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Re: IUD and PIDFrom: RModugno@aol.comSat May 29 17:20:26 1999
In a message dated 5/29/99 5:51:17 PM Eastern Daylight Time, garrys@mindspring.com writes: << I sure as hell hope that the midwife employed by my practice would discuss this case with a supervising MD *prior* to placement (and I don't care who puts it in, but the MD needs to be involved in the decision making). As it turns out, she recently put an IUD in a 48 YO nullip who only had been seen once in our practice, and had a laundry list of gyn complaints, including infertility in the past, endometriosis, etc. My partner got pulled into the room during attempted placement to complete the placement, without the benefit of reviewing the history. I had the pleasure of seeing the patient a couple of months later for problems, and when I reviewed her history, I reviewed it with our CNM and pointed out that I personally would have been reluctant to put it in, and that she needs to run cases that aren't straightforward by one of the MDs prior to placement. Garry -- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga >> Actually, how cost-effective is putting an IUD in a 48yr old? Would doing a day 3 FSH be a pointer to how her chances of getting pregnant would be? Would placing an IUD in a patient ( not necessarily this one) with a history of infertility increase the risk of ectopic pregnancy? Robert Modugno MD FACOG Arista OB/GYN Alpharetta, Woodstock & Cumming GA
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