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Re: Gyn: Lost IUD From: babycatchers@aol.com Wed Mar 28 16:58:17 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: babycatchers@aol.com: "Re: Gyn: Lost IUD" Previous message: Garry E. Siegel, M.D.: "Re: Antibiotic prophylaxis" In reply to: Larry Glazerman: "Re: Gyn: Lost IUD" Next in thread: rmodugno@aol.com: "Re: Gyn: Lost IUD" I am at the Contraceptive Technology Conference now and the IUC speakers all stated that they can be expelled easily and she needs to be checked about 10 weeks after insertion to make sure the string is visible. If the patient does not check for the string, she may expell it with a heavy period. We had a hands on with the various types and they are so flexible, I can see why they would not feel it. Vicki Smith, CNM, MSN West Virginia Changing the world one baby at a time. -----Original Message----- From: l.glazerman@rcn.com To: ob-gyn-l@dns.obgyn.net Sent: Mon, 26 Mar 2007 7:29 PM Subject: Re: Gyn: Lost IUD Garry: Why do you think she couldn't have expelled it? I'd do a flat plate (much cheaper, simpler than CT, and will give you the same info). If it's in the belly, consider laparoscopy, but it might be tough to find - you might want to do it with fluoro available. If it's not there, she expelled it. Larry R. Glazerman, MD, FACOG St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 484-223-3279 484-223-2830 FAX glazerl@slhn.org On Mar 26, 2007, at 7:15 PM, Garry E. Siegel, M.D. wrote: > 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 ________________________________________________________________________ AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com. ________________________________________________________________________ Next message: babycatchers@aol.com: "Re: Gyn: Lost IUD" Previous message: Garry E. Siegel, M.D.: "Re: Antibiotic prophylaxis" In reply to: Larry Glazerman: "Re: Gyn: Lost IUD" Next in thread: rmodugno@aol.com: "Re: Gyn: Lost IUD"

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