Re: lost IUD
From: art fougner, md (evsono@pipeline.com)
Wed Mar 28 14:12:21 2007
I would, of course, defer to EL and Steve, but Africa still has other,
more urgent infectious concerns.
Art
At Wed, 28 Mar 2007, Atkinson, Samuel M wrote:
>
>The only study that I am aware of was done in AIDS patients in Africa. Copper IUD's were associated with less episodes of "PID". It was assumed that the intense inflammatory effect and the enormous millions of polys resulting from the copper effect protected by killing sperm and gc/Chlamydia. I believe the rep may be mixing his product with some other one although a thick mucus plug from the standard pill is also protective.
>sAm
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gold, Ingrid
>Sent: Tuesday, March 27, 2007 2:06 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: lost IUD
>
>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
>
>At Tue, 27 Mar 2007, Doc Peró wrote:
>>
>>Does "patient`s demand" means that we must/should/will accept it ???????
>>
>>What if a given nuligravid patient, develops PID????
>>
>>Are the ones who accept to insert IUD on mulis, clear enough describing
>>method`s risks BEFORE doing it?????
>>
>> I`ve never accepted to insert them on nulis. Jorge.
>>
>I agree and do my best to discourage its use in nuligravids, the only
>exception being in young women with bleeding disorders such as
>von-willibrands and even then I stress the risk of PID to them.
>
>--
> Take care, John
>
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>End of OB-GYN-L Digest 5499
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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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