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Re: GYN: IUD removalFrom: cherivh@xdcr.comTue Aug 10 18:27:04 2004
>-- Original Message -- >Date: Tue, 10 Aug 2004 16:49:25 -0500 >Reply-To: ob-gyn-l@obgyn.net >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: GYN: IUD removal > >I was asked by a CNM if there was any particular time that you should or >shouldn't remove an IUD--specifically a Mirena. Her concern was >regarding a potential conception just before removal, and she has >advised patients to abstain for 3 days prior to removal. > Are you sure she was concerned about a conception just before removal? Maybe she was thinking about the theoretical risk of sperm hanging around for up to 3 days (which can happen) waiting for a magic moment of opportunity just after the IUD is removed. Seems a little farfetched and perhaps overly paranoid to me, but I think I can see where the concern might have come from.... What form of contraception is the pt. planning to switch to? Could she just start that a couple of days prior to removal? Cheri Van Hoover Faculty OB/GYN Group University of California, San Francisco
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