by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous
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...
by Managing Contraception | May 31, 2022 | Ask Dr. Z, Miscellaneous, Newsletter
Surprising news about female sterilization Or “permanent contraception†(the new term): It was huge news in 1996 when a large study (CREST) was published and we learned that female sterilization, or having your tubes tied, failed much more often than we had...
by Managing Contraception | Jul 7, 2018 | Dr. Bob Hatcher
The Healthy Lives of Thomas Jefferson and John Adams               Thomas Jefferson was 33 when he wrote the Declaration of Independence. He alone wrote the entire first draft a week or so before the two big votes on July 2 and July 4, 1776....
by Managing Contraception | Jun 13, 2017 | Dr. Bob Hatcher
The process of slow reflection on what is important and exciting is the manner in which progress occurs for many great researchers, inventers, artists, writers and social activists and ordinary people like you and me. It is the way people change the course of their...