The November feature article on IUDs [“The IUD rumor mill: common misconceptions“] was concise and helpful in terms of allaying patients’ fears about insertion, side effects, and contraindications. One area that was not discussed, however, is the ethical issue that some women may have with the hormonal devices that “make changes to the endometrium to prevent implantation.” Many, if not most, pro-life advocates consider life as beginning at conception. For those women, offering the copper IUD might be an acceptable alternative as it works by preventing actual fertilization.—DIANE HICE, RN, Albuquerque, N. M. (207-2)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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