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To-do list for gynecologic exams in HIV+ patients. (Cervical, Anal Pap Smears).

OB GYN News

| April 01, 2003 | Finn, Robert | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN FRANCISCO--Dr. Meg Dana Newman offered the following tips on conducting gynecologic exams of women who are HIV positive at a meeting on HIV management sponsored by the University of California, San Francisco:

* Conduct a full pelvic examination with cervical and anal Pap smears, said Dr. Newman, director of aids education in the Positive Health Program at San Francisco General Hospital.

* Rule out acute disease, including chlamydia, gonorrhea, and syphilis.

* Include careful inspection of the vulva, the cervix, and the anus for interstitial neoplasms. The human papillomavirus thrives in patients who are immunosuppressed.

* If normal, repeat Pap smears and inspection every 6 months. After two negative Pap smears in a woman with reasonable immune restoration, which she ...

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