OBGYNDoc
Minneapolis, MN
Female, 36
I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.
As long as she is hydrating well and is conditioned to work out at this intensity, exercise should not interfere with a healthy pregnancy.
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If you are concerned about pregnancy, then you should take a pregnancy test. Ovulation cramps can be normal and are not specific to pregnancy or conception.
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Thank you for the compliment! I'm glad you find the Q&A educational. The art of bedside manner is difficult to teach. All medical schools have some form of humanities, but compassion is something that comes naturally. Just as I try not to judge my patients based on first impressions- anyone can have a bad day or have stressors in their life that I don't know about- I would ask that you at least give your physician a second chance. With the way medical practices run these days, we are over scheduled, burdened by the electronic medical records and hospital charting, and never have as much time as we would like to have with out patients. If you still do not care for her style, then by all means, you should find a different physician. The birth of a child is one of the most important moments in your lives, and you should have a physician that you trust and also feel connected with.
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I can only infer that he actually meant to say "parous" rather than multipara. There is no reliable visible external cue to determine whether a woman has had more than one baby, although there may be subjective signs that a woman has delivered at least one baby vaginally.
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I would recommend you wait a few days and then repeat a pregnancy test or call your physician and request a blood test for pregnancy. Ultrasound is not the first-line method to diagnose a pregnancy because you may not see the pregnancy until you are at least 6 weeks along.
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An echogenic intracardiac focus does slightly increase the risk of a Down Syndrome baby. You should discuss this further with your physician. There are genetic tests that are available to you want more information.
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There is no exact cutoff for progesterone in pregnancy, but in general, I look for a number >15. We do sometimes treat patients with a history of recurrent miscarriages or infertility with progesterone if their levels are below this level.
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