[Fwd: Re: Does emergency contraception cause embryo loss? Do IUDs? And what about IUDs and PID? MONDAY JOURNAL CLUB FO 1/12/09!!]

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following posted for Dr. Mikolajczyk, who is a

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posted Joe Stanford

>

>Date: Tue, 06 Jan 2009 18:01:06 +0100

>

>Subject: Re: Does emergency

>contraception cause embryo loss?

> Do IUDs? And what about IUDs and PID? MONDAY JOURNAL CLUB FO 1/12/09!!

>In-reply-to:

>To: nfpprofessionals

>Message-id:

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>

>Lili

>Unfortunately, in my opinion some sections of

>the broschure are misleading. For example, the

>assumption of a similar mechanism of action as

>OCPs (cited below) is not truly justified. OCP

>is given continuoesly, EC is given in just one

>or two doses. Escpecially the effects on

>endometrium are likely to be different and they

>are still difficult to identify for EC.

>

>Similarly, I would not expect that a single

>administration of EC would impact rates of

>cancer etc. In the meantime the term is

>conception is being applied to implantation, so

>the terminological section could be also

>updated. Furthermore, I am not sure that we need

>the term abortifacient - given its dependence on

>the definition of the beginning of pregnancy.

>

>Greetings

>

>

> " How does the Morning After Pill work?

>

>The Morning After Pill is made of the same

>chemicals (hormones) as oral contraceptive pills

>(OCPs), so it likely operates in the same ways

>in a woman's body. It may inhibit or delay the

>release of the egg (ovulation), or it may impair

>the transportation of the sperm or the egg

>(although there is no clinical data to support

>these processes), thus inhibiting conception.

>Research findings have shown that the hormones

>used in OCPs have adverse effects on the lining

>of the uterus. OCPs reduce the thickness of the

>uterine lining and also change certain organic

>compounds in the uterine lining, making it very

>difficult for the embryo to implant (attach

>itself to the mother's womb) and develop.2,3 "

>

>LILI COTE schrieb:

>>

>>

>>At One More Soul we have review mechanisms of

>>action of The " Morning After Pill " and other

>>types of " Emergency Contraception " . We included

>>current references.

>>http://www.omsoul.com/pamview.php?idnum=334

>><http://www.omsoul.com/pamview.php?idnum=334>

>>This pamphlet could be a good resource for

>>physicians and patients.

>>Lili

>>

>>

>>

>>

>> Subject: RE: Fw: Does emergency contraception

>> cause embryo loss? Do IUDs? And what about IUDs and PID? MONDAY

>> JOURNAL CLUB FO 1/12/09!!

>> To: nfpprofessionals

>> Date: Tuesday, January 6, 2009, 7:45 AM

>>

>> Hanna,

>>

>> Please be so kind as to include those articles as attachments or

>> references to the list so that all may benefit from them.

>>

>> Thanks,

>> Vicki Braun

>> Project Manager/Consultant

>> The Couple to Couple League

>> vbraunccli (DOT) org

>> 1- Ext. 3100

>>

>> ------------------------------------------------------------------------

>> *From:* nfpprofessionals@ yahoogroups. com [mailto:nfpprofessi

>> onals@yahoogroup s.com] *On Behalf Of *Hanna Klaus

>> *Sent:* Tuesday, January 06, 2009 8:31 AM

>> *To:* nfpprofessionals@ yahoogroups. com

>> *Subject:* RE: Fw: Does emergency contraception

>> cause embryo loss? Do IUDs? And what about IUDs and PID? MONDAY

>> JOURNAL CLUB FO 1/12/09!!

>>

>> Dear , the Durand studies show embryo loss. When I get back

>> later this morning, I'll find and send it.

>>

>> Hanna

>>

>> *From:* nfpprofessionals@ yahoogroups. com [mailto:nfpprofessi

>> onals@yahoogroup s.com] *On Behalf Of *,

>> *Sent:* Monday, January 05, 2009 7:11 PM

>> *To:* nfpprofessionals@ yahoogroups. com

>> *Subject:* Fw: Does emergency contraception cause

>> embryo loss? Do IUDs? And what about IUDs and PID? MONDAY JOURNAL

>> CLUB FO 1/12/09!!

>>

>> Do any of you know of sentinel articles or studies that refute the

>> ideas that " Emergency Contraception does not cause embryo loss " or

>> " modern IUDs never act by preventing implantation? " .

>> Our Residency is starting a Journal Club, and in the short time

>> remaining before the attached 2 articles are discussed, I do not

>> have the time for an exhaustive Lit search. Opinion pieces, blogs,

>> etc, will not be helpful.

>>

>> Thanks,

>> , MD

>> Front Royal, VA

>> ------------ --------- -----

>> Sent from my BlackBerry Wireless Handheld

>>

>>

>> Does emergency contraception cause embryo loss? Do IUDs?

>> And what about IUDs and PID? MONDAY JOURNAL CLUB FO 1/12/09!!

>> Importance: High

>>

>>

>>

>> Come one, come all! Attendings, residents, medical students, nurses;

>> anyone who wants to come!

>>

>>

>>

>> Starting Monday 1/12 we will be having an informal journal club the

>> second Monday of each month for discussions of articles of interest.

>>

>>

>>

>> The articles are those we read because they affected how we

>> practice, or are just fun. They should be more patient care related

>> rather than esoterica, however!

>>

>> Drs. Kerns and Winter will be fielding submissions and organizing

>> sessions based on what people propose to discuss, or we will ask

>> people to present. (Please make articles/presentati ons something

>> most people would find interesting. )

>>

>>

>>

>> Residents who are around on Monday AM or PM, in and out of the

>> hospital are expected to come, and should fill out evaluation forms.

>>

>>

>>

>> THIS WEEK: Emergency contraception; NOT a cause of embryo loss?? Do

>> IUDs NOT cause embryo loss??

>>

>> We may also have a section on IUDs and PID; If so you will get more

>> information.

>>

>>

>>

>> INCENTIVES:

>>

>> There will be door prizes!

>>

>>

>>

>> PROCEDURE:

>>

>> Presentations are limited to 10 minutes each, with 5-10' of

>> discussion, so we can all get back to work on time!

>>

>> Send ideas/articles more than a week ahead of time to Drs. Winter

>> and Kerns.

>>

>>

>>

>> Thanks!

>>

>> ŠBK

>>

>>

>>

>> PS to Dr. , Ms. and Ms. Bly: please make copies for

>> any students/nurses you think should have them. Thanks!

>>

>>

>>

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>>

--

______________________________

ph B. Stanford, MD, MSPH

University of Utah

Department of Family and Preventive Medicine

Division of Public Health

joseph.stanford@...