Re: actinomyces & pregnancy

From: Marilyn Ringstaff (marilyn.ringstaff@OBGYN.net)
Sat Jun 10 21:13:40 2006


<< However, the importance of clearing the actinomyces colonization is still not established. The options for management of asymptomatic IUD users with actinomyces on Pap test are expectant management, an extended course of oral antibiotics, removal of the IUD, and both antibiotic use and IUD removal."

Ef >>

thanks for all the comments: I saw her today, removed the IUD and told her the research was not clear whether or not she now needed antibiotic treatment prior to pregnancy and gave her the option. She chose treatment and will delay pregnancy for at least 2 months. These patients concern me more because I often see women from distant counties and may have no follow-up, so I think we’re all happy.

Marilyn

--
Marilyn Ringstaff, CNM




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