Re: GYN: IUD removal

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Tue Aug 24 22:59:41 2004


It seems that one aspect that hasn't been mentioned is that the method of action of an IUCD is to prevent implantation. However, a Mirena probably also prevents ovulation as well. It is just possible that if a fertilisation were to occur the night or two before removal, implantation could still follow in the hours after removal if the timing were just right. After all it can be up to 7 days between fertilisation and implantation.

art fougner, md wrote:

>and here i thought the presence of the IUD = contraception.
>
>art
>
>at Tue, 10 Aug 2004, Garry E. Siegel, M.D. wrote:
>
>>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.
>>
>>I contend that this is not necessary, and that the contraceptive effect
>>is present until actual removal. The package insert offers no guidance
>>regarding the timing of removal.
>>
>>Any thoughts?
>>
>>My vote is take it out anytime. . .
>>
>>Garry
>>
>
>--
>art fougner, md
>ich bin ein New Yorker
>





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