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actinomycosis in IUDFrom: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)Mon Oct 20 17:51:38 2003
Replaced a copper T IUD with a Mirena progesterone intrauterine system IUD last week and today I received a call from the pathologist that the copper IUD was ‘ as covered with actinomyces’ as he had ever seen. Needless to say, the Mirena comes out as soon as I can get a hold of her, but do I still need to treat her for 6-12 months in an asymptomatic infection? Do I need to scope her to rule out PID if there is no pain? She really expressed the desire for permanent infertility, even though she is a 27 year old nullipara. I should say that she is not entirely asymptomatic. I replaced the IUD with the IUS because of dysmenorrhea and menorrhagia. There is no dyspareunia, nor tenderness on bimanual exam.
-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC 15200 Southwest Freeway, #270 Sugar Land, TX 77478
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