frequently Asked Questions" - Uterine Problems
Answer: Several things can cause cervical erosions. The first question is is it infectious? If so, what is the cause of the infection? A biopsy may be necessary(looking for Human Papilloma Virus) may be necessary. If it is not infectious, then other causes should be looked for(Bechets syndrome etc.) Are these ob/gyns? Because they are confusing you about a fairly straightforward problem.
Answer: Some women can experience difficulties with pregnancy with a septate uterus depending on the degree and your inherent fertility. A septate uterus makes implantation of the fertilized embryo more difficult(not impossible). Also, occasionally as the fetus enlarges the uterus may not tolerate it anatomically. This depends on where the embryo implants and the degree of the uterus. In general, with normal fertility a normal pregnancy is possible. But, there is a higher degree of spontaneous abortion. You need to discuss this with your gyn to understand the degree of the anatomic variation. In severe cases(which doesn't sound like you) it is a minor risk.
Answer: Women who have had a hysterectomy do not usually get treated with progesterone, only estrogen. This is due to the fact that progesterone is used to minimize the risk of uterine cancer with unopposed estrogen and this is not a problem if the uterus is absent. As to the cancer risk, there are currently studies ongoing to see if estrogen replacement is safe in the setting of uterine cancer. Most would say that it is safe if the cancer is in the early stages, but not if there is any indication of spread out of the uterus. But, this is not clearly known. Consequently, it would depend on her other risk factors as to the estrogen. That is, family cardiac risk, osteoporosis risk etc. weighted against the risk of the uterine cancer.
Answer: This has been used recently by ob/gyn, I haven't had any experience with this usage. Probably of little risk to try and should be no interaction at all with your thyroid.
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