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Re: IUD and actinomycesFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Wed Jul 31 06:56:30 1996
At 16:09 30/07/96 -0500, you wrote: >Recently i took out a IUD from an assymptomatic young woman because she has >Actinomyces in the PAPsmear and treated with ampicilina. > >However, other gynecologists here in Barcelona don't take out the IUD just >only give ampicilina. Here we have no a standard management. > >What do the listers do? Actinomyces-like organisms (ALOs) on cervical smear are not a clinically signifixant finding in asymptomatic patients. A prospective study not too long ago showed that less than 5 % of smears showing ALO had a positive endometrial culture, and these patients were all asymptomatic. In all instances, the smears reverted to normal after 3 months. Singh MM et al, Br J Fam Plan 1989;15:3-6 jason.gardosi@nottingham.ac.uk OB/GYN, Queen's Medical Centre, Nottingham University http://www.ccc.nottingham.ac.uk/~mgzobgyn/PRAM/
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