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Can my patient with CIN l use a Mirena IUD? #204/6

Would you like to... Print this page Email this page Post a comment Subscribe me Add to favorites Remove Highlighting Edit this Question Dr. Hatcher I have a patient with recent confirmed CIN I on bx-my colpo impression was also mild dysplasia, who would like to have a Mirena IUD inserted. She is recently postpartum, with negative GC/CT cx. Given that CIN I has a good resolution rate, do you feel it is okay to go ahead and place the IUD? Love your site and I have the pill posters on the wall in my exam rooms!!! WHNP Your patient with CIN1 may use a Mirena IUD.  This condition, CIN 1, receives a "2" in the World Health Organization Medical Eligibility Criteria, meaning the method may be used but more follow-up may be needed than were the woman not to have CIN 1.   WHO categories for temporary methods:   ·  WHO 1 ?Can use the method.  No restrictions on use. ·  WHO 2 ? Can use the method.  Advantages generally outweigh theoretical or proven risks.  If method is chosen, more than usual follow-up may be needed. ·  WHO 3 ? Should not use the method unless clinician makes clinical judgment that the patient can safely use it.  Theoretical or proven risks usually outweigh the advantages of method.  Method of last choice, for which regular monitoring may be needed. ·  WHO 4 ? Should not use the method.  Conditions represents on unacceptable health risk if method is used.        Key Words:  CIN I, mild dysplasia, Mirena IUD, postpartum, negative GC/CT, World Health Organization Medical Eligibility Criteria

Robert A. Hatcher MD, MPH Professor of Gynecology and Obstetrics Emory University School of Medicine Atlanta, GA ---2006-02-3

A Pocket Guide to Managing Contraception ISBN 978-0-9794395-0-6 #8005

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