This is a case of adolescent cervical stenosis illustrating a possible strong relationship with Depo-Provera use. The case report and its discussion part give an opportunity to debate the way the diagnosis was established, the treatment implemented and the possible underlying cause implied in the pathogenesis. We believe this case would represent an interesting reading material to the vast OJOG audience and alert the practising gynaecologist of such a rare but potentially easily treatable complication of Depo Provera use.
Morbid adhesion of the placenta and placental abruption are abnormalities associated with significant maternal and fetal morbidity and mortality. Early recognition and appropriate management of these placental accidents may play a vital role in preventing fetal and maternal complications. The two cases discussed here were recently managed in the setting of a consultant led obstetric unit in a District General Hospital in North Wales, UK.
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