OB-GYN-L Messages for March, 2008: Re: Actinomyces and IUDs

Re: Actinomyces and IUDs
From: FRANCES WREN (fwren@shaw.ca)
Thu Mar 6 09:49:46 2008

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I don't send the iud to path or for culture anymore unless there are specific problems.. and when I did send as routine...years and years ago I did not treat if actinomyces and symptomless. frances wren now i dont send ...and no problems, and I guess some have actinomyces on the iud.

>----- Original Message -----
From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.) Date: Wednesday, March 5, 2008 10:59 pm Subject: Re: Actinomyces and IUDs To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> 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
> reportingActinomyces, especially on PAPS. Your fortunate
> he did not report
> endometritis also.
>
> --
> Take care, John
>

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<DIV>I don't send the iud to path or for culture anymore unless there are specific problems..</DIV> <DIV>and when I did send as routine...years and years ago I did not treat if actinomyces and symptomless.</DIV> <DIV>frances wren</DIV> <DIV>now i dont send ...and no problems, and I guess some ha >ve actinomyces on the iud.<BR><BR>----- Original Message -----<BR>From: johnprov@sympatico.ca (Dr. John Provatopoulos  B.Sc. M.D.C.M. F.R.S.C.)<BR>Date: Wednesday, March 5, 2008 10:59 pm<BR>Subject: Re: Actinomyces and IUDs<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> At Wed, 5 Mar 2008, Rafael Haciski wrote:<BR>> ><BR>> >Recently removed an IUD (Mirena) and path report indicated "inflamed<BR>> >mucus and decidualized endometrial tissue, with small fragment of<BR>> >Actinomyces species present"<BR>> ><BR>> >My recollection is that no treatment is needed (in fact IUDs do not<BR>> >need to be removed in asymptomatic pts if incidentally found). Since<BR>> >pt has no symptoms, my feeling is to put in another IUD in one month<BR>> >- would anyone do otherwise?<BR>> ><BR>> >--<BR>> >Rafael Haciski  MD FACOG<BR>> >Anchor Health Centers GYN<BR>> >800 Goodlette Rd #360<BR>> >239-643-8780 office<BR>> >239-571-0292 cell<BR>> >Naples, FL.<BR>> ><BR>> <
BR>> Agree no treatment needed, I wish the pathologists would stop <BR>> reportingActinomyces, especially on PAPS.  Your fortunate <BR>> he did not report<BR>> endometritis also.<BR>> <BR>> --<BR>>                                  Take care, John<BR>> </DIV>
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Next message: FRANCES WREN: "Re: Entero-vaginal fistula"
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In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Actinomyces and IUDs"
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