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Terbinafine hydrochloride cream was applied. After 30 minutes, the patient was discharged in good condition without treatment of any kind. The patient returned to Clinic a couple of weeks after the first treatment, and was evaluated again. She returned to the clinic after 12 months, but the treatment, even if continued, had not been effective, and the patient was unable to continue her pregnancy. In addition, no further follow-up examinations were given; therefore, the patient died due to congenital anomalies that occurred during the last pregnancy. Discussion Although hysterectomy is not contraindicated for women with PCOS, the procedure is usually performed at age 25 years and is still considered a risk factor for cervical cancer.2–4 This association has been supported by epidemiologic studies with respect to women PCOS, including the Swedish Women's Cohort Study.2–4 risk of cervical cancer is particularly high in women with a family history of cervical cancer, a prior hysterectomy, intrauterine sterilization, or current recent hormonal intervention.2–4 This association is also reported in women with anorexia nervosa,3 a history of uterine fibroids,4 and in women with a history of pelvic inflammatory disease.5–8 It has been reported that women with a history of hysterectomy are 6 times more likely than women with no history of hysterectomy to have a history of cervical cancer, with the highest risk at time of hysterectomy.1 The risk cervical cancer is even higher when a hysterectomy is performed by an older operative physician, in the absence of pathology findings.9–11 Women should be made aware of the risk cervical cancer associated with hysterectomy and advised in consultation with terbinafine hydrochloride cream a gynecological specialist or family physician to have it done only by younger obstetrician-gynecologists. Moreover, women with a history of hysterectomy should be advised to avoid tobacco and alcohol. In women who have undergone hysterectomy, regular screening of cervical cytological conditions Order prescription viagra is also a necessity.13,14 The incidence of cervical cancer is increasing, and as it does, its occurrence should be carefully considered. The risk of developing cervical cancer increases progressively in women with a history of hysterectomy over period years in many studies, and a substantial proportion of terbinafine to buy women with a history hysterectomy will subsequently develop cervical cancer.15 In addition, women with any type of hysterectomy are more likely to have an increased incidence of cervical cancer over time compared with women without a history of hysterectomy. For example, in a study of patients enrolled in the Swedish National Population Registry, incidence of cervical cancer among women with no previous hysterectomy was 2.2 times higher compared with women who had a history of hysterectomy.
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