Disease of the cervix and uterus can result in permanent impairment that can be quantified using the AMA criteria.
Parameters:
(1) signs and symptoms
(2) cervical stenosis
(3) need for treatment
(4) major anatomic loss of cervix and/or uterus
Signs and symptoms of cervical or uterine disorder:
(1) abnormal menstruation or noncyclic bleeding
(2) altered fertility
(3) abnormality in pregnancy or labor
(4) cervical stenosis or atresia
(5) cervical dysplasia and/or neoplasia
|
Signs and Symptoms |
Cervical Stenosis |
Therapy |
Loss of Cervix or Uterus |
Impairment of the Whole Person |
|
none |
none |
none |
none |
0% |
|
mild |
no treatment if present |
none or intermittent |
post-menopausal |
0 - 15% |
|
moderate |
periodic treatment if present |
continuous |
NA |
16 – 25% |
|
severe |
complete |
ineffective |
premenopausal |
26 - 35% |
where:
• I am not sure that premenopausal hysterectomy impairs a woman to the extent stated provided no further children are desired and there are no complications from surgery.
• If urinary or sexual dysfunction occur, then the degree of impairment needs to be combined with the cervical or uterine impairment.
Specialty: Sports Medicine & Rehabilitation, Obstetrics & Gynecology
