Re: Actinomyces

From: Efrain Ramirez (eramirezt@coqui.net)
Fri Mar 10 21:09:56 2006


Good arguments - but there are also other very good methods of contraception - the decision is hers, not mine...

Ef

> At Fri, 10 Mar 2006, Joseph Shaeffer wrote:
>
>> 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
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




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