PREGNANCY-BIRTH Messages for February, 1999: Re: having a tubal after delivery

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Re: having a tubal after delivery

From: William D. McIntosh, MD (anonymous@obgyn.net)
Fri, 26 Feb 1999 19:15:40 -0600 (CST)

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In reply to: AMD: "Re: having a tubal after delivery"

At Thu, 25 Feb 1999, AMD wrote: >
>Dr. McIntosh,
>
>Thank you for your candid answer, and I certainly hope it does not bring
>an onslaught of hate-mail. I was very interested in your comment about
>BCP's. As a teenager, I had horrible periods with cramps, vomiting, and
>diarrhea, and a lot of bleeding. The pill was a godsend for these
>problems. I don't know if I would still have these problems now that I
>am older and had a couple of children. The only time I have not been on
>the pill since I was 17 was when I was pregnant and the couple of months
>before I got pregnant. It sounds like it might be wise to find out what
>my normal period would be like without the pill before deciding to have
>a tubal. If I'm going to need BCP's to keep my periods manageable, then
>it would be foolish to have a tubal.
>
>Is an IUD a good option after childbirth?
>
>Thanks,
>Andrea

I think that trying your own natural cycle for a while, just to see how it fits, is a great idea. I am a big fan of the IUD in the properly selected patient. My wife (also an OB/GYN) and I used that between our children. You sound like the IUD poster child, a multiparous woman in a mutually monogamous relationship that wants long lasting effective contraception without hormones, but who is uncertain about sterilization. It can last 10 years, or simply as a bridge to BTL or vasectomy. Talk with your doctor. It is not for everyone.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: William D. McIntosh, MD: "Re: induction at 38 weeks"
Previous message: Andrea: "5 Weeks Gestation, not 7???"
In reply to: AMD: "Re: having a tubal after delivery"

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