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Re: Lost IUD From: Joanne Bulley, MD (islesannie@gmail.com) Tue Mar 27 19:42:21 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Gyn: Endometrial Cells on pap" Previous message: Garry E. Siegel, M.D.: "Gyn: Endometrial Cells on pap" In reply to: Jamie: "Re: Lost IUD" I instruct all my patients about checking fo rthe string ... but in my 25+ years in the business - the majority check for about a week - maybe until the first menses then it quickly drops off to no checking whatsoever. If it were NY contraception I would want to check it. It was interesting when I had a patient from China - who got the IUD after that first delivery: It was meant to never be removed. No string. She was here with a USA husband and they wanted a child. I checked by Us and there was something in the Uterus. I did a hysteroscopy - as there was nothing that was able to be snagged with the IUD hook. It was like the spring of a ball point pen - or a slinky - in a single circle. Grabbed it with a grasper through the h-scope and pulled it out. She conceived the first cycle after removal. Joanne At Tue, 27 Mar 2007, Jamie wrote: > >I need one of those!!! Why are kids so fascinated with flushing thing? > >re the patient-you'd be surprised how unfamiliar some women are with >their anatomy and what's going on with it. I would hope she's been >checking for the string, but I wouldn't be at all shocked that an IUD >could be flushed down the toilet and never seen. > >At Mon, 26 Mar 2007, ainsron wrote: >> >>I would do a flat plate first, if you don't see it there, you aren't going >>to find it on laparoscopy. Did she ever check the string after insertion? >>It probably went down the toilet. Saw a great commercial on the new Kohler >>toilets the other night. A guy saw a good looking plumber (female) next >>door and tried to plug up his Kohler toilet with anything he could throw >>(towels, coins, etc.) in it. Nothing worked, so she got away. >> >>Ronald E. Ainsworth, MD, FACOG >> >>-----Original Message----- >>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. >>Siegel, M.D. >>Sent: Monday, March 26, 2007 4:16 PM >>To: Multiple recipients of list OB-GYN-L >>Subject: Gyn: Lost IUD >> >>25 YO P1001 with a Mirena of around one year's duration, came in for >>removal. No string seen, and on exploring the uterus with an IUD hook, >>well, no IUD found. >> >>Ultrasound did NOT find her IUD, so it is lost. >> >>I have recommended H-scope/lapscope to find it, but she has asked about >>having a CT first. Actually, I hadn't thought of that, and it seems >>that a plain X-ray may be even the better first choice. >> >>My real questions is: Is there any role for imaging? My instinct says we >>simply need to go to the OR, as she couldn't have expelled it and not >>known it, I wouldn't think. That said, if it is up under her diaphagm. >>. . >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> >-- >JFields, RN, BSN > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Larry Glazerman: "Re: Gyn: Endometrial Cells on pap" Previous message: Garry E. Siegel, M.D.: "Gyn: Endometrial Cells on pap" In reply to: Jamie: "Re: Lost IUD"

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