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Re: Discontinuation of contraceptionFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue May 2 18:55:30 2000
If she continues to have cycles now while on the cyclic HRT, then I would leave it in for sure. If not, but there is any question leave it til age 60. I removed a Birnberg Bow from a 72 year old the other day. I inserted it in 1967 when I was a resident. I had not seen her in between. Dan -----Original Message----- From: garrys@mindspring.com To: Multiple recipients of list OB-GYN-L Sent: 5/1/00 8:42 PM Subject: GYN: Discontinuation of contraception 50 YO inherited from another gyn who moved has been on HRT for 5 years. She initially was placed on cyclic HRT due to hot flashes, while she still was having spontaneous cycles, and has been a happy camper since. When I saw her today for an annual exam, her Paraguard T was still in place from 1993. I suggested removal, and she stared real hard and asked if I could be *certain* that she wouldn't conceive if removed. Gulp! My instinct said to take it out, but I chickened out and left it in, suggesting waiting until next year based on feeling and the ability to punt until next year. Any thoughts, other than pointing out that I was a chicken? Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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