tag:blogger.com,1999:blog-4324635777375367826.post4683742558851664016..comments2023-03-25T09:41:57.778-04:00Comments on OB Cookie: Contraceptive Confections—IUDs, you are so sweetAnonymoushttp://www.blogger.com/profile/08138307998250378615noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-4324635777375367826.post-51475191572847064592013-04-03T13:58:23.427-04:002013-04-03T13:58:23.427-04:00Love it. May I use your cookie pic with a link to ...Love it. May I use your cookie pic with a link to this page on my blog?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-68231747092244043132012-09-12T13:37:35.742-04:002012-09-12T13:37:35.742-04:00I am presenting IUD information for patients and p...I am presenting IUD information for patients and providers tomorrow as part of my Nurse Practitioner program. I can't wait to share these cookies. Thank you for the idea and included blog on contraception.ladyidahohttps://www.blogger.com/profile/08220617338229881191noreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-29089585067459923222012-07-10T18:16:09.708-04:002012-07-10T18:16:09.708-04:00Hi! I just found this. SO cute! I got an IUD put i...Hi! I just found this. SO cute! I got an IUD put in yesterday. It hurt a lot to put in, but I feel fine today!<br /><br />Also! I asked my doctor about anesthesia, and she said the reason they don't use local anesthesia is that it hurts as much to stick a needle in your cervix to numb it as it does to put the thing in- i.e. why add an extra step?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-68442302332202291582012-02-21T08:24:40.012-05:002012-02-21T08:24:40.012-05:00ooh! Good idea!ooh! Good idea!fuehttp://fuesacekimifiyatlari.netnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-50663607782386030042010-09-13T05:31:06.037-04:002010-09-13T05:31:06.037-04:00It's very interesting. Thanks to the author.It's very interesting. Thanks to the author.mikroenjeksiyonhttp://www.tupbebekgebelik.comnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-32127246892303882002010-05-17T06:40:40.624-04:002010-05-17T06:40:40.624-04:00Dr. Fogelson, thanks for such a thoughtful respon...Dr. Fogelson, thanks for such a thoughtful response! I wanted to talk about this but I honestly didn't understand enough background to explain it...so thanks for being an "attending" of sorts to make sure that I dispel correct information. Hope you're having fun at ACOG!Anonymoushttps://www.blogger.com/profile/08138307998250378615noreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-38298743760445481752010-05-15T19:36:45.098-04:002010-05-15T19:36:45.098-04:00Yummy cookies.
Interesting story about the resear...Yummy cookies.<br /><br />Interesting story about the research that showed IUDs to be associated with PID.<br /><br />There were over 20 studies that showed that IUDs were associated with PID, and many of them did _not_ involve Dalkon shield. For a long time, these studies were the basis of a general disdain for the device. In aggregate, these studies showed a 3-10x relative risk for PID for IUD wearers versus non-wearers. <br /><br />Each study was a case control, that compared women admitted to the hospital with PID to women admitted to hospital for other diagnoses. They then looked at how many of each group had IUDs, and found that the group that had PID were far more likely to have IUDs than women admitted for other indications.<br /><br />This study got re-done in a zillion different environments, and each time showed that PID was associated with IUD use.<br /><br />The problem was that this study design was very flawed, and even though the study was repeated over 20 times, the ultimate result was incorrect.<br /><br />The study design had a great deal of selection bias. Women who presented to the ED were often evaluated by the ED physician, and if they had simple PID they were often sent home. They were only admitted if they had 'complicated' PID. And guess what was considered a criteria for 'complicated' - IUD use. As such, the women in the hospital with PID were far more likely to be wearing IUDs than the general population of women with PID. <br /><br />The moral here is that one really had to read the study design before you decide if the results are reliable. The secondary moral is that if the same bad study is repeated, you will get the same wrong answer. Repeating an incorrect study design 20 times does not make a more correct answer. Bias is not eliminated by power.Nicholas Fogelson, MDhttp://www.academicobgyn.comnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-36258894877776350532010-05-14T14:05:23.507-04:002010-05-14T14:05:23.507-04:00ooh! Good idea!ooh! Good idea!Anonymoushttps://www.blogger.com/profile/08138307998250378615noreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-79168214032771911252010-05-14T13:57:08.102-04:002010-05-14T13:57:08.102-04:00Is the gummi Nuva Ring next???Is the gummi Nuva Ring next???Lindsay Hall-Stechttps://www.blogger.com/profile/05610922530479256952noreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-61870675121792033872010-05-13T23:10:33.783-04:002010-05-13T23:10:33.783-04:00You crack me up! Nice cookies and great info on I...You crack me up! Nice cookies and great info on IUDs. <br />I did get a chuckle though when you said that the Mirena is IMPREGNATED with progesterone. Pun intended?Ruthhttp://www.catchthebaby.comnoreply@blogger.comtag:blogger.com,1999:blog-4324635777375367826.post-26774791983008195482010-05-13T16:52:08.831-04:002010-05-13T16:52:08.831-04:00I love the Mirena! Hurt like a b*tch to put in, bu...I love the Mirena! Hurt like a b*tch to put in, but totally worth it in the end. The other big benefit--I barely have a period anymore. It's awesome.Emilyhttps://www.blogger.com/profile/04209646864171122195noreply@blogger.com