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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400 mcg of folic acid is the recommended dosage in pregnancy unless you have other underlying medical issues such as twins, use of certain anti-seizure medications or history of a baby with a neural tube defect.
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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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Yes, not only is it safe, but it is advisable and recommended to receive a flu shot while pregnant.
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Typically, when a clinic is closing, the physicians will make arrangements to transfer their patients to another local clinic. Be sure to ask your clinic if they have made these arrangements, and where you should be scheduling your future appointments. If not, then you should be sure to make an appointment with your current clinic for the last possible date they are open. It may be difficult to find a clinic that will accept you as a new patient this late in the pregnancy. Be sure to request a copy of your entire medical chart from your current clinic, and keep a copy of that in your purse. Call your hospital labor and delivery department and ask to speak to the charge nurse. Ask if there is a doctor available for patients who do not have an assigned clinic to take care of them. Typically, all hospitals have a call system in which physicians will take on the care of patients who present to the hopsital but do not have their own physicians. The hospital cannot turn you away if you are in labor or have a pregnancy-related issue. They will find an appropriate physican to take care of you and your baby. Of course, all of this will be made easier if you have a copy of your medical records. If you have had complications in the pregnancy or have medical problems, you should work hard to call around and find another physician in your area who would be willing to accept you as a new patient.
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