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.
Assuming the person has 28 day cycles with ovulation occurring on day 14, the estimated day of conception would be October 24.
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Typically, if a due date is changed, it is because an early ultrasound showed that the baby is not measuring the proper size for the original due date. The last menstrual period is usually the most accurate way to date a pregnancy unless you have irregular periods or bleeding after conception that may be mistaken for a period. In those situations, an early ultrasound may be a more accurate way to calculate the due date.
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When a new lump is detected, it is natural that everyone's greatest fear is cancer. Most of the time, routine testing can reassure us that the lump is benign. Rarely, testing comes back with a diagnosis of cancer. As an Ob/Gyn, the types of cancer I might diagnose would include uterine, cervical, ovarian, breast and thyroid. When breaking this type of news to a patient, it is, indeed, heartbreaking. However, I find that being direct and honest, as well as empathetic, is always the best policy. I try to have information available for referrals to specialists who will treat the disease, and I do my best to get the patient in as soon as possible to see the specialist. I encourage patients not to spend time on the computer reading both information and misinformation that is available online, but rather to wait until they are face to face with the specialist. I always try to find a way to have a positive outlook when they leave my office, and try to encourage them to do the same.
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Unfortunately, symptoms of early pregnancy are often very similar to symptoms of PMS. The only way to differentiate is to be patient and wait for a missed period so that you can take a home pregnancy test. Typically, however, early pregnancy symptoms do not begin before the first missed period.
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I don't have enough information to answer your question. You may be interested in paternity testing, which you could discuss with your pediatrician.
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If you haven't already, you should talk to your gynecologist who placed the IUD. It is possible that he/she could trim the strings a bit to make it less 'pokey'. This is fairly common, but most of the time, a little trim will fix the problem.
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Absolutely, you should speak to your gynecologist about this. You have carried a very painful and traumatizing secret with you, and it clearly has had a deep effect on your sexual life. You need to find a good therapist who specializes in sexual disorders. I strongly encourage you to reach out for help. This can be a very challenging condition to treat, but with the right providers, you can really take big steps towards a recovery. You deserve the chance to heal, so please reach out for help from your gynecologist, internist, insurance provider or anyone you trust!
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