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Re: ActinomycesFrom: Joseph Shaeffer (Jescnm@icehouse.net)Fri Mar 10 16:31:26 2006
> Personally I would lean towards at least removing the IUD, and if > that was colonized as well then treat her. > Aaaah, the art of medicine... > > Rafael Haciski MD FACOG > Palmetto, FL By removing her IUD you are also removing her very effective contraceptive method. If indeed, as the article states: 'Its prevalence has been estimated to be less than 0.001%; because of its rarity, the relationship between actinomyces found on a Pap test in an asymptomatic IUD user and the eventual development of this infection is unclear.' Why take away her method of contraception that has evidently been working well for her. IUD's fill a very effective gap in choice of a contraceptive method for many women who have tried and failed other options. Would the chance for an unintended pregnancy be worth the risk, as small as it is, for pelvic actinomyces? Joseph
-- Joseph Shaeffer ARNP/CNM Womens Health Care Nurse Practitioner/Certified Nurse Midwife/IUD Inserter Spokane, Washington USA
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