Patients were overall highly adherent to management recommendations when diagnosed with CIN 2 or 3. Those patients recommended to undergo treatment as opposed to observation were more likely to follow up.

vaccine available in their offices. Fourteen women attended the seminar (average age 21 years). Most did not have a gynecologist (86%) for well-woman care. Many (36%) were unaware of HPV, though 36% knew HPV was a sexually transmitted infection. Some (21%) knew HPV was a cause of cervical cancer. The most favored educational format or venue was a small-group setting (43%), followed by online (36%), seminar (14%), and social gathering (7%). In the curriculum intervention, the mean score for the pretest was 69% (standard deviation [SD] 68%); mean posttest score was 93% (SD 68%, P,.001).CONCLUSION: Many barriers are keeping Korean American women from receiving the HPV vaccine. However, culturally appropriate small-group educational programs are helpful in improving awareness and knowledge. OBJECTIVE:To determine the bleeding risk in women undergoing minor gynecologic procedures while concurrently taking various anticoagulants.METHODS: Patient charts from January 2008 to August 2013 were reviewed to identify patients who underwent minor procedures while taking anticoagulants. Bleeding complications were graded as none, mild, moderate, or severe. No-bleeding diagnoses were defined as hemostatic biopsy sites. Mild bleeding was classified as occasional spotting requiring pressure for less than 5 minutes. Moderate bleeding required the use of suture for hemostasis. Severe bleeding complications required transfer to a tertiary care center or blood transfusion. RESULTS: We reviewed 7,453 medical records yielding 269 minor procedures during which patients were concurrently taking anticoagulants. The mean age was 65 years (range 30-96 years), with 148 African American and 121 Caucasian patients. Bleeding complications occurred in 14 patients: 13 mild and one moderate. Bleeding complications were not affected by age (P,.558) or race (P,.136) but were related to procedure type (P,.001). Specifically, the loop electrosurgical excision procedure was the only procedure to result in a statistically significant mild complication rate (P,.036). There was no association between type of anticoagulant used (P,.630) or medical diagnosis for anticoagulation (P,.759) and bleeding risk.CONCLUSION: Minor gynecologic surgical procedures can be undertaken safely in women who are concurrently taking antiplatelet or anticoagulant medications.