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Re: IUD removalFrom: ainsron (ainsron@sbcglobal.net)Wed Aug 11 16:22:06 2004
I'll remove them at any time. If I am concerned about potential infection, because of Cervicitis, leukorrhea, uterine tenderness, etc. I would simply cover with Vibramycin. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Tuesday, August 10, 2004 3:30 PM To: Multiple recipients of list OB-GYN-L Subject: Re: IUD removal Speaking of which, we just got denied for the third time getting paid for removing IUDs. Seems the patients have benefits to place but not remove IUDs. Any suggestions? Richard Chudacoff, MD A countryman between two lawyers is like a fish between two cats. Benjamin Franklin Heaven grant that the burden you carry may have as easy an exit as it had an entrance. [Prayer To A Pregnant Woman] -Desiderius Erasmus -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, August 10, 2004 4:49 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: IUD removal I was asked by a CNM if there was any particular time that you should or shouldn't remove an IUD--specifically a Mirena. Her concern was regarding a potential conception just before removal, and she has advised patients to abstain for 3 days prior to removal. I contend that this is not necessary, and that the contraceptive effect is present until actual removal. The package insert offers no guidance regarding the timing of removal. Any thoughts? My vote is take it out anytime. . . Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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