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Re: lost IUD From: Joanne Bulley, MD (islesannie@gmail.com) Tue Mar 27 19:56:43 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Gyn: Endometrial Cells on pap" Previous message: Joanne Bulley, MD: "Pharm Reps (was lost IUD)" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: lost IUD" Next in thread: rmodugno@aol.com: "Re: lost IUD" Reply: rmodugno@aol.com: "Re: lost IUD" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: lost IUD" I try to impart on the preson requesting an IUD that it is a ONE PARTNER contraception. That any change in partners should be considered a reason to have one taken out - a month of no IUD and then a new one inserted. No EBM for the one month our - just concept that it might not be a bad idea for the uterus to do whatever the usual immune / hormonal claring that might happen. And have new negative GC / CT DNA probes between partner(s). The patient is then free to do whatever she chooses. I just want to always be able to say to a jury" I ALWAYS / 100% tell ANY & ALL potential IUD users this info! Joanne At Tue, 27 Mar 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >At Tue, 27 Mar 2007, Gold, Ingrid wrote: >> >>I have been told by a Mirena rep that the PID risk is actually less than with no IUD, as a result of the mucous plug formed in the cervix and its role in preventing ascending infection. >> >>Ingrid Gold, CNM, Phoenix >> >The same rep probably also used to say the risk of perforation is 1 >10,000; well the risk is the same as T and copperT; also some studies >show that the inflamatory response after perforation is the same. The >risk with PID is related to the number of sexual partners, nuligravids >are more likely not to be married and more likely to have more than one >partner if the mirena is in uteru for five years. With a 50% divorce >rate one can make a strong arguement Married multips are likely to have >more than one partner in five years. There are lies dam lies and then >there are statistics. > >-- > Take care, John > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Joanne Bulley, MD: "Re: Gyn: Endometrial Cells on pap" Previous message: Joanne Bulley, MD: "Pharm Reps (was lost IUD)" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: lost IUD" Next in thread: rmodugno@aol.com: "Re: lost IUD" Reply: rmodugno@aol.com: "Re: lost IUD" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: lost IUD"

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