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Re: IUD B/S episodes/ removal

From: James Wang, MD (anonymous@obgyn.net)
Mon, 28 Jan 2002 21:41:39 -0600 (CST)


Cultuers and a course of antibiotics may help reduce spotting. If you have persistant spotting, and all the testing is OK, you could cointinue to use the IUD if it doesn't bother you. SOme IUDs do have progesterone as well as mirena.

At Mon, 28 Jan 2002, anonymous@obgyn.net wrote: >
>I have had my IUD for almost two years. Each month my period is 25 to
>30 days long with five to seven days of very heavy bleeding plus 2 or 3
>days of spotting before and after each period. I am having bleeding
>spotting episodes for ten days out of the month each month and free from
>bleeding only 16 days out of the month on average. My doctor told me
>initially that the spotting is not from the IUD and to wait six months
>which I did (I had stopped nursing at the time). My periods are still
>the same and the doctor I saw this past week told me the spotting is
>from my IUD. He did not do an exam or anything but basically came to
>that conclusion I guess. He suggested removing the IUD. I am not sure
>if this is the right thing to do and I am not sure what type of
>alternative I could use if I were to have it removed. Hormonal birth
>control methods have always caused me problems in the past and I would
>not like to resort to those. I have used barrier methods in the past
>effectively but don't feel safe w/them exclusively because a few times I
>didn't use them and was scared. I considered the MIrena IUD but I don't
>know about the long term health effects or hormonal effects of having
>progesterone in the uterus for such a long time. Basically, I am unsure
>as whether to proceed w/the removal or stay w/the IUD despite all the
>problems I have had. I

--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine

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.




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