Re: IUD and PID

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat May 29 22:38:27 1999


>
>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

Well, these are good points, and may not have been fully considered by the CNM pre-placement. Whoever the inserter was (CNM or MD) should have thought of things like this; my contention is that the MD (who is the supervisor of the CNM) should be involved/consulted when it is not straightforward.

Garry

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.




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