Questions and Answers

Question: "D" had a Mirena IUD placed at the time of Cesarean section. At her 6-week visit, the strings could not be visualized; so, her provider ordered a pelvic US. The IUD is in utero at the level of the fundus but seems to be turned "sideways." Some of our team...

Question: Hi I’ve had a coil fitted for nearly 6 years and I’ve just lost a large amount of jelly like brown discharge. Is this normal Answer: The term coil is used outside the US to refer to a copper IUD, so I will answer the question assuming this is...

Question: Dr. Zieman, I am an NP with 8 years of family planning experience in a title X clinic in Oklahoma. Managing Contraception has been very influential in my practice. Due to current politics in my state, I believe initiating contraception via the QuickStart...

Question: “I recently saw a 26 yr old female whose LMP was 3/13/22, she had unprotected sex 3/27/22 and took Plan B 3/28/22, experienced spotting 4/4/22 and has not had a regular menses since 3/13/22. Pregnancy test done 5/16/22 and negative. What is the...

Question: "I have a patient that had a copper IUD placed and was advised that it was effective for 12 years. She looked at the Paragard website and of course it reiterates that the FDA has only approved Paragard for 10 years. She is my patient and is asking my advice....

Question: "Is it normal for women to have "smegma" of sorts on their clitoris or the lips sometimes as a form of discharge? or does that mean yeast infection or unbalanced pH?" Answer: You made me laugh using the term “vaginal smegma” so good on you! Yes,...

Question: "Hi! I have a question about vaginal discharge. Almost every day I have discharge that is brownish. I have gotten it checked out in the past and doctors have said it is normal and that I just have more discharge than others. I am wondering if you had any...

Question: "Hi there. I am a women’s health NP. I work independently. Recently I saw a 44 yr. old new patient who is on combined oral contraceptives and also on norethindrone day 10 to 21 of her cycle. She stated her previous gyn prescribed the additional...