Re: Question for those of you inserting IUDs

From: Cesar Molina (cemolar777@gmail.com)
Mon Jul 30 12:11:14 2007


Excellent Mr.Potur, I have more than 30 years to insert IUDs ant with your technic, never had any perforation.

2007/7/25, Dr. Bülent Potur <bpotur@yahoo.com>: >
> I think even the most experienced operators may perforate somehow
> without expecting it. Personally my perf rate for IUD's is zero so far.
> I would always check the uteri before and after the insertion and at the
> first month control with ultrasound. Ultrasound helps to confirm that
> the IUD is in the correct place in the fundus. So it reduces the
> incidence of pregnancy with IUD in place.
> If you are looking for something to blame I think there are two other
> factors:
> 1) The IUD and the insertion kit could have been clever ones so they
> would not perforate.
> 2) The muscle and the connective tissue of the of the woman's uterus may
> not be tough enough and may yield to perforation. This is generally in
> women with dietary deficiency especially scurvy and other connective
> tissue disorders.
>
> Bulent Potur MD Obgyn
> Kirikkale Turkey
>
> At Tue, 24 Jul 2007, GIN11153@aol.com wrote:
> >
> >Thanks for the replies so far. I should have explained that this is not a
> >postpartum lady. How often do perforations happen in someone not recently
> >pregnant? It's usually due to inexperience of the operator also? I
> thought that
> >the consent says that one understands that this could happen when
> inserting it.
> >I don't know what type of IUD it was.
> >
> >Gail
> >
>





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