Re: Actinomyces and IUDs

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Wed Mar 5 22:56:35 2008


At Wed, 5 Mar 2008, Rafael Haciski wrote: >
>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
>Anchor Health Centers GYN
>800 Goodlette Rd #360
>239-643-8780 office
>239-571-0292 cell
>Naples, FL.
>

Agree no treatment needed, I wish the pathologists would stop reporting Actinomyces, especially on PAPS. Your fortunate he did not report endometritis also.

--
                                 Take care, John




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