| March 2008 · Vol. 20, No. 03 COMMENT & CONTROVERSY
More tips for overcoming a resistant cervix
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Fast Track
“Research has suggested that the LEEP procedure may increase the risk of preterm delivery”
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“How to overcome a resistant cervix for hysteroscopy and endometrial biopsy,” by Joan M.G. Crane, MD, MSc (November)
I want to thank Dr. Joan Crane for her helpful article offering tips on dealing with a stenotic cervix. One suggestion I would like to add is to use a narrow loop electrode from the loop electrosurgical excision procedure (LEEP) to remove the stenotic portion of the external os. I tried this soon after LEEP devices became available and it worked well, allowing endometrial biopsy. Since then, I’ve seen at least one article describing this technique.
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