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.
An uncomplicated removal of an IUD is actually quite painless and fast, especially in comparison to insertion. Most patients are pleasantly surprised at how easy it is. Very infrequently, the IUD strings are not visible or the IUD is not in the proper position, which may make the removal more difficult and uncomfortable.
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The cost of an IUD removal will vary between different offices, but costs approximately $200. It should only take a few minutes and is much less painful than an IUD insertion. Very rarely, the IUD strings are not visible, and the procedure may be more uncomfortable or invasive.
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This is a difficult question to answer, because it depends on many variables. A high A1C may be indicative of either diabetes, or even a "pre-diabetes" state. If you are able to control this through diet or medications, your chance of successfully conceiving will be much higher. With a slightly high testosterone and A1C, it is likely that you have polycystic ovarian syndrome, which can put you at risk for many other medical problems such as diabetes and heart disease. It is important that you try to make lifestyle changes to improve your numbers- healthy diet, exercise and weight loss (if you are overweight) will be important. In the end, the biggest determining factor as to whether you will be able to conceive is whether or not you are ovulating. You can determine this by tracking your cycles carefully, paying attention to certain subtle signs, taking your basal body temperatures daily or by using an ovulation predictor kit. If you are ovulating regularly, then there is a good chance that you will be able to conceive without assistance. If you are not ovulating, then you will likely need assistance with either a medication that will induce ovulation (clomid), or a medication that will help control "pre-diabetes" (metformin).
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Stress has never been scientifically linked to miscarriage. Unfortuantely, miscarriage is not preventable or predicatable.
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Group B strep is a bacteria that is carried by 25% of healthy women. Women who carry Group B strep in the vagina can expose their babies to the bacteria during delivery, which can lead to infection in the baby. Therefore we test all pregnant women for Group B strep, and treat those that test positive with antibiotics while they are in labor. Group B strep is not a reason to induce labor. If your cervix remains unchanged for a significant period of time, pitocin is used to augment the labor process because your body will likely need the pitocin to generate the contractions it needs to allow the cervix to dilate. This is the same for women who do and do not carry Group B strep. In addition, if your water is broken, we want to limit the amount of time before delivery to minimize the risk of infection. Pitocin is a very safe and useful medication that we use to expedite delivery and to minimize the duration of ruptured membranes.
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When a mother has an active herpes outbreak or symptoms suggestive of an upcoming outbreak, then cesarean section is the preferred method of delivery to avoid transmission to the baby. The baby can still be infected if he or she has contact with the active sores, however cesarean section will reduce the number of cases by about 6 fold. Herpes infections in newborns can be very serious and potentially life threatening, so a cesarean section is a very valuable treatment option to prevent passing the infection on to the baby.
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Unfortunately, I can't really answer this question without knowing more details about your history and menstrual cycles. I recommend you speak to your physician about whether or not this is an option for you.
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