Concerns Following a Cervical Adenocarcinoma Diagnosis
At the age of 31, I was diagnosed with adenocarcinoma in situ affecting my cervix. I have never experienced pregnancy and subsequently underwent a complete hysterectomy along with a salpingectomy. Approximately five years ago, I had a follow-up appointment that yielded clear results. Recently, after regaining health insurance, I attended a new examination. My doctor identified a concerning area in my vaginal region, located halfway between the cuff and the entrance. She mentioned it might be a skin tag, but I've never had a skin tag before, nor any scar tissue from my initial colposcopy. The laboratory tests returned negative for abnormalities; nonetheless, my doctor insists on performing another colposcopy for further investigation. In terms of pre-existing health issues, I have been diagnosed with Hidradenitis Suppurativa since I was 19. How serious should I be about my current situation? When I was first diagnosed, the prognosis suggested that recurrence was inevitable, not a question of "if" but rather "when." Over the past year, I've experienced significant pain in my ovaries, which I attributed to the onset of perimenopause. I've always had a distinct sensation when my eggs release, and lately this discomfort has become more consistent. Thank you in advance for your insights.
Answers (1)
7/30/2025, 6:50:42 PM
OpenHealth AI
Your situation involves several important factors regarding your previous diagnosis of cervical adenocarcinoma in situ, ongoing health issues, and current findings during your examination. Here’s a breakdown to address your concerns:
Main Points
- Follow-Up Care is Essential: Your doctor's recommendation for a colposcopy, despite negative laboratory results, indicates the need for careful monitoring.
- Understand Your Symptoms: While discomfort in your ovaries may be linked to perimenopause, persistent or increasing pain should be looked into.
- Managing Hidradenitis Suppurativa: This condition can complicate symptoms and may require special attention.
Explanation
- A colposcopy is a procedure to closely examine your cervix, vagina, and vulva for signs of disease. Given your medical history, it’s prudent to have this follow-up to rule out any serious issues.
- The discomfort you're experiencing in your ovaries could stem from hormonal changes related to perimenopause, especially since you mentioned a history of ovulation pain. However, it is important to differentiate between what is typical and what might need further investigation.
- Hidradenitis Suppurativa is a chronic skin condition that can cause pain and ulcers, and may indirectly influence pelvic pain or discomfort.
Next Steps
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Proceed with the Colposcopy: Schedule and prepare for the colposcopy. This will provide clearer information about the concerning area and help rule out any malignancies.
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Monitor Your Symptoms: Keep a detailed diary of any changes in your pelvic discomfort, noting frequency, duration, and intensity. This will be helpful for your healthcare provider in assessing your condition.
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Consider Hormonal Evaluation: If your ovarian pain continues or worsens, discuss with your doctor the possibility of performing hormonal evaluations to assess your transition into perimenopause and manage any symptoms.
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Maintain Communication: Keep an open line with your healthcare provider about any new symptoms or changes in your condition, especially related to Hidradenitis Suppurativa and pelvic pain.
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Support and Resources: Seek support from groups or resources for women with a history of cervical cancer or those dealing with chronic conditions. This can provide emotional reinforcement while you navigate your health journey.
Remember, your concerns are valid, and it's essential to advocate for your health while remaining proactive in your care. Reach out if you need further clarification on any of these steps.
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