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.
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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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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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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It is unlikely that your partner would be able to tell if you have had intercourse before. There are subtle signs, but they are subtle. If you have specific questions, I would ask your provider to examine you.
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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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