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Re: Bicornuate uterus and IUCD birthcontrolFrom: mark decker (mdecker@nconnect.net)Sun Jun 16 16:48:44 1996
At 02:37 PM 6/15/96 -0500, you wrote: >Is it possible to use IUD in patient with bicornuate uterus? What would >be the failure rate and expulsion rate? >I have delivered recently patient with bicornuate uterus by cesarean >section. She is now requesting IUD for birthcontrol. Since I never >before inserted IUD in bicornuate uterus, I would appreciate any advice >and experience. > >Charles Rossmann, M.D. >Obstetrics & Gynecology >2301 North Ashley Street >Valdosta, Georgia, U.S.A. > I remember this to be <usually> not a good idea. can't remember the reference..maybe in sperof's somewhere? I would think if one horn of the uterus is very very small the iud would fit well/and work/ in the other horn and likely you would GET AWAY WITH IT. But I think that is what you would be doing..getting away with it. especially if the two horns are both large enough to implant a pregnancy you would likely get pregnancy fairly easily in the non iud horn and then have the same or close to it <50%> sab rate and high infection rate. I think you would be asking for trouble..unwanted pregnancy with a complication/fetal death risk..and unhappy patient <number one issue>... I don't practice medicine for lawyers but I bet a lawsuit could be successful if filed as an unfortunate but real side issue. I THINK is the operative here..as this is just my opinion..not embedded in knowledge of studies done on the subject..just my logic..which my wife points out is not always functional GGGG Mark -- mark decker md major surgery is done on me obgyn - avid biker minor surgery I do one someone else. midwest usa I need to remember that. <perspective>.
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