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.
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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Without knowing the details of your medical history and why you are taking the lo dose aspirin, I would encourage you to speak to your provider about this question.
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An ultrasound is never the confirmatory test for pregnancy. Reasons for a positive pregnancy test with a negative ultrasound can include a very early pregnancy that is too small to detect by ultrasound, an abnormally developing pregnancy (i.e. evolving miscarriage), an ectopic pregnancy (a pregnancy developing outside the uterus, which can be life threatening) or a rare antibody that causes false positive pregnancy tests. If your friend is unclear about what to do next, she should speak with her doctor immediately. She may need a blood test to confirm the pregnancy and may need to be followed closely by her doctors to rule out anything dangerous.
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I find this is true of most professions- when you meet a lawyer or an electrician or a physical therapist, people liine up with questions. It's pretty common and not a big deal at all. Actually, most people have their own ObGyn already, and find the topic too personal to discuss in a social situation.
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I would strongly advise you to have a provider remove the IUD. There can be complications related to the procedure. Only someone trained in IUD insertion and removal, as well as someone who can manage any possible complications, should perform this procedure.
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If the Mirena IUD is placed properly, it should not shift positions with intercourse. No method of contraception is 100% effective, but the Mirena is reported to be >99% effective. If you do conceive with the Mirena in place, it could be harmful to the pregnancy. You should immediately consult with your doctor in that unlikely situation.
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Yes, not only is it safe, but it is advisable and recommended to receive a flu shot while pregnant.
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