Use of misoprostol for management of unsatisfactory colposcopy in the adolescent: a case report and review of the literature.
OBJECTIVE
To document the ability to use a prostaglandin analogue to achieve satisfactory colposcopy in a patient with cervical stenosis and unsatisfactory colposcopy.


METHODS
Case report.


RESULTS
Satisfactory colposcopy was achieved by using 100mg of Misoprostol orally, administered the night before the planned colposcopic evaluation.


CONCLUSIONS
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.
Ayensu-Coker
L
L
Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Sanchez
J
J
Zurawin
R
R
Dietrich
J E
JE
D000282:Administration, Intravaginal; D000293:Adolescent; D002584:Cervix Uteri / Q000187:drug effects / Q000473:pathology*; D003127:Colposcopy; D003251:Constriction, Pathologic; D004106:Dilatation / Q000379:methods; D005260:Female; D006801:Humans; D016595:Misoprostol / Q000008:administration & dosage / Q000627:therapeutic use*; D010120:Oxytocics / Q000008:administration & dosage / Q000627:therapeutic use*; D011300:Preoperative Care; D012086:Reoperation; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000601:surgery
D010120:Oxytocics; D016595:Misoprostol