Thank you, Karen, for pointing out the physician pdf for the Mirena  IUD. I 
agree that it does seem to have a different tone, especially since it  
discusses a potential increased risk of perforation in lactating women, and the  
"post-marketing" reports of "decreased milk production." 
 
I'll be teaching a breastfeeding class tonight, and  contraception while 
lactating is a topic that is included in the outline.  H-m-m...Perhaps good 
information to have on hand when the doctor gets on your  case for telling 
women about possible side effects of hormonal-based  contraception. 
 
Mary-Jane Sackett, RN, IBCLC, CCE
Pittsfield, MA
In the Berkshire Hills of Western  Massachusetts.

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