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Re: Timing of tubal sterilization From: Jason Gardosi (jason.gardosi@nottingham.ac.uk) Wed Dec 6 06:57:53 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Danny Tucker: "Seizure prophylaxis" Previous message: Gordon M. Goldman: "Re: Device for needle suspensions" In response to Samantha McCormick's query, 12/1/95: >>I need help with a patient. I am assisting with counseling her about a >>possible tubal. She is not currently pregnant, and desires no more children >>(2 school age girls). She wants a method that she can keep from her >>husband, who insists he wants more kids, particularly to have a boy. One posted suggestion was: >1. IUD >Provided that the string od the IUD is cut short the husband would never be >aware of its presence. Yes but shortening of the IUD string (usually done for male dyparenia) may turn it into a barbwire and/or difficult to remove eventually. I suspect that more women would use the IUD were it not for fear of going against the wishes of an underdeveloped husband. We are currently trialling a new, threadless IUD (the 'Butterfly') which is closed-loop shaped and is easily retrieved with a thin plastic hook. It has 380 sqmm copper so it should be effective for ten years (which is probably why it seems impossible to find commercial backing, but that's another story). After 110 insertions and a total of 150 women years, we have had no pregnancies, no extrusions (we are following up with scans), no infections (but the study is not controlled) and the 12 month continuation rate is 82%. The absence of male dyspareunia is particularly appreciated by a number of volunteers who had used other IUDs before. We are now seeking to extend these trials from next year, so if anybody is interested and has the set-up to participate in a multicentre study, please let me know. jason.gardosi@nottingham.ac.uk Ob/Gyn, Queen's Medical Centre University of Nottingham, UK Tel +44 115 9709211; Fax +44 115 9709791 Next message: Danny Tucker: "Seizure prophylaxis" Previous message: Gordon M. Goldman: "Re: Device for needle suspensions"

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