Re: mini-period/spotting...Dr. Marchbein..
From: anonymous (anonymous@obgyn.net)
Thu, 6 Apr 2000 06:40:32 -0500 (CDT)
Dr. Marchbein,
I wasn't sure if my post got lost so i am sending again. I understand
you are very busy and if you do not have time to respond I understand
completly.
I found a post that you responded to many years ago concerning this same
issue. You recommended seeing the doctor every 6 months to check the
IUD. Do yous till recommend this?
Since my doctor doesn't, do I just make an apt and tell her I want to
make sure it is in the right place and share my concerns about an IUD
with breastfeeding?
Thanks again!
At Wed, 5 Apr 2000, anonymous wrote:
>
>Dr. Marchbein,
>
>I'm sorry but I have more questions.
>
>My beta HCG came back negative! :)(It would have been my FIFTH baby!) I
>asked about skipping a period and how it relates to the IUD. I am told
>I ahve nothing to worry about and that it isn't a big deal for me to
>skip this. I was only talking to the nurse not my doctor.
>
>I want to keep the IUD in place but am worried about a perforated
>uterus. I know what it means to have this happen, but what problems can
>it cause? The string feels like it is the same length. If it perforated
>that means it moved right? and therefore the string would be shorter?
>Should I only worry if the length of the string changes?
>
>As you can tell, I am very confused as to what to do. You asked about
>my doctors comfort level, well, since I only talked with the nurse, I am
>not sure how she feels. My guess is that she is ok with this since she
>is the one who inserted it and knew I was breastfeeding.
>
>can you help me more please??? Thanks!
>
>Cindy
>
>P.S. You mentioned that inserting an IUD while breastfeding is not
>recommended in different parts of the world. What makes a group of
>doctors feel differently about studies than others? I am in Ohio and
>being seen by a DO.
>
>At Tue, 4 Apr 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>At Tue, 4 Apr 2000, anonymous wrote:
>>>
>>>Hi Dr. Marchbein,
>>
>>Hi anonymous,
>>
>>>You mentioned about a perforated uterus. What would this feel like?
>>
>>Usually no symptoms at all. It can be diagnosed by sonography or
>>(gulp!) at surgery.
>>
>>>Wouldn't I have more bleeding vs. less?
>>
>>Nope.
>>
>>>I had a beta HCG done today and
>>>will know the results tomorrow. If negative, should I make an appt with
>>>my gyn to get further answers or is it ok to not have a period?
>>
>>With a negative HCG, I'd still touch base with the doctor and see what
>>his/her comfort level is.
>>
>>>Thank for your time!
>>
>>You're welcome.
>>
>>HSM
>>
>>>At Mon, 3 Apr 2000, Harvey S. Marchbein, M.D. wrote:
>>>>
>>>>At Mon, 3 Apr 2000, anonymous wrote:
>>>>>
>>>>>Hi,
>>>>>
>>>>>I started having some spotting on day 25 of my cycle. I am on day 31
>>>>>and it has never gotten heavier. There is just enough there when I wipe
>>>>>and no more. The discharge has been dark red almost orange in color.
>>>>>
>>>>>I have had an IUD for 5 months and I am breastfeeding.
>>>>
>>>>Things are different in different parts of the country but around where
>>>>I practice, we consider breast feeding a relative contraindication to
>>>>the IUD - there was a report of a greater risk of perforation of the
>>>>uterus AFTER insertion (as opposed to being associated with insertion of
>>>>the IUD) while breastfeeding.
>>>>
>>>>>My periods were
>>>>>very frequent and extremely heavy prior to this month. Also, I have cut
>>>>>back on breastfeeding.
>>>>>
>>>>>I took a pregnancy test on Sunday and it was negative. Is there any
>>>>>chance that I am still pregnant?
>>>>
>>>>It may be too early to diagnose. If there's any concern, get a blood
>>>>pregnancy test and if deemed appropriate, a sonogram to confirm that the
>>>>IUD is still in the uterus..
>>>>
>>>>>Should I be concerned or do anything
>>>>>further? I feel crampy at times but nothing more is happening.
>>>>>
>>>>>Please help.
>>>>
>>>>--
>>>>Harvey S. Marchbein, M.D. FACOG, FACS
>>>>Great Neck, New York
>>>>
>>>>**Note: Opinions expressed here are for educational purposes only
>>>>and, as such, do not constitute a physician-patient relationship.
>>>>This information is not intended to supplant the need for you to
>>>>consult with your physician prior to choosing therapeutic options
>>>>and/or interventions.
>>>>
>>>>**Private emails cannot be entertained due to time constraints,
>>>>consequently no private emails will receive a response.
>>>>
>>>>**Thank you for your understanding ;-)
>>>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.
>>
>>**Private emails cannot be entertained due to time constraints,
>>consequently no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)