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I.U.D.
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There were 542 questions found in this category:
 I removed a ParaGard IUD a year ago and have not been able to locate a missing arm after 2 attempts. What should I do next? #416/13
I have a patient with a ParaGard IUD placed in 2003. When it was removed last year it came out easily, but one of the arms was missing. The copper was also partially disintegrated. I have attempted 2 hysteroscopic removals of this arm. The first time, I was unable to get inside the uterus. ...
- How can a woman tell if she is allergic to copper? #502/13
My questions is: before using a copper T IUD, how can a woman know that she is allergic to copper? Good morning! If you hold a copper penny against your skin for a week, you will see a reaction if you are allergic to copper. It MUST be a copper penny. When might you go to this usually ...
- How can I deal with the absence of periods in my patients using a Mirena IUD? #405/13
What is the paradigm shift you are recommending for women concerned about the lack of bleeding while using a Mirena IUD? Answer from a participant at the Contraceptive Update Conference in San Francisco in March of 2013: I have patients who complain that they are not bleeding at all or ha ...
- Should I be concerned about the Mirena IUD lawsuits shown on TV? #311/13
I’ve had my Mirena in for over 10 years. After the birth of my son by Caesarian, I have had no problems with it. Should I be concerned witht the lawsuits that I’ve seen on TV? Thanks. The recent spate of ads encouraging law suits among woman using Mirena IUDs is causing a g ...
- Could my recent copper T IUD be the cause of my recurring herpes outbreaks? #420/13
I've had herpes for about seven years and in those seven years never had a breakout after the initial one. Now all of a sudden, I'm having breakouts it seems like monthly at LEAST. Nothing has really changed recently in my life and I was wondering why they would become so aggressive all of a su ...
- My doctor cannot locate my Mirena IUD, what should I do? #503/13
Hello, I had a hysteroscopy to remove an IUD a couple of weeks ago, but the doctor did not see anything. So, I am thinking that the IUD had to have expelled itself. Should I spend the extra money to have the CT scan done? Wouldn’t the doctor have been able to see something, even if it w ...
- My patient (using a Mirena IUD) is experiencing unusual side-effects. #213/13
A 23 year-old client has had an IUD for 2 years. Menses have been absent for the first year. Menses have occurred for the last 6 months along with PMS symptoms of headaches, moodiness and irritability. She reported to me recently that she had bleeding 2 weeks ago and is experiencing some spo ...
- What is the cause of this irregular bleeding after 4 years of using a Mirena IUD? #410/13
I have had my Mirena IUD for 4 years now. In the beginning everything seemed normal. For the last year now, I’ve experienced a lot of bleeding, dark brown blood and lower abdominal pain. The bleeding isn’t really heavy, but it’s always there when I go the the bathroom and w ...
- What Mirena IUD insertion information could you give me that would be helpful in nullip patients? #401/13
I have been placing Mirena IUD in nullip patients for 3 years. I have about a 5% failure rate, due to unable to pass the sound past internal os. This number is increased in women who have not menstruated in a while, either due to another IUD or oral contraceptives that cause amenorrhea. Should ...
- What does the “A” stand for in the copper T 380A IUD? #202/13
What does A in cu-T380A stand for ? Good morning! The “A” in the name copper T 380 A intruaterine device tells you that there is additional copper in two lateral arms of the IUD and that this additional copper is important. Why? These sleeves of copper increase the effectiven ...
- What are your recommendations concerning IUD insertion in patients with possible chlamydia/gonorrhea infections? #214/13
This question has come up a few times in our Family Planning Clinic and I was hoping you could help us with an answer. There was a similar question posted in 2010 and I wanted to see if there was any more data/insight into how to handle this situation: A woman is seen in our FP clinic and says ...
- I have been bleeding non-stop since my Mirena IUD was inserted. Is this normal? #318/13
Background : I'm a 47 year old female. I had a tubal ligation done in September 1988 after my 3rd child turned 2 years olds (he's now 26 years old). I've had extremely heavy periods for about 7 or so years that had gotten increasingly heavier in the past few years. My period last 6 days, with ...
- Do you think that the position of the strings of my IUD were the cause of all my bleeding and spotting? #306/13
I had a Mirena, which was placed at about 12 weeks postpartum. I experienced a lot of bleeding and spotting every single day for 5-6 months. After being completely frustrated with the bleeding, I took 3 months of combined oral contraceptives, which stopped my bleeding. We (my OB/GYN and I) were ...
- Why would it be necessary for me to be put to sleep for a Mirena IUD to be inserted? #815/12
For what reason would the doctor not be able to insert my Mirena IUS? He said I would have to go to sleep while they inserted the IUS. Good morning! Almost ALL women in their reproductive years can use a Mirena IUD and almost NEVER is it necessary for a woman to be put to sleep in insert ...
- The string of my copper T IUD is causing discomfort for my partner. What can we do? #211/13
I went for an insertion for a copper T IUD a month ago. Since then, my partner has been complaining that he is not enjoying sex because when he tries to get deeper inside me, he can feel the string. He says it is really uncomfortable. What can I do? Please help! My suggestion: I am ...
- Can a patient’s ParaGard IUD remain in place if she is exposed to Chlamydia? #1103/12
Dr. Hatcher, I attended the Contraceptive Technology Conference in San Francisco in March of 20121. I was informed you were amenable to e-mail questions. Hope you still are… A patient who had the ParaGard IUD inserted postpartum 3 years ago with no problems since insertion presented k ...
- Why has my new Mirena IUD caused me so much pain? #1017/12
I had a Mirena IUD inserted 11 days ago. The post-insertion pain was more persistent than I expected, improving some, but hurting really bad mid-week (perhaps because I was tired). One week after insertion I went to see my doctor to make sure that everything was okay. The doctor said the string ...
- I am 49 years old. After using my Mirena for 5.5 years, should I leave it in or have it replaced? #321/12
Hello, I have had the Mirena (levonorgestrel) IUD for 5.5 years now. I am 49 and have been told by Mirena manufacturers that it MUST absolutely be removed at 5 years. I was hoping it would be okay to leave it in until after I stop ovulating. If not, would you recommend me having it removed a ...
- A smaller levonorgestrel IUD has been released by BAYER? #104/13
Mini-Mirena IUD called SKYLA is now being marketed. Perhaps the best feature of this IUD is that the inserter barrel is 15.6% smaller than the inserter barrel of the Mirena IUD meaning that passage of the inserter barrel through the cervical canal will be easier for some women. This may be par ...
- Should I get a second Mirena IUD after expelling the first one or try the Implanon implant? #729/12
My Mirena IUD expelled in 2009 and I delivered my second child in 2010. I'm currently pregnant with number 3 and was initially considering sterilization. My husband and I have been discussing this throughout my pregnancy and I was sure this was the right road. Last night however, he came to me ...
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