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Re: GYN: IUD removal From: Braun, R. Daniel (rbraun@iupui.edu) Wed Aug 25 00:52:27 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: emilio porro: "Tubal failures ,segment removed and reversal" Previous message: Cheri Van Hoover: "Re: GYN: IUD removal" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: IUD removal" Prevention of implantation is about the third mechanism that occurs. As you mentioned Mirena may prevent ovulation but al IUCD's mainly work by prevention of conception. They make the endometrial cavity very hostile to the sperm sop they never get to the ovum to fertilize it. Dan R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Steve & Eryl Raymond Sent: Tuesday, August 24, 2004 11:01 PM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: IUD removal 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 > Next message: emilio porro: "Tubal failures ,segment removed and reversal" Previous message: Cheri Van Hoover: "Re: GYN: IUD removal" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: IUD removal"

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