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Re: IUD and PID From: Steven Crawford (scrawfmd@zoomnet.net) Fri May 28 19:56:32 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steven Crawford: "Re: IUD and PID" Previous message: Karen J. Bacon, RNC, WHNP: "Re: IUD and PID" Maybe in reply to: Deborah J. Wage FNP, CNM: "IUD and PID" Next in thread: Steven Crawford: "Re: IUD and PID" In all due respect, IUD placement, in my opinion only, should occur in collaboration with a physician. I realize this may cause some painful rebuttal, but I am seriously only stating this fact for the patient's best overall interest. Patients are the focus of our existence. We are here for them to be treated in a professional, non biased manner. Therefore, when I say that a physician should be consulted on any ambiguous case of IUD placement, etc., I am saying what I feel is most appropriate and what is best for the patient's health and future fertility. Obviously, one should understand, fully, that an IUD does not cause PID. A physician would know this simple fact, in all due respect to you. I am not saying that an IUD cannot cause PID, but if IUD's caused PID in any statistically significant number of cases of placements of IUD's in patients, no company in their right mind, nor the FDA for that matter, would approve their use in contraception. A history of PID alone may not "predispose a patient to "reinfection with a new IUD." The history of PID is an indicator that the patient has exhibited behavior, albeit maybe in the past, that may clue the physician in as to the type of activity the patient may engage in or has engaged in somewhere in their past. It is an "indicator" only, not necessarily a predisposing factor of unequivocal re-infection. I hope this answers your question. Again, I am commenting in good faith to the best interests of patients. I appreciate your concern and question regarding IUD placement and the inherent risks, benefits and alternatives that go with their use. -- Steven Crawford, MD "Karen J. Bacon, RNC, WHNP" wrote: > Steven Crawford wrote: > > > > Deborah, > > > > Any history of documented PID--no IUD. I have a patient that a CNM put in a > > patient with just this history. I took the IUD out three months later, as she > > had a temperature of 103.5 and severe PID requiring hospitalization. > > Yes, but what caused this patient's PID - the presence of an IUD or a > behavior which allowed her to acquire the infecting organism? Does a > history of PID *alone* predispose someone to reinfection with a new IUD, > or is it that they may indulge in multiple sex partners which puts them > at risk for reinfection? > > Karen J. Bacon, RNC, WHNP > Indianapolis, IN > karennp@iei.net Next message: Steven Crawford: "Re: IUD and PID" Previous message: Karen J. Bacon, RNC, WHNP: "Re: IUD and PID" Maybe in reply to: Deborah J. Wage FNP, CNM: "IUD and PID" Next in thread: Steven Crawford: "Re: IUD and PID"

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