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Re: Actinomyces and IUDsFrom: AllanHo@aol.comWed Mar 5 19:33:27 2008
In a message dated 3/5/2008 3:35:04 PM Eastern Standard Time, haciski@earthlink.net writes: Recently removed an IUD (Mirena) and path report indicated "inflamed mucus and decidualized endometrial tissue, with small fragment of Actinomyces species present" My recollection is that no treatment is needed (in fact IUDs do not need to be removed in asymptomatic pts if incidentally found). Since pt has no symptoms, my feeling is to put in another IUD in one month - would anyone do otherwise? Rafael Haciski MD FACOG Why did you remove the IUD? If it was because it was time for replacement, why bother sending it for pathology? And why not replacing it at the time of removal? Allan
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