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Re: Bicornuate uterusFrom: ainsron (ainsron@sbcglobal.net)Wed Jan 23 19:13:17 2008
Planning to use Mirena. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of AllanHo@aol.com Sent: Tuesday, January 22, 2008 11:11 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Bicornuate uterus In a message dated 1/22/2008 2:44:05 P.M. Eastern Standard Time, ainsron@sbcglobal.net writes: I have a 32yo G4 P3104, postpartum patient with a unicornuate uterus with a non-communicating horn. She has recently had her third C/S and is a poor pill taker, tried Depo Provera in past but felt lousy and gained weight. She is breast-feeding and can't use NuvaRing or OrthoEvra. She is interesting in using the IUD. What is the experience/consensus of this group? I think it is worth a try but could have a higher expulsion rate. Which IUD are you thinking about inserting? I would think that the T shape IUD would not fit very well within the cavity, if it could accommodate one at all. The short arms would be forever compressed. Would it increase the risk of eroding through the uterine wall? Would it be creating excessive void within the cavity? If there was an excessive void inside, would it increase the rate of infection or discomfort? Would the copper coil or the progestin reservoir be producing the same result as the fully deployed IUD? I think there are too many variables. I don't think it is a good idea! (Perhaps the Implanon may suit her better. You can pull it out if she didn't like it.) Allan Pennsylvania _____ Start the year off right. Easy ways to stay in shape in the new year.
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