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Wednesday, November 30, 2005

Treatment after multiple ectopic pregnancies

I recently had a miscarriage 3 months ago after going through IVF. The reason I went through IVF is becauseI have had 4 ectopic pregnancies. My left tube is completely blocked and my right has very minimal scars. My OBGYN says that my husband and I should try again naturally. She also told me to do acupuncture. I have gone through acupuncture and they also gave me some fertile type pills. Is there any way that this could help with my infertility?

T

Dear T,

Based on your description of the problem it does not sound like acupuncture or medication is likely to lead to a pregnancy. You may want to get a second opinion from an infertility specialist.

Sincerely,
Amy

Bicornuate uterus

Can I get pregnant if I have a bicornuate uterus?

J

Dear J,

Many women with bicornuate uterus can get pregnant, but they have an increased risk of miscarriages and premature delivery. The best thing to do would be to talk this over with a gynecologist before getting pregnant. He or she can order tests to find out the extent problem (the uterus could be completely or only partially double). This will allow the doctor to make better predictions about the odds in your particular case.

Sincerely,

Amy

Can you feel the baby move at 12 weeks?

My daughter is only 17 and 12 weeks pregnant. We felt the baby for sure last week. I know as a mother of three this is not normally possible. Could you give any explanation why we felt the baby?

LD

Dear LD,

The most likely explanation is that your daughter is farther along than 12 weeks. The doctor should be able to tell you if that is the case.

Another possibility is that you didn't feel the baby, you just felt activity in your daughter's intestines.

Sincerely,
Amy

Persistent positive pregnancy test

Dear Dr Amy,

As you recommend I pressed my doctor for a scan as I havent had a period for three months and had four faint positives now. I saw a different doctor who listended for a heart beat and said he may be able to hear something and felt my tummy and said he could feel what felt like my womb and called the hospital for a scan.

I had a scan done Monday and they didnt find any sign of a baby or any sign of any complications. I didn't have a full bladder. In fact, I was told to empty my bladder since they were going to perform a transvaginal scan, but they read the notes and it said abdominal ultrasound and proceeded with an abdominal ultrasound.

Would an empty bladder stopped them seeing anything if I was 14 weeks pregnant? Surely they could see something with or without a full bladder.

Really appreciate your reply as all this messing around is driving me crazy!

Stephanie

Dear Stephanie,

This is a serious situation and should have been sorted out long ago. You need to see a gynecologist (or a more competent one, if you've seen one already). You may have an ectopic (tubal) pregnancy, and that is a potentially life threatening problem.

You need to have HCG levels checked twice at least 24 hours apart and you need a transvaginal ultrasound. Both of these things should be done as soon as possible.

It is extremely unlikely that this is a normal pregnancy. A baby would be clearly visible on an abdominal ultrasound by 14 weeks.

In a normal pregnancy, the HCG levels will double approximately every 48 hours. By 14 weeks, the HCG level should be in the tens of thousands. If it is low and not rising appropriately, there is a very high chance that this is an ectopic pregnancy. An transvaginal ultrasound may show pregnancy tissue in the fallopian tube, but if it does not, it is still possible to have an ectopic pregnancy.

If you have an ectopic pregnancy, you need to be treated with medication or, less commonly, with surgery.

If you cannot get an appointment with a doctor, you may need to go to your local emergency room.

Sincerely,

Amy

Only one period per year

I want to get pregnant but i dont have a normal period. I go a year or so without a period. Can I still get pregnant without a period?

Thank you so much,
Dianna

Dear Dianna,

Having only one period per year is very abnormal and you need to see a gynecologist about this. It is also makes it very difficult, to get pregnant.

You may have polycystic ovary syndrome (PCOS), a hormonal imbalance. It is very likely that you need medication to regulate your periods, and you may need fertility medication in order to get pregnant.

Sincerely,
Amy

Pregnancy test positive again

Last month I was 4 days late, so I took a hpt and it was +. I called my doctor who ordered a blood test. It came back with a weak +. They tested again in a couple days, and it to came back with a weak +, so they ordered an hcg level. The count came back at 16, so they said come back in a week to retest. In the mean time I spotted for about 4 days.

After the second test the nurse called and said my hcg level was at 2. She could not explain why and just said that I was not pregnant, even though I had 4 + tests. The doctor never did any exam. From what I read I thought maybe it could be a chemical pregnancy.

Now here I am a month later and late again. I did a hpt this weekend and it came back +. I am very worried. Is it possible that I have been pregnant this whole time and maybe the second blood test was not accurate?

Thank you,
D

Dear D,

The most likely scenario is that you were pregnant, had a very early miscarriage (chemical pregnancy), were no longer pregnant when the second HCG level was done, and are now pregnant again.

You need to have an HCG level to see if your HCG level indicates a new pregnancy, and another level in 48 hours or more to make sure that the HCG level is rising appropriately (doubling every 48 hours). Talk this over with your doctor.

You did not mention whether you ever had a period in the last cycle (after the HCG level of 2). If you did not have a period, it is possible that you have an ectopic (tubal) pregnancy that has persisted over these past few weeks. In an ectopic pregnancy, it is possible for the levels to rise and fall and rise again. If you did not have a period, you should talk to your doctor about making sure that you don't have an ectopic pregnancy.

Sincerely,
Amy

Monday, November 28, 2005

Light periods after D&C

I had a D&C early May for MAB at 11 weeks. My period flow is light compared with before the pregnancy/D&C. Does this light flow have any bearing on uterine ability to accept and nourish a fertilized egg? I am 41 and am anxious about fertility.

Thanks,

S

Dear S,

I do not know if the lighter periods have an impact on your ability to conceive. Your fertility does diminish after age 35. The recommendation for women age 35 and over is to consult a fertility specialist if you have tried for 6 months without success. Since it has been approximately 6 months since your miscarriage, you should consider making an appointment. An infertility specialist will be able to advise you about the light periods, as well.

Sincerely,
Amy

Paxil in pregnancy

I just started on paxil two days ago and I know I am ovulating. Should I stop the paxil and could it harm my unconceived child?

S

Dear S,

There is some question about the safety of Paxil in pregnancy. The best thing to do is to take precautions to prevent pregnancy: use birth control or avoid intercourse for the next few days. You should avoid getting pregnant until you talk with your doctor about whether you should use a different medication.

Sincerely,
Amy

Sunday, November 27, 2005

IUD and positive pregnancy test

Dear Dr. Amy,

I have had an iud in for two yrs now and just recently i hve started with the pregancy feeling.
I took three home pregnancy tests. Two came back inconclusive and the other one said positive. If i am pregnant will the iud hurt this pregnancy?

Thank you,
Lesley

Dear Lesley,

You need to talk this over with your doctor as soon as possible. A positive pregnancy test means that you are pregnant. Women who get pregnant with an IUD in place have an increased risk of an ectopic (tubal) pregnancy. This is a serious medical condition that needs to be treated. If you develop abdominal pain, you need to see a doctor right away, day or night.

In addition, the IUD could be harmful to a nomal pregnancy. In some cases, though, the IUD can be removed safely. Your doctor will probably order an ultrasound test to check on the status of the pregnancy.

Sincerely,
Amy

Egg white to conceive

I read on one site that you can use real egg whites to help with fertilization. It said many women over 35 don't have enough natural egg white during ovulation and this is a sperm friendly alternative and allowed the same consistency and protection towards fertilization.It sounds strange to me, but women were swearing they used it and it worked for them.I was hoping you knew if this is true.

Linda

Dear Linda,

Some people recommend egg white as a form of lubrication during sexual intercourse. This only applies to women who need artificial lubricants such as KY Jelly or Astroglide during intercourse. The theory is that KY Jelly and Astroglide could be harmful to sperm. In actual practice, artificial lubricants have little impact on pregnancy rates. They may have an increased impact in the case of men with a low sperm count.

Egg white does not promote fertilization.

Sincerely,

Amy

Enalapril in pregnancy

Is it safe to take enalapril if you are pregnant?

N

Dear N,

No, enalapril is not considered safe in pregnancy. If you think you are pregnant you should talk to your doctor as soon as possible. There are other, safer, blood pressure medications that can be used in pregnancy.

Sincerely,
Amy

Birth defects

Hi Dr. Amy,

I had to have a termination on the 4th of march this year as my child was severely ill. My specialist told me that the baby's heart was growing on the outside of his chest, there was alot of fluid on his brain and his spine was all twisted. My sister also was born with spina bifida and I am scared that this will happen again. The doctor told me he couldn't see it happening again as it was only the 2nd case he'd seen in 10 years. I'm just worried about it happening again as I'm 2 weeks late for my period.

Thank you,
Nicola

Dear Nicola,

Certain birth defects can be inherited, so your concern is very appropriate. First, you need to check a pregnancy test to see if you are pregnant.

Regardless of the outcome of the pregnancy test, you need a consultation with a genetic counselor. A genetic counselor can review your family history and the history of your recent pregnancy to see if there is a possibility that these birth defects are genetic. In addition, the counselor can recommend tests that may show exactly the genetic defect that is responsible. This information will allow the counselor to calculate the chances that this could happen again.

In addition, women who have a family history of spina bifida as you do should take an increased dose of folic acid before pregnancy and during pregnancy (a larger dose than that recommended for the average woman).

Sincerely,
Amy

Endometriosis and menopause

Dear Dr. Amy,

Does Endometriosis bring on menopause early? In other words, does endometriosis affect menopause in any way? My wife started her last period Sept. 5th 2005 and hasn't had one since (it is now Nov. 25th). She is 37 y.o. and has endometriosis bad.

Sincerely,
Concerned Hubby

Dear Concerned Hubby,

No, endometriosis has no effect on menopause, or menstrual cycles generally. Your wife should check a pregnancy test to be sure that she is not pregnant.

Sincerely,
Amy

Saturday, November 26, 2005

Elevated blood pressure

Dr Amy,

My due date is December 15, 2005. When should I really worry about my blood pressure? My normal pressure stays at 120+/60+. At my appointment on Wednesday, my blood pressure was something/90, so I checked it again later that day at Wal-Mart. I tested at 136/87. I called my doctor, it was the day before Thanksgiving, he said to go home and rest and check again later. He said that if it didn't seem to go down to call again. Their office is closed until Monday.

My blood pressures have ranged from 105/66 to 133/91.

L

Dear L,

Even though the office is closed, there is always a doctor available to see you. You can reach the doctor on call through the answering service at the office or the hospital.

The diagnosis of pre-eclampsia is based on more than just blood pressure. It depends on swelling, reflexes, and protein in the urine, among other things. At a minimum, your doctor should talk with you this weekend about your blood pressures, and if there is any question about what is going on, he should examine you at the hospital.

Pre-eclampsia is a potentially dangerous condition. If your doctor is confident that you don't have pre-eclampsia, you can wait until your next appointment. If there is any question about whether or not you have pre-eclampsia, you should be seen today. Holidays are irrelevant when it comes to providing medical care.

Sincerely,
Amy

Is this a reason to have an abortion?

I found out I was pregnant just about 2 weeks ago. From the day that I found out I stopped drinking and smoking all together, started taking pre-natal vitamins and also eating well and getting good amounts of sleep.

This past Wednesday afternoon I decided that it wasn't the right time for me to go through with it. Thinking that I was going to end the pregnancy, I went out that night and drank quite a bit and smoked about a half a pack of cigarettes. I don't know if I have a choice any longer because of the large amounts of alcohol and cigarettes I consumed on Wednesday night, but I think I may want to go through with my original decision to have the baby. My boyfriend, who was upset with my decision to have an abortion, thinks that although he wanted to keep it we no longer have that option because of my night out on Wednesday.

Do I have a choice if I want a healthy baby or did I ruin those chances with that one night out of binge drinking and smoking? Thank you!

Nervous in New York

Dear Nervous,

There is no medical reason for you to have an abortion. Neither smoking, nor one night of binge drinking is likely to have any impact on the baby.

An abortion is a purely personal choice. There is almost never a medical reason to have an abortion except in the very rare case that your life is in endangered by pregnancy.

Sincerely,

Amy

Flu shot in pregnancy

I have to get the flu shot yearly because of my employment. I just received it yesterday. Now I am not sure I should have received it. I have been trying to get pregnant but I am not sure if I am. If I am pregnant it is only a few weeks along. Is it o.k.? I have learned that is packed with mercury.

J

Dear J,

The flu shot is considered safe in pregnancy.

Flu shots don't have mercury. Some vaccines used to have thimerosol (a chemical that contains mercury) in them as a preservative. Under pressure from autism groups, thimerosol was removed from all vaccines. It is important to know, though, that there is no scientific evidence that autism (or any other disorder) is linked in any way to thimerosol.

Sincerely,
Amy

Sincerely,
Amy

Getting pregnant

Hi Dr Amy,

My husband and I have been trying to conceive for 10 months now. I am 34 yrs of age we both smoke and I have a stressful job. Does the above limit my chances of getting pregnant? We only have sex once a week does that make a difference (the amount of times)?

Thank you,
Louise

Dear Louise,

Smoking can interfere with fertility. It is not clear if stress has a significant impact.

The frequency of sex does not matter, but having sex near the time of ovulation is extremely important. You can only get pregnant at the time that you ovulate (release an egg). For most women, ovulation occurs 14 days before the next period. For women who have a 28 day cycle, that means that they would ovulate on day 14 (counting from the first day of the previous period). You don't have to have sex on the day of ovulation since sperm can live inside you for several days and wait for the egg to be released. However, it is very important to have sex at least once and preferably twice in the days leading up to ovulation.

Most couples will get pregnant within the first 12 months of trying. If you do not get pregnant in the next 2 months, you should make an appointment with your gynecologist or an infertility specialist to make sure that nothing is wrong.

Sincerely,

Amy

Feta cheese in pregnancy

Hi,

I am 8 weeks pregnant and love Greek food. Can I continue to eat feta cheese and tarasomalarter (contains fish roe)?

Thanks,
Helen

Dear Helen,

Pregnant women are advised to avoid soft and semi-soft cheeses made from unpasteurized milk. Cheese made in the United States must be made from pasteurized milk, but imported cheeses are not under the same requirement. Therefore, you should avoid feta, brie, camembert and other cheeses made from unpasteurized milk.

Unpasteurized milk can carry listeria. Listeria usually causes only a minor illness, but in pregnant women it is more serious and can cause a miscarriage or late pregnancy loss.

I could find no research that indicated any problems with fish roe.

Sincerely,
Amy

Friday, November 25, 2005

Chest pain

I had a c-section on 8-4-05 and ever since then, if I sleep on my sides I have severe pain in my chest in betweeen my breasts. What could this be ? I have no insurance now so I can't go to the doctor.

SH

Dear Sheena,

Sometimes you just have to go to the doctor. Chest pain is one of those times. It could be something minor like an inflammation of the sternum (breast bone), but it could also be something very serious like a lung or heart problem, so you have to get it checked out as soon as possible.

Sincerely,
Amy

Testing for birth defects

I'm 13 weeks pregnant. If there are no known defects on my side or my bf's side of the family, is it still worth testing for this?

My friend who just had a healthy baby girl in October had a triple screen test done and it came back positive for Down's symdrome. She went back for another test and it was fine. Would you advise against the triple screen testing? Thanks.

Stephanie

Dear Stephanie,

I definitely recommend the triple screen test.

It is important to understand what these tests can and cannot do. For example, you mention that your friend had a triple screen test that was positive for Down's Syndrome. That's a common misunderstanding. The triple screen test is a screening test. That means that it identifies babies who are at risk of Down's Syndrome. It cannot tell which babies actually have Down's Syndrome. So a positive result does not mean that the baby has Down's Syndrome.

There are many more babies who are at risk than babies who actually have Down's. Another test is necessary to find out the diagnosis. This test is amniocentesis. In amniocentesis, a needle is used to take out some amniotic fluid. There are cells from the baby in the fluid. Looking at these cells under a microscope can identify which babies have Down's.

If you have a family history of birth defects, you are at increased risk for having a baby with birth defects. However, most babies who have birth defects are born into families that have no family history. That is why the triple test is recommended for everyone.

Sincerely,
Amy

Irregular periods

Hi!

I'm 19 and I still don't get my period every month..... What's wrong with me? What do you suggest? --

ldyny

Dear ldyny,

You may have PCOS (polycystic ovary syndrome). This is a hormonal problem that can lead to irregular periods. The best thing to do would be to talk it over with your doctor. He or she may recommend tests to find out what is going on.

Many women with PCOS take birth control pills to regulate their periods. Some women with PCOS may need medication to help them get pregnant.

Sincerely,
Amy

Questions about birth control

Dr. Amy,

I recently started dating a guy who had had sex before, however, I have not. My mother wants me to go on birth control just in case. I don't plan on having sex for a while. I want to go on birth control to be safe but I get uncomfortable easily. I was just wondering what questions to expect from the OB/GYN if I do ddecide to go through with it. Also, I was wondering if birth control would hurt my chances of getting pregnant in the future. I am only 18 and would like to have children of my own someday. What kind of birth control is the healthiest for you?

Thank you for listening,
H

Dear H,

It is an excellent idea to think about birth control even before you become sexually active.

Birth control does not interfere with fertility. The only exception to this is the IUD. If you get an infection while using an IUD, it could cause damage to your fallopian tubes. That's why an IUD should only be used by women who have completed their families, and should not be used by women who have not yet had children.

Of course, permanent birth control, like getting your tubes tied, is meant to be permanent.

Most methods of birth control fall into one of three categories:

1. barrier methods like condoms or the diaphragm that prevent the sperm from reaching the egg.
2. hormonal methods like the Pill or Depo Provera (the shot) that prevent ovulation (releasing an egg).
3. the IUD and the morning after pill which prevent conception or implantation of the fertilized egg in the uterus.

Each method has different benefits and risks.

Hormonal methods are the most effective. The Pill is 99% effective when taken faithfully. Depo Provera is even more effective. These methods are extremely popular because of effectiveness and ease of use. However, hormones can cause side effects for some women, and other women may not be able to use hormonal birth control because of other medical conditions.

Barrier methods can be very effective when used faithfully. Condoms, especially when used with foam, can be over 90% effective. In addition, condoms protect against most sexually transmitted diseases.

The IUD is only for women who have completed their families and the morning after pill is only for emergency contraception. The morning after pill is taken after you have unprotected intercourse and is only 75% effective.

The choice of birth control method depends on a lot of personal factors. There is no "best" method for everyone. Talk to your doctor about all methods and think carefully about what method you would be able to stick to. No method of birth control will work unless you use it faithfully.

Sincerely,
Amy

Tuesday, November 22, 2005

SoBe energy drinks in pregnancy

Dear Dr. Amy,

I am 8 weeks pregnant and I was wondering if it is all right to drink SoBe energy drinks. I have heard many different answers and I thought I would get the opinion from a doctor. Thank you very much.

Melissa

Dear Melissa,

I would avoid these drinks. They are filled with caffeine and sugar. The amino acids and herbs do not enhance health in any way and could turn out to be harmful, especially to a developing baby.

Sincerely,
Amy

Vaginal infections and fertility

If you have a yeast infection or any type of vaginal infection, can that stop you from ovulating or becoming pregnant?

CC

Dear CC,

No, vaginal infections, including yeast infections, have no effect on ovulation or conception.

Sincerely,
Amy

No period on Seasonale

Dear Dr. Amy,

I'm 17 years old and I have Von Willebrands disease (a bleeding disorder). I have heavy periods that last for sometimes two weeks. I've also been very stressed out lately. I had sex the first day I was put on birth control my last period start day was October 12 I took a home pregnancy test and it came up negative. I was wondering if I could be pregnant? I am currently on Seasonale 0.15 mg/0.03 mg.

S

Dear S,

Seasonale causes you to have only 4 periods a year, one every 3 months. If you started Seasonale in mid-October, you should not expect a period until January.

Sincerely,
Amy

Monday, November 21, 2005

Second trimester bleeding

Hello Dr. Amy,

I am 15 weeks pregnant, & after having sex with my husband I sometimes bleed. This has only happened 2 times so far. After the 1st time I bled after sex I had my OB appt & saw my baby was still healthy on the ultrasound, so I never mentioned it to my doctor. But now it happened again over the weekend. The bleeding usualy lasts about 2-3 hrs then stops. It's not real heavy bleeding, but is evident enough to KNOW it is blood. & this last time, there was not only blood but there were small amounts of what looked like tissue matter (not sure how to explain it).

The bleeding has stopped now, but could you please let me know if this normal, or could something be wrong? Does alot of women bleed after intercourse when pregnant?

Thank you so much for your help Dr. Amy.

Sincerely,
Belinda

Dear Belinda,

Bleeding in the second trimester is not normal and you need to talk it over with your doctor. The cervix is very sensitive during pregnancy, and sometimes the bleeding is just due to irritation of the cervix. This is not harmful to the baby or to you. However, it is also possible that the bleeding is coming from inside your uterus. It is important for your doctor to check this.

Sincerely,
Amy

Diabetes and pregnancy

Dear Dr. Amy,

My boyfriend and I have been trying to get pregnant for the last 6 months and no luck. I have diabetes and I'm taking insuling twice a day. Can that have something to do with getting pregnant?

Isabell

Dear Isabell,

Diabetes can have a big impact on getting pregnant and having a healthy baby. You should talk to your diabetes doctor BEFORE you even try to get pregnant. It is very, very important that your diabetes be under tight control before getting pregnant or you may have difficulty conceiving, an increased chance of miscarriage and an increased chance of birth defects.

Sincerely,
Amy

Can you get pregnant while you have an STD?

My partner and I have an STD (chlamydia). We have a prescription to treat the STD, but we did not have protected sex and we wanted to know if there is a possibility of getting pregnant while having this STD?

My partner has had this STD for a while and was not aware of it. I have not had this for long, maybe 2 months He is afraid that he may have gone sterile by now, since he believes he has had it for a year and a half.

D

Dear D,

Yes, you can get pregnant when you have an STD. It is true that some STDs can result in damage to the fallopian tubes, leading to infertility, but that is not what happens most of the time.

Chlamydia does not cause men to become sterile. In fact, it often causes no problems at all for men.

Sincerely,
Amy

Mirena IUD

Hello Dr Amy,

I had the mirena coil fitted about 6 weeks ago. I feel like I am pregnant again. I have 2 girls one at 18 months the other 4 months. Recently my appetite has been getting bigger, I have been having mood swings and my boobs are sore. I am feeling sick a little in the mornings. Do you think it could be the coil that is making me feel like this or am I pregnant?

Claire

Dear Claire,

The Mirena IUD (coil) contains progesterone. That could be the cause of your symptoms. Talk it over with your doctor and check a pregnancy test to be sure that you are not pregnant.

Sincerely,
Amy

Sunday, November 20, 2005

Can medication intefere with a pregnancy test?

Up until 4 weeks ago, I was taking Lexapro for anxiety. I feel I may be pregnant, but have taken a hpt and the result is negative. I am actually due today, and I am ALWAYS on schedule. My concern is that something in the drug could interfere with a correct reading. Is this possible? Thanks.

Dear L,

I could find no evidence that Lexapro can cause a false positive pregnancy test. Only certain anti-seizure or anti-Parkinson's medications and some tranquilizers can cause false positives.

Sincerely,
Amy

PCOS and metformin

I have PCOS and I have recently started taking Metformin for treatment. I have a 10 year old. Since starting Metformin, I have had a period, so it must be doing something. I worry that I will never be able to get pregnant again. Is this the right medication to take for this syndrome? Are my chances of pregnancy the same as other women who do not have PCOS, since I am being treated? It means the world to me to have another child. I hope you can give me an answer to help put my mind at ease.

Thank you,
Tonya

Dear Tonya,

Only a doctor who has read your medical records could tell you if Metformin is the best treatment for you. However, Metformin is helpful to many women who have PCOS. It increases the chance of pregnancy, but does not raise it to the level of women who do not have PCOS. Your doctor can give you a better idea of the chances of conceiving in your particular case.

Sincerely,
Amy

Cervicitis

Dr. Amy

I have been diagnosed with cervicitis and am taking antibiotics (which cause nausea), and I am having constant left lower side pain. Can cervicits cause a delay in my period? I have all the symptoms of being on my period except for the bleeding. It also hurts during sex, very badly. I am only 19 and very scared, what do i do? Am I pregnant?

Very scared,
Michelle

Dear Michelle,

My first concern is that your infection is more severe than cervicitis. The lower abdominal pain and pain during intercourse suggest that the infection has spread into your uterus and fallopian tubes. You may need a stronger antibiotic or IV antibiotics. You should return to the doctor for another exam as soon as possible.

The doctor should have taken cultures during the last exam to find out if you have gonorrhea or chlamydia (common causes of pelvic infections). Ask about the culture results.

Any illness can delay your period, but so can pregnancy. Check a pregnancy test as soon as possible.

Sincerely,
Amy

Do it yourself morning after pill?

I'm 20 years old, and I've been on Seasonale bc pills for almost two years now. I'd just gotten out of a 3 year committed relationship, and in an attempt to save money went off the pill for a full month as I didn't expect to be having regular intercourse. Alas, I had unprotected sex exactly 2 weeks after my last period started. (Not smart, I know).

The day after, my brain kicked in and I filled the Seasonale prescription. I took 3 pills the first day and have been taking it ever since. This was one week ago today. One more week until a test will be accurate.

By taking those three pills did I reduce the odds of pregnancy? Is my fertility at all reduced after only 1 month off Seasonale after years of use?

A college student

Dear College Student,

The appropriate method to prevent pregnancy after unplanned intercourse is to use the morning after pill. Taking 3 Seasonale pills is not equivalent. It might reduce the chance of pregnancy, but the chance of pregnancy would still be significant, so be sure to check a pregnancy test next week.

Sincerely,
Amy

Baby's weight is not increasing

Dear Doctor,

I'm 30 weeks, 5 days pregnant. I went to the doctor last week & she told me that my weight is increasing but my baby's weight is not. Please tell me what should be the actual weight of baby at this time & why this problem is occuring. How can I overcome by this problem.

VS

Dear VS,

How did the doctor determine that the baby's weight is not increasing? Simply measuring the size of your uterus is not accurate enough to tell what the baby weighs. Only an ultrasound is accurate enough to tell you if the baby weighs less than expected. If you have not had an ultrasound yet, that would be next step.

If the ultrasound shows that the baby is not growing, it raises the possibility that the placenta is not providing the baby with enough oxygen and nutrients. If that situation continues over the next few weeks, the baby might need to be delivered early. At 30+ weeks of pregnancy, the baby should weigh about 3 pounds or so.

There is nothing that you can do to increase the baby's weight or to improve the function of the placenta except in the case of high blood pressure when blood pressure medication may improve placental function.

Sincerely,
Amy

Oral sex in pregnancy

Is it ok to have oral sex or do oral sex while pregnant?

C

Dear C,

Oral sex is considered safe in pregnancy with one exception; it is not safe to blow air into the vagina.

Sincerely,
Amy

Friday, November 18, 2005

HCG levels not rising appropriately

I am 10 weeks pregnant and started spotting a little on Tuesday. I went to the doctor and they drew some blood to test my hormone level they said it should double in two days. I went back on Thursday for the second test and so when I called this morning they said my numbers did not double but they were a little higher. My doctor said he thought everything was okay but I am still worried. I have not bled anymore since Wednesday do you have any advice?

GA,

Dear GA,

The HCG levels should double approximately every 48 hours. The fact that they did not raises the possibility of a miscarriage. Ask the doctor for an ultrasound test to find out what is going on. A miscarriage is not preventable, so you need not worry about having an ultrasound immediately on an emergency basis, but it should be done soon to spare you further anxiety.

Sincerely,
Amy

Why does my daughter need another test?

My daughter was on the bc patch recently and stopped using it because it irritated her skin horribly so she took it off. She had a period on 10-5 and another one on 10-24 which was very not heavy. She is on a 21 day cycle which if my calculations are correct she is late. I took her to the clinic to put her on the birth control pill and they did a pregnancy test and it was negative but they also said that since she had two last month that if she didn’t start by this weekend she needed to take another test early next week. I am a little confused as to why she would need to take another one.

Thank you,
Lisa

Dear Lisa,

It sounds like they were concerned that the first test could have been done too early. They want to be absolutely sure she is not pregnant before starting her on the Pill.

Sincerely,
Amy

Ovulex and Amberoz

Hi Dr. Amy,

A year ago I was diagnosed with PCOS. A couple months ago we (my husband and I) ordered and started taking Ovulex and Amberoz. I thought we'd give it a try since we are ttc.. I was wondering if you know anything about Ovulex and Amberoz. I've heard from a couple of people that it doesn't work, but I don't want to get my hopes down. We bought the six month supply and according to them (Selmedica Healthcare) there is a 100% money back guarantee if we don't see results.

I'm a little confused now. The first month when I started taking it I got my period which was on Sept 22nd and I haven't gotten it since then. Last month on Oct 30th I took a HPT and I got a faint + result, on Nov. 1st I tested again I got a - result. I made an appt on Nov. 3rd to see my OB/GYN I took both a urine and blood PG test and I had a negative result for both. Is it possible for me to be PG?, and for some reason my body is not producing enough hCG.
Please Dr. Amy, any comments, advice, or suggestions that you have for me I would really appreciate it.

Thanks,
E.B

Dear EB,

There is nothing that you can buy over the counter (without a prescription) that will increase your chances of getting pregnant.

It is not very risky for these companies to offer a money back guarantee when you consider the statistics for pregnancy. Of all couples having unprotected intercourse, 50% will be pregnant in 4 months and 75% will be pregnant in 8 months. These companies know that the majority of women who order their products are going to get pregnant in the next 6 months no matter what.

When you consider the reasons why you don't get pregnant each and every month you try, you can see why there is no product that is going to change the odds. The chances of getting pregnant in any given cycle are 20%. The most common reason for not getting pregnant in a particular month in that either the egg, or the sperm, or the combination is abnormal in some way and cannot develop further. These abnormalities are random genetic problems, and are not affected by any medication or vitamins.

In fact, it sounds like this has already happened to you. The positive pregnancy test that you had was probably the result of a chemical pregnancy (a very early miscarriage). You did conceive, but the pregnancy stopped growing within days of implantation. This is extremely common and does not mean that you will have problems in the future. In fact, the odds are very high that you will get pregnant in the next 6 months.

If, however, you ovulate very irregularly, it will take you longer than most women to get pregnant. That problem can be treated with a fertility medication like Clomid that stimulates ovulation.


Sincerely,
Amy

Am I ovulating?

Hi Dr. Amy,

My husband I have been trying to get pregnant for about 10 months. I went off the pill last December. My periods have not been normal since. (Normal for me on the pill is a 28 day cycle) Now my cycles range from 35 to 42 days. This past month I purchased a home ovulation kit to determine the best day to try and conceive. The problem is I never received a positive test. Does this mean I'm not ovulating? Is it necessary to ovulate in order to get pregnant? This terrifies me.

A friend of mine stated that she had an issue similar to this and her doctor prescribed her Letrozole. She said after about 2 months of taking it she got pregnant. Is this something I should consider? Does it have any dangerous side effects that I should be concerned about? Any advice you can give me I will greatly appreciate. I desperately want to get pregnant and I'm starting to get worried that this dream will never come true. Thanks for all your help.

Desperately wanting to be a mommy

Dear Desperate,

It is indeed possible that you are not ovulating, and you must ovulate (release an egg) in order to get pregnant. There are many possible causes and each cause has a specific treatment. What worked for a friend is not necessarily going to work for you because it may not be the appropriate treatment for your situation.

The best thing to do would be to see a gynecologist or an infertility specialist for an exam and tests to find out whether or not you are ovulating and what treatment, if any, you may need.

Sincerely,
Amy

Recurrent miscarriages

I have a question for a friend of mine who is having trouble staying pregnant. She has been pregnant 4 times and 3 times she has had a miscarriage, and the last time she had to get the pregnancy terminated due to there was no baby in the sac. She has been for tests and they can't seem to find out that they is anything wrong with her. Do you have any suggestions for her?

Thank you,
JC

Dear JC,

Four miscarriages in a row means that there is definitely something wrong. Your friend needs to see an infertility specialists, preferably one who has experience in repeated miscarriages. There are specialized tests that can be done to figure out what is going on and what can be done to treat it.

Sincerely,
Amy

Thursday, November 17, 2005

Do you ovulate after a tubal ligation?

Dr Amy,

I was wndering if a women ovulates with her tubes being tied?And if so where do the egg(s) go if they can't pass through the tubes?

Thanks,
Shelly

Dear Shelly,

You continue to ovulate after your tubes are tied. When the egg is not fertilized, it disintegrates within a few days.

Sincerely,
Amy

Heavy discharge in pregnancy

Hi,

I have just found out that I am 6 weeks pregnant and the other day when I went to the toilet a thick blob of white discharge came out of me, I haven't had any bleeding yet so I hope that I haven't miscarried! Could you please tell me why this has happened?

Thanks,
April

Dear April,

An increased amount of discharge is very common in pregnancy. The amount tends to increase as pregnancy progresses.

Sincerely,
Amy

Pregnancy after tubal ligation

I am 30 years old and I've had a tubal ligation and a uterine thermal ablation. I have had regular periods for the past year and a half and the past two months my periods have been late or longer than usual and my breasts became tender. A few weeks ago I noticed colostrum coming from my nipples and I've been very nauseated and "feel" like I'm pregnant. I took a home urine test and that came back positive but then I had a blood test and that came back neg. Is it possible that one of the tests are wrong or is there something else that can cause the symptoms of preg but not be pregnant. I'd appreciate any input you have, thank you.

Amanda

Dear Amanda,

It is very important that you talk to your doctor about the positive pregnancy test. The fact that the home test was positive and the blood test was negative may mean that you had a very early miscarriage, but you should not have been able to get pregnant at all. It may be that your tubal ligation has become undone and this should be investigated.

Sincerely,
Amy

Can chlamydia cause these symptoms?

Dear Dr. Amy,
I wrote to you a few days ago about the chlamydia infection my fiance had passed to me. I am one third of the way through the doxycycline tablets my doctor gave me but I am experiencing an unusual sensation in my lower stomach that is worrying me. My lower stomach has gone hard and it feels really uncomfortable, when i go to sit down I get an intense pain low down on my left - just inside my hip bone. Now and again I will get the pain even if I am standing or sitting still, the pain sometime goes right through to my back. I have been getting alot of back ache as well. Could all this be because of the chlamydia infection? It is really worrying me.

Thank you,
Nicola

Dear Nicola,

You should talk to your doctor about these symptoms. It is possible that an oral antibiotic is not strong enough to treat the infection. If that is the case, you may need antibiotics by injection or IV.

Sincerely,
Amy

Chances of getting pregnant using a condom

What are the chances getting pregnant with condom only source of birth control if it doesnt break?

JH

Dear JH,

Condoms are an effective form of birth control, particularly if you use contraceptive foam with them at the same time. They are considered almost 90% effective. However, hormonal birth control such as the Pill or the shot are 99% effective.

Sincerely,
Amy

Wednesday, November 16, 2005

How much time does it take to get pregnant?

Hi Dr. Amy,

How much time does it takes for a women while having intercourse to get pregnant without having used protection?

NS

Dear NS,

Any genital contact, even for one second, could result in pregnancy. That's why you must use a medically approved form of birth control if you don't want to get pregnant.

Sincerely,
Amy

Swollen vagina

Hi Dr Amy,

I am having a problem. A couple weeks ago I found out I had a yeast infection. After about a week I bought a Monistat 1 combination pack. It was a one night use and when I woke up, I felt
better. The next day my vagina swelled right up. And now, a few days later, it is still swollen and I also have little tears between my vagina and anus. I really don't know what has caused the tears, or why I am swollen. Do you have any idea what this be? Thank you so much!

Brenna

Dear Brenna,

It sounds like you either still have an infection, or you have had an allergic reaction to Monistat. The tiny tears might be from scratching the area. You need to see a doctor to find out what is going on.

Sincerely,
Amy

Fetal kidneys not seen on ultrasound

Dear Dr. Amy,

I'm 19w 2d pregnant, and just came back from my ultrasound. The doctor said that everything looks fine except... they couldn't see the kidneys! What would be the reasons that the kidney could not be seen? Does that mean there is a problem, or is it typical at this gestation age?
Thank you.

LS

Dear LS,

The fetal kidneys are usually seen by now, but there are other ways to assess fetal kidney function. Amniotic fluid is made up in large part by fetal urine. If the amount of amniotic fluid is normal, the kidneys are probably fine. Nonetheless, you need to have another ultrasound in a week or two to be sure that everything is developing properly. Talk to your doctor about having the ultrasound performed by someone who is an expert in fetal anatomy.

Sincerely,
Amy

Tuesday, November 15, 2005

Missed period

What exactly is a "missed period"?

DV

Dear DV,

Most women have a menstrual period every 28 days or so. A missed period means that the woman did not get her period when she expected it.

Sincerely,
Amy

Am I pregnant?

Dear Dr. Amy,

I am 20 and in September 2005 i had sex with my boyfriend and the condom split. Since then I have fainted, been sick, felt sick to food smells, have had enlarged sore breasts, lost weight everywhere but have a hard pot belly. I havent had a period since 19th August 2005, though I had spotting on the 22nd October 2005. I have had many HPT tests and had a blood test in september but had nothing except a faint positive in early October.

This happend to my aunty, cousin and sister and they were all pregnant but my doctor does not seem to want to help. I dont know what to do, I feel pregnant and look pregnant but tests are saying other wise.

Stephanie

Dear Stephanie,

A faintly positive test means that you are pregnant, or at least you were pregnant at the time you took the test. You need to have another blood pregnancy test, and perhaps and ultrasound to see what is going on.

Sincerely,
Amy

Symptoms have gone away

Dear Dr Amy,

My lmp was october 4th (6 wks ago) and I have had 3 positive pregnancy tests (one by my doctor). Up until last Saturday I had sore breasts and a bloated stomach and since then I dont feel pregnant at all. My breast pain has gone and my stomach is as normal as ever. I am experiencing the odd period type pain and this has me worried. Is it possible that I am no longer pregnant? I haven't had any bleeding.

CB

Dear CB,

You can't rely on symptoms to determine the health of a pregnancy.

It is possible that you are in the process of miscarrying, since 1 in 5 pregnancies end in miscarriage, but the lack of symptoms does not necessarily mean that that's what's happening. Talk it over with your doctor. He or she may recommend an ultrasound to check on the baby.

Sincerely,
Amy

Unable to conceive after miscarriage

My husband and I are trying to have a baby and can't conceive. Does that have anything to do with a miscarriage I had about 3 years ago?

HL

Dear HL,

A miscarriage typically does not affect the ability to get pregnant in the future, unless you had an infection after the miscarriage. An infection could cause your tubes to be blocked.

If you have been unable to conceive after three years, there is likely to be some kind of a problem, though. You should make an appointment with a gynecologist or an infertility specialist to find out what the problem is, and what the appopriate treatment would be.

Sincerely,
Amy

Getting pregnant after C-section

Hi,

I had a baby 4 months ago by a c/s. I went back on the pill and it's made me sick. My last period was on the 6th of nov and I slept with my boyfriend since. Could I get pregnant so soon after having a baby? If I did, what would happend to my cut?

V

Dear V,

Yes, you could definitely get pregnant. The only way to prevent pregnancy is to use birth control.

Your C-section incision should be fine if you get pregnant again. Talk it over with your doctor.

Sincerely,
Amy

Hello,

My husband and I are trying to have a baby and yesterday we had sex without protection. We had had sex a couple of times before that. He told me that it isn't very likely to get pregnant after like the second time. Is this true? When I woke up the day after I had some kind of discharge all the way down my leg. Is this normal and what does it mean?

Thanks,
Haley

Dear Haley,

You can get pregnant any time you have sex, even if you've recently had sex before. The discharge you noticed may just have been semen. This is very common and does not reduce your chances of getting pregnant.

Sincerely,

Amy

Pain medication in pregnancy

Dr Amy,

I' m having terrible headaches and I am consistently nauseous. Is it ok for me to take aspirin to relieve the headaches, Or could you recommend something please?

Nosipho

Dear Nosipho,

If you are having terrible headaches, you should talk it over with your doctor as soon as possible to make sure that you are not having a problem with your blood pressure.

You should not take aspirin in pregnancy. Tylenol (acetominophen, paracetamol) is considered the best pain medication for use in pregnancy.

Sincerely,
Amy

Sunday, November 13, 2005

Multiple miscarriages

i had 3 M/C in the past year. My last M/C was about 4 weeks ago, but different from the others.
I only had tissue loss and a small gush of blood, but no cramping. Now my EPT test still shows positive. With my other M/C they showed negative after 2 weeks. Am I still pregnant and lost a twin ? Please help.

J

Dear J,

You need to see a doctor to figure out what is going on. There is always a possibility that you have an ectopic (tubal) pregnancy. Since this is a potentially life threatening situation, you need to get this checked out as soon as possible.

Sincerely,
Amy

When should I check a test?

Hi Dr. Amy,

I'm currently on Seasonale so I only get my period once every 3 months. My last period was September 21 through September 24. Well on October 24 I went to the doctor because I had a UTI and started antibiotics for that and those lasted untill Novemeber 3rd. During that time my boyfriend and I had sex (unprotected) twice. I think I might have been ovulating durning that time but I'm not sure. I'm scared that I might be pregnant now. I'm only 16. When's the earliest I can take a pregnancy test, because I'm not suppose to get my period untill about Christmas time?

K

Dear K,

You can check a test about 2 weeks after the time you think you ovulated.

Sincerely,
Amy

Odor

Hi,

I have been having this strong odor for the past couple of days now and I don't know why. I do think that I may be pregnant but I'm not certain. Does this odor has anything to do with it?

Thanks,

K

Dear K,

The first thing you should do is take a pregnancy test to find out if you are pregnant, since that affects what medications you could take if you have a vaginal infection. Odor is not a sign of pregnancy. If it does not go away on its own, you should see a doctor to find out if you have a vaginal infection.

Sincerely,

Amy

Depo Provera

Hi Amy,

I was wondering if I am on Depo shot, and have sex with my partner with out a condom, should I take the morning after pill?

Mary

Dear Mary,

It sounds like you are a little confused about what Depo Provera does. Depo Provera IS birth control. It prevents you from getting pregnant. There is no need to take emergency birth control (the morning after pill) if you are already protected.

The reason for your partner to wear a condom when using Depo Provera is to prevent sexually transmitted diseases.

Sincerely,
Amy

Semen leaking out

Dear Dr. Amy,

My partner and I want more then anything to become pregnant. When we first started making love, trying to get pregnant, all of his "cum" would pretty much stay inside of my vagina. But lately, last 5 or 6 times, when he has "cum" inside of me, ALOT of his "cum" has "oozed" right back out, even though he holds his penis all the way deep within me, even up to 10 minutes after ejaculating. Can this be a sign that my cervix is closed and that I might actually be pregnant? Someone had told me that when you're pregnant, a man's "cum" can't get up into where it needs to go and the majority of it comes right back out. Is all of this true or is this just wishful thinking on my part?

Sincerely,
Hoping

Dear Hoping,

No, that's not true. Many women notice semen leaking out after intercourse. It is not a sign that anything is wrong or that anything has happened. It also does not affect your chances of getting pregnant.

Sincerely,
Amy

Bleeding on the Pill

I have been taking the pill for seven months now and for the last two months I have had my period during the week gap, but then having another period a week and a half - two weeks into taking the next pack of pills. Should I be worried about this? Is there something wrong with me?

A

Dear A,

It sounds like you may be having breakthrough bleeding, which is another name for bleeding between periods. This is a common side effect of the Pill. You should talk this over with your doctor. He or she may recommend changing to a different brand of Pill.

Sincerely,
Amy

Finding out the gender in the first trimester

Dr. Amy

Is there a test in your 12th week of pregnancy that you can find out the sex of the baby. I saw something on it on channel 7 news but i didnt catch the name.

Thank you,
Marie

Dear Marie,

You may be referring to a test called chorionic villus sampling (CVS). That's when a doctor removes a tiny piece of the baby's placenta from your uterus. By analyzing this tissue, the lab can tell the sex of the baby and whether he or she has certain birth defects.

Sincerely,
Amy

Saturday, November 12, 2005

Can you get pregnant the first time you have sex?

I heard that you cant get pregnant the first time you have sex. Is this true?

A

Dear A,

No, that's not true. You can definitely get pregnant the first time you have sex. That's why you always need to use birth control.

Sincerely,
Amy

Provera and pregnancy

Hi Dr Amy,

Can you increase your risk of getting pregnant while you are taking provera. I'm concerned because my doctor told me that if my period doesn't come in 10 days I should get back to her. Thank you very much.

Alana

Dear Alana,

Provera stimulates a period. It does not affect the chances of getting pregnant. However, if you don't get your period after taking Provera, it could be a sign that you are already pregnant.

Sincerely,
Amy

Getting pregnant after giving birth

Dear Dr. Amy,

I recently had my first baby about five weeks ago and though I knew I wasn't suppose to be having sex until after six weeks I did anyways at about four weeks. Well, about a couple of days ago I started to feel nauseated, pains in my abdominal area, and bloated. Is it possible that I can be pregnant, or is it just signs that my cycle is getting ready to start?

If I am pregnant, is that dangerous being that I just had a baby a month ago? Also if I am not pregnant when should I expect my cycle to start again? I stopped bleeding two weeks and a half after I had my baby, and I recently started seeing a brown mucousy discharge since then. My husband said that he don't think that I am because he pulled out. Is it possible to get pregnant even though he pulled out?

Thanks,
Wondering Mind

Dear Wondering Mind,

Yes, you could be pregnant. Check a pregnancy test to be sure. Most women who are not breastfeeding will get a period about 6-8 weeks after the baby was born.

Most doctors recommend waiting at least 3 months to get pregnant again so your body can recover, but you can still successfully carry a pregnancy again within the same year.

Sincerely,
Amy

Getting pregnant after stopping Depo Provera

Dr. Amy,

I have been off the depo shot since June 23,2005. Is it true about it takes up to a year for someone to get pregnant after stopping the shot. Last month I was only had my period for 3 days. Is that weird?

Thanks so much.
Ashlei

Dear Ashlei,

It can take up to a year for your periods to get back to normal after stopping Depo Provera. It can take that long, or longer to get pregnant, but everyone is different, and it could also take only a few months.

Sincerely,
Amy

Follow up about short cycles

Dr. Amy,

Thanks for responding. I am calculating my cycle just as you have said from day 1 to day 1. I’ve noticed that my cycles alternated month to month from 23 to 26 days since April. My gyn doesn’t seem to be hearing me because she has never given me any answers, just sent me for a negative pregnancy test. If this is a luteal phase deficiency, will I know if I’m miscarrying or will it just seem like a normal period? Should I be concerned or will this correct itself (if this is the problem) eventually. Thank you so much for input. I will make that appointment, I just need to know what questions I should ask.

YG

Dear YG,

If you have a short luteal phase, you might not be able to get pregnant, or you might have early miscarriages after you already know that you are pregnant. A short luteal phase will usually not correct itself. It is not a problem unless you want to become pregnant. If you don't want to become pregnant in the future, it usually doesn't need to be treated.

Sincerely,
Amy

Breastfeeding and periods

I have heard that when you are breastfeeding, you could not have a period until you stop, but I already had two. Is it possible?

F

Dear F,

Some women won't have a period while breastfeeding, others will have irregular periods, and still others (like yourself) will have regular periods. All of these situations are normal.

Sincerely,
Amy

Friday, November 11, 2005

Chlamydia

Dear Dr. Amy,

I found out on Thursday that my fiance had cheated on me and caught an std. I went straight to the clinic on Friday morning and found I have chlamydia. The doc gave me doxycycline to clear it. Can drinking alcohol affect the effectivness of the tablets at clearing the infection?

I am also desperately worried that I may never be able to have kids now; have I found out in time? Does the infection stay in my system forever? Can I pass it on to a future boyfriend even after effective treatment? He was my only sexual partner ever I am devastaed and so scared, I appreciate any help you can offer. Thank you.

Regards,
Nic

Dear Nic,

There is no way to know for sure, but it is likely that you have treated the infection before it caused serious damage to your fallopian tubes. Even if it did damage your tubes, you would still be able to have children through in vitro fertilization.

The antibiotics should cure the chlamydia infection. It will be gone from your body and you would not be able to pass it on to anyone else.

Many doctors recommend avoiding alcohol while on doxycycline.

Sincerely,
Amy

Bumps around the areola

For the past 3 months I have been experiencing growth in my breasts. I have had normal pap results and about 6 negative pregnancy tests. Last night my nipples were itching profusely. I took my bra off and noticed several new bumps or what would look like a pimple with no pus inside, on my areola or nipples. I just attributed the bumps with “changes” in my body. This new bump is causing me concern because it is bigger than usual when I notice these bumps appearing. Please tell me if I need to be alarmed by these new bumps and should return to my doctors office.

Thanks,
Tara

Dear Tara,

I am not sure what is causing the bumps. Only someone who examines you could tell you what is going on, so you should make an appointment with your doctor.

Sincerely,
Amy

What does an HCG <2.0 mean?

I am about a week late on my period, and I have taken 2 home pregnancy tests, both of which have came out negative. I went and had a serum hcg test done. The test result, which I'm not sure how to read, said less than 2.0. My doctor only said negative. But I have all the symptoms.

My boyfriend's mom called and talked to her doctor because she thinks I am pregnant too. Her doctor said a result of 2 would be positive and should be followed up by another test to make sure. I guess I am just wondering if a result of 2 would be positive or negative? S

Dear S,

A result of less than 2.0 is almost certainly negative. If you were pregnant, your HCG level would be in the range of 200 at this point.

Sincerely,
Amy



Do I need a blood pregnancy test?

Dear Dr. Amy,
My husband and I were not trying to concieve, although I think we may have.

I was on the pill all of September, on the 25 of Sept. was my last period. I missed a few pills in October and had unprotected sex about 5 times that month. I am now 3 weeks late and having a few symptoms, however, my doctor does not want to do a blood test yet, he wants to wait at least 2 more weeks, if not 4 to do the test.

Is this a bad idea? Should I go to an OB/GYN or keep going to my family practice physician. I really dont want to question his intelligence but he is just seeming like this is not a big deal at all. It would not be if all my home tests werent showing up negative and I wasn't 3 weeks late! What do you think?

By the way, your message board is the coolest thing ever and I would just like to thank you for providing that for all women out there.

Kristin

Dear Kristin,

Thank you for you kind words!

You need to have a blood pregnancy test and there is really no reason to wait. I'm not sure why your doctor is hesitating. Tell him that you insist on the test. If he won't order the it, you'll have to go to another doctor.

Sincerely,
Amy

How does a bladder infection occur?

Hi Dr. Amy,

How does a women get a bladder infection? I am 8 months pregnant, have been fighting a yeast infection for the past couple of weeks, and now today I went to see my Dr. and she tested my urine and said I have a bladder infection now. How did I get it? My husband and I have not been having sex for awhile. Please give me some needed info.

Thanks,
Stephanie

Dear Stephanie,

The primary way a bladder infection occurs is that the bacteria that live on the outside of the genital area manage to make their way up the urethra (the tube that connects the bladder to the outside) into the bladder. Once there, they grow and cause an infection.

Pregnant women are more prone to bladder infections because they have altered immunity and because of the pressure of the uterus on the bladder an urethra. It is very important to treat bladder infections in pregnant women because they can cause premature labor.

Sincerely,
Amy

Will the Pill cause an abortion?

If I use the pill while I'm pregnant, is it possible that I can abort the baby? Will it harm the baby in any way?

C

Dear C,

The Pill will not cause an abortion. Based on what we know so far, the Pill does not cause birth defects or other problems.

Sincerely,
Amy

Using withdrawal

My husband and I have used the pull out method for 5 years and never got pregnant. Does that mean we can't.

P

Dear P,

There's really no way to know until you try to get pregnant. You may just have been very lucky using this method.

Sincerely,
Amy

Back pain in pregnancy

Dear Dr Amy,

I am feeling pretty worried right now about my back pain. I'm 19 weeks 2 Days, & am having trouble walking, and standing up; I often have to limp. It seems to be a combination of sciatic pain down my legs & also getting stabbing pains in lower left of my back & lower middle back. Often when I stand up, I 'yelp' out in pain because it hurts so much. Also, the pain is relatively constant.

I'm only half way there, I'm feel like i'm going to be in a wheelchair by the time I'm 30 weeksif it gets any worse! Is this normal or should I call my doctor?

RH

Dear RH,

You should definitely talk this over with your doctor, because it is not normal. You may have a back problem such as a herniated ("slipped") disc. An orthopedic doctor could tell you more about what is going on.

Sincerely,
Amy

Positive pregnancy test and cramping

Hello,

I am 4 days late from having my period. I have taken a pregnancy test, which has displayed a positive result. I am just a little concerned as I have miscarried before and have endometriosis. Is it normal to get stomach aches that are a bit like a period pain. I would really appreciate your help with this questions.

Many Thanks!
SA

Dear SA,

Mild cramping usually is not significant. It may just be the uterus stretching, but there is no way to know for sure. Having endometriosis does not increase your chances of having a miscarriage. One previous miscarriage also does not increase your chances of miscarriage.

Sincerely,
Amy

Adderall and menstrual periods

I recently started taking Adderall for ADD and since then I haven't had my period for two months. I have taken 2 pregnancy tests and they were both negative.C ould Adderall be the cause of my missed period?

H

Dear H,

I couldn't find any information that suggests that Adderall can cause you to miss your period. You should talk this over with your doctor.

Sincerely,
Amy

Thursday, November 10, 2005

Am I pregnant?

Dr. Amy,

My boyfriend and I almost had sex on the 11 of October. My period had started on the 28th of September. He was only in 2 or 3 inches when we stopped. He said nothing happened and he was still erect. I was afraid that I was pregnant, but on the 28th of Nov. i got my period (right on time). It usually lasts about 6 days and is completely gone on day 7. This time it was heavy for about 4 days, got light on 5 and was done by 6.

Yesterday 11-9-05, I noticed that I am producing more saliva than I usually did. Could this be a sign of pregnancy? Additionally, a day or two after my period ended this month and last, my vagina had a burning sensation and it was very itchy. A white substance was also being produced when it hurt. Could this have anything to do pregnancy? If not what could be causing it?

Scared

Dear Scared,

You didn't "almost" have sex. You had sex. All you have to do to have sex is to have penetration and you did have penetration. If you are going to do this in the future, you need to use birth control.

It does not sound like you are pregnant, but the only way to know for sure is to take a pregnancy test.

The burning, itching and white discharge are possibly symptoms of a yeast infection. You should see a doctor to find out if you have a yeast infection and whether you need medication to treat it.

Sincerely,
Amy

Dogs and pregnancy

Hi ,

Please could you give me some advice about dogs? I am in the early stages of pregnancy and have a young puppy. I'm worried as he isn't completely house trained and also he likes to pull a bit when I take him out for a walk. Could this do me any damage?

Thank you,
Angela

Dear Angela,

As far as I know, there are no risks posed by dogs during pregnancy. Anything that doesn't hurt you is not going to hurt the baby, so the fact that the dog pulls at the leash should have no effect on the baby.

Sincerely,
Amy

Spotting

Hi,

I previously asked you a question about a period that was black then red then black again.I went to my gynecologist and he did a pap test and I havent gotten the results of the pap yet, but he said that during the examine everything looked fine and that they was nothing visual to suggest a infection.

After the pap test I went pee an 3 1/2 hours later and i was spotting. That was 9 days ago and ever since then I have had a brownish discharge. My doctor said that it wasn't anything to cause any concern, but I have also noticed that if i do even the least little thing strenuous I start to spot again; then it goes back to the brown discharge.

I have never had even the slightest variation in my periods, not even after I had a leep procedure. I've taken two urine pregnancy tests and both were negative. Could it be possible that I am pregnant though and that there is something really wrong to make the pregnancy not show up in a urine test, or could it be possible that my birth control pills are altering the outcome of urine tests?

My doctor might not think that anything is wrong but a woman knows what is and isn't right within her body and i am positive that something is just not right but have absolutely no idea what it could be. Please help.

Autumn

Dear Autumn,

Spotting is not a symptom of pregnancy, so that would not be my first concern. However, if you wanted to be absolutely certain that you are not pregnant, you could check a blood pregnancy test. Birth control pills have no effect on pregnancy tests.

The spotting could be due to the birth control pill (breakthrough bleeding) or it could be due to abnormal cells on your cervix. The Pap smear will give you more information about your cervix. Then you could talk to your doctor about whether he thinks the birth control pills are responsible or whether you need additional tests.

Sincerely,
Amy

Blocked tube on hysterosalpingogram

Hi Dr. Amy,

This afternoon I had a hysterosalpingogram done and found out that one of my fallopian tubes is blocked. The doctor also noted that my uterus looked as if I might have had some sort of growth on it (possible fibroids). Also, my husband found out that he has a high white blood cell count (he is taking antibiotics for a possible infection).

I am 33 years old and my husband is 31 years old. I’ve had one miscarriage in the past year. I do know that I am successfully ovulating. Also, I just finished taking Clomid today. Are our chances of getting pregnant very slim at this point?

Sincerely,
Joanne

Dear Joanne,

The fact that you have gotten pregnant within the past year shows that your chances of getting pregnant again are quite good. All you need is one fallopian tube that is open. The fibroids should not cause a problem unless they are unusually large or sticking into the cavity of the uterus.

Sincerely,
Amy

Short menstrual cycles

I have a pretty much regular menstrual cycle, to the point where I know the exact day to expect my period, which alternates between 23 and 26 day cycles. If I don’t begin to bleed one day after cd23, then I know to expect it a day after cd26. Is it possible to have a regular period like this and still not ovulate. I’ve read every where that a sign of not ovulating is irregular cycles. What is your opinion? I’ve not used any form of birth control since March 2005.

YG

Dear YG,

First, you must be sure that you are calculating your cycle length the correct way. The length of a cycle extends from the first day of one period to the first day of the next period. If you are really having 23 day cycles, I would be concerned about a condition known as luteal phase deficiency. That happens when the luteal phase (the time from ovulation to when you get your period) is shorter than the typical 14 days. If that's happening, it would be difficult to get pregnant, and you could be at high risk for miscarriages.

The best thing to do would be to make an appointment with a gynecologist for an evaluation to figure out if anything is wrong.

Sincerely,
Amy

Chemical pregnancy and Rh- blood type

Hi Dr. Amy,

My husband and I have been ttc since September. Last month I swore that I was pregnant, but I ended up getting my period, a very heavy and crampy period. I have O- blood. My husband is A+. If what I experience was actually an early miscarriage, should I worry that I did not get the Rogam shot or would it have been too early to have any affects on a future pregancy?

Thank you,
Ally

Dear Ally,

As far as we know, you would not need a Rhogam shot for a suspected chemical pregnancy (extremely early miscarriage).

Sincerely,
Amy

Can a vasectomy fail?

Is it possible that after 4 years after my husband's vasectomy he could be passing sperm again?

J

Dear J,

It would be unusual, but it is possible for the cut ends of the vas defrens to grow back together again. If you think that you might be pregnant, you should check a pregnancy test. Your husband could also ask his doctor to order a sperm count.

Sincerely,
Amy

Severe pain an vomiting in pregnancy

I am now almost 11 weeks pregnant. I have been getting sick since week 7, which I know is normal. On tuesday in the morning I startedto have very bad cramping almost feeling like contractions, (no bleeding) so I decided to wait awhile to see if it was just gas or somthing else. Well, these would come every few minutes. I went to the ER b/c of the continuous vomiting and pain. I was really dehydrated and they hooked me to an IV. The baby was doing well. As soon as they released me the pain went to unbearable. I couldn't even breath. I would throw up evey minute until I finally passed out. The ER dept. couldn't figure out what had caused this. What do you think? It hasn't happend since Tuesday. I'm just trying to recuperate from being sore. My next appt is Nov. 25th. Any advise to what I should ask my doctor then?

Thanks,
SK

Dear SK,

I wouldn't wait until your next appointment to look into this further. There are two kinds of problems that come to mind when thinking about severe episodic pain and vomiting. One is ovarian torsion. This is a fancy way to say twisting of the ovary. If the ovary has a cyst on it (which is very common in the first trimester), the cyst can cause the ovary to twist from its usual position. When the ovary is twisted, you would experience severe pain, nausea and vomiting. When the ovary twists back, the pain is miraculously gone. An ultrasound might be able to show the cyst.

The second possibility is passing a kidney stone. In that case, though, the pain is usually in the back and along the side. However, the pain is also severe, and often accompanied by nausea and vomiting.

Talk to your doctor about these possibilities and ask if he or she thinks an ultrasound test might be appropriate.

Sincerely,
Amy

Tuesday, November 08, 2005

Heavy bleeding

I had my daughter 9 months ago I have had very little bleeding since that time, but when I do have a period it is very very heavy with lots of clots. Is this something to be concerned about? My ob gyn says there is nothing wrong!!

TR

Dear TR,

If I understand your post, you are having very irregular periods which are very heavy. It sounds like you are not ovulating. If you are not breastfeeding, your periods should have returned to normal by now. You should ask your doctor to check blood tests for a hormone problem. He or she may want to prescribe Provera to give stimulate a normal period. Sometimes that is enough to get you back on track.

Sincerely,
Amy

Bleeding while taking the Pill

I'm on the pill and for the last month I've been bleeding nearly everyday. I've been told that I could be pregnant. Is that true?

G

Dear G,

Daily bleeding on the Pill is not normal and you should talk this over with your doctor. It is not a symptom of pregnancy, but it always possible that you are pregnant. Check a pregnancy test.

Sincerely,
Amy

Symptoms on birth control pills

Dr. Amy,

I have been taking birth control, for exactly 2 months (Ovcon 35) and my last month's cycle wasn't normal( very short, and very light flow). Today is Tuesday , my last pill was this past Saturday, and I haven't started my cycle yet. I am really sick to my stomach. I have been pregnant before but never been on bc, so my question is: I have been taking my pills on time , everyday, so what are the chances of me being pregnant?

Thank you,
Amber

Dear Amber,

The symptoms that you describe could all be caused by the birth control pills themselves. Most women find that their periods are shorter and lighter on the Pill. In fact the Pill is prescribed for some women with heavy periods to limit their blood loss.

As long as you get your period sometime during the last week of the pill pack, it does not matter on which day. Most women will get their period on Tuesday or Wednesday, but not everyone.

Some women find that the Pill makes them nauseated. This can often be improved by taking the Pill at night instead of in the morning.

Of course, the only way to know for sure that you are not pregnant is to check a pregnancy test.

Sincerely,
Amy

Pregnant, but not pregnant any more

Dear Dr. Amy,

I haven't had a period since February 2005. A pregnancy test was done, and my doctor told me I was pregnant. I started going to prenatal clinic only to be told yesterday that I am not pregnant. Why has this happened to me? What doI do? I have gained a significant amount ofd weight over this time, my body has changed also.

Anxious Wife

Dear Anxious Wife,

It is difficult to tell what is going on without having more information. How old are you? Have you ever been pregnant in the past? When did you have a positive pregnancy test? What tests did they do at the clinic to determine that you are not pregnant?

Sincerely,
Amy

Depo Provera and pregnancy

I think I am pregnant and I had a depo shot yesterday. If I am pregnant was the shot harmful and will it cause a miscarriage?

C

Dear C,

The first thing you should do is to take a pregnancy test and find out if you are actually pregnant.

If you are pregnant, Depo Provera is not likely to be harmful or cause a miscarriage.

Sincerely,
Amy

Risk of pregnancy on birth control

If you take birth control what are the odds of getting pregnant?

T

Dear T,

That depends on what type of birth control you are using and whether you are using it faithfully. For the birth control pill, the chances of getting pregnant are less than 1% if you take it every day.

Sincerely,
Amy

Xanax in pregnancy

Dear Dr. Amy,

Early this year I got pregnant but had an early miscarriage at week 5 (chemical pregnancy is what I was advised at the ER). I am still confused and sad by it because I blame myself for what happened.

I am 34 years old and have 1 child age 15 y/o. I also have Panic/Anxiety condition since I was 14 and have been treated with Xanax for many many years and when I got pregnant early this year, the doctor started to taper me off very quickly, I was at 1mg TID and he took me to 1 mg a day total in a matter of 1 week. By week two I thought this was the end of the world, my anxiety was so bad I could not begin to describe it.

Today, November 7, 2005 was my due date, and I can't stop wondering and asking "why?" My boyfriend is 38 and has never had a child and always wanted one badly. He does not want to see me go through what I did early this year and is thinking that a vasectomy would be best.

Is there something I can do to help my situation and try again to get pregnant? What could happen to me or the baby if I were on my medication throughout a pregnancy?

Thank you so much in advance,
Sad!

Dear Sad,

There is no reason to believe that Xanax caused your miscarriage. Miscarriages are extremely common. Almost 1 in 5 pregnancies end in miscarriage, and the chance of miscarriage rises over the age of 35. Therefore, it is more likely that you had a regular miscarriage due to typical causes (one time, non-repeating genetic problems).

Xanax is not considered safe in pregnancy. There are other types of anti-anxiety medications that work differently than Xanax and can pose lower risks. You need to talk to a mental health professional about whether another anti-anxiety medication might be right for you and may be more appropriate for a woman who wants to get pregnant.

Sincerely,
Amy

Sunday, November 06, 2005

HCG levels in later pregnancy

I was just wondering how accurate home pregnancy tests are the later you take them. I know your hcg level peaks at week 10, and I was just wondering if after this point a home pregnancy test is still accurate? If I am pregnant I would have taken my test at about week 14, and I was just wondering if the hormone will still by in my system.

Thanks!
Michelle

Dear Michelle,

Although the HCG level can peak between 12-16 weeks of pregnancy, it stays at 3000+ through out pregnancy. Since a home pregnancy test can detect HCG at a value of 25, the test will always be positive.

Sincerely,
Amy

Is heavy menstrual bleeding a sign of pregnancy?

Dear Dr. Amy,

My husband and I have been trying for a few months now to have a baby. I have taken alot of pregancy tests, but they all come out negative. I have had some of the pregancy symptoms, like my breasts have been hurting alot and I have been eating alot but not getting full. My period was almost a month late. I was just wondering if bleeding heavily was part of the pregancy. It doesn't feel like a period, my cramps and mood swings are alot more intense than normal. I just don't want to get my hopes up. Can you tell me what it could be?

Thank You For Your Time,
Chantel

Dear Chantel,

No, heavy bleeding is definitely not a sign of pregnancy. Most women do not have any bleeding during pregnancy. It can take many months to get pregnant; that is not a sign that anything is wrong. Check the article How long does it take to get pregnant? for more information.

Sincerely,
Amy

Getting pregnant right after having a baby

How easy is it to become pregnant after giving birth? My baby is 5 months old and I think I am pregnant again is that safe?

Thank you,
J

Dear J,

It is just as easy to get pregnant after having a baby as it was before.

Most doctors recommend waiting at least 3 months to get pregnant again so your body has time to build up stores of calcium and iron for a new baby.

Sincerely,
Amy

Pregnancy questions

Can a pregnant woman still have an orgasm if she is 2 months pregnant?

Also when is a good time to stop drinking and start exercising before the baby comes?

Rodney

Dear Rodney,

A woman can have an orgasm at any time during pregnancy.

You should stop drinking alcohol even before you get pregnant. Exercise is good for a woman's health whether or not she is pregnancy. It does not seem to have much effect on the baby one way or the other.

Sincerely,
Amy

Friday, November 04, 2005

Uterine cancer

Dear Dr. Amy,

My mum had a period a few weeks ago but she has finished menopause 3 years ago. She went to her doctor who refered her to a specialist. On her appointment the specialist said the lining of the uterus is thickened to an extent that it causes concern. He did an in office biopsy, and we're now waiting for the results. We are so worried. My mum is in pain and not very optimistic. Can you tell me how likely uterine cancer is? What will happen if it is cancer? What else could it be? Please help.

Thank you for your time,
Nicola Jane

Dear Nicola Jane,

Vaginal bleeding after menopause is always a cause for concern because it raises the possibility of cancer of the uterine lining (endometrial cancer). It sounds like your mother has been receiving excellent care; her doctors are taking all the appropriate steps to figure out what is wrong.

In light of the bleeding and the thickened uterine lining, there are probably abnormal cells within the lining. They could be precancer or cancer. Neither is a cause for panic, since endometrial cancer is one of the easiest cancers to treat and cure. Sometimes all that is needed is a hysterectomy.

For more information on endometrial cancer, you can visit the web site of the National Cancer Institute at www.nci.nih.gov. They have ourstanding resources and educational materials.

The odds are very high that this can be successfully treated.

Sincerely,
Amy

Late period, abdominal pain

My period is about 14 days late! I have been cramping, had nausea, and even been dizzy. I also have an increase in bowel movements. I took a pregnancy test yesterday and it was negative.

Sometimes I have sharp shooting pains in my stomach. It almost feels like someone is stabbing me in my vagina. These pains vary in severity and come and go. For the past few days I have felt very sluggish and dizzy. And my period still has not come. I also feel my heart has been racing. Resting heart rate is well in the 100's. I honestly feel like I am on my period, but no blood is coming out. I had a baby almost 5 months ago. my lmp was Sept. 23, 2005. I took another test this morning and it was also negative.

TA

Dear TA,

A late period and abdominal pain raise the possibility of an ectopic (tubal) pregnancy. Usually a pregnancy test will be positive, but sometimes the hormone level is too low to be detected. You need to see a doctor and get this checked out as soon as possible.

Sincerely,
Amy

Leaking breast milk

Hello,

I've never been pregnant before and I'm unsure that i am now. I am currently on my menstrual cycle which was almost a week late. When I woke up today, my right breast was leaking breast milk. Could i be pregnantwhile on my period? Did i have a miscarriage?

HS

Dear HS,

It is easy to find out if you are pregnant. Take a pregnancy test.

Leaking breast milk is not usually a sign of pregnancy. It is more often a sign of a hormonal problem or a breast problem. If you are not pregnant, you need to see a doctor to find out what is going on.

Sincerely,
Amy

Smoking and fertility

I've got a friend who smokes alot and she wants to get pregnant. Would smoking make it hard for her to get pregnant?

DJ

Dear DJ,

Smoking usually does not interfere with the ability to get pregnancy, but it raises the risk of miscarriage and health problems in the developing baby.

Sincerely,
Amy

Cramping at 5 weeks

Hi, Dr. Amy!

I am around 5 1/2 weeks pregnant and am not scheduled to see my OBGYN until November 14th for my first exam. However, I have been experiencing abdominal cramping, its not severe, but it feels like menstrual cramps. Also, the past couple of days, I have had a light brown discharge late in the afternoons. Is this normal, or should I call my doctor and try to get an appointment earlier than the 14th.? I appreciate your advice very much.

Sincerely,
Haylee

Dear Hayley,

Although almost all miscarriages are accompanied by bleeding and cramping, that does not mean that anyone who has some bleeding or some cramping is destined to have a miscarriage. As long as neither the cramping or bleeding gets worse, everything is probably fine.

You can talk it over with your doctor. However, it is generally felt that there is no way to prevent a miscarriage, so there is not likely to be any treatment that you could get.

Sincerely,
Amy

Thursday, November 03, 2005

First period after miscarriage

I just started my first period after my miscarriage at the end of September. It was a natural m/c and I was about 6 weeks along. I started my period about 4 weeks after the last day of the bleeding and I bleed for 4 days and have been spotting a thick brown color for 3 days now and it doesn't seem to be letting it like it normally would. I usually will bleed for 5 days and spot for a day or 2. My bleeding this cycle was very heavy also. Is this normal? When the heck should it stop?

Thank you,
Tiffany

Dear Tiffany,

Your period may be slightly different this time, but that is usually not a cause for concern. If you are worried, you can talk it over with your doctor.

Sincerely,
Amy

Wednesday, November 02, 2005

Can you get pregnant while breastfeeding?

Is it possible to get pregnant while breastfeeding? My period I usually get, but it only lasts about a day or so since i am breastfeeding. I'm not on birthcontrol. We just pull out every time we have sex. I've been feeling pretty sick at times during the day andI'm not sure if i should worry?

LP

Dear LP,

Breastfeeding is not a form of birth control, so you certainly could be pregnant. Check a pregnancy test to find out.

Sincerely,
Amy

No period after stopping DepoProvera

I have a daughter who is almost 9 months, and I haven't had one period since she was born. I breast fed her constantly, then I stopped about 4-5 months later. I use Depo as a birthcontrol and was suppose to get my next shot in Sept. I am sexually active and haven't gotten a preiod and don't know if I am pregnant. I don't have money to get a test at the store and too shy to go to the clinic here. Is there a slim chance I am pregnant? Is there another way I can find out that I am pregnant. Thank you.

Sincerely,
Natasha

Dear Natasha,

It can take months for your period to return after stopping DepoProvera, so that could be the reason that you have not had a period. However, there is also a possibility that you are pregnant. There's really no way to find out except to take a pregnancy test.

Sincerely,
Amy

How long does it take for DepoProvera to wear off?

Dear Dr. Amy,

I am currently on DepoProvera and have been for the past eight years, with a three month break in between. I am getting married in eighteen months and we would like to try for a baby straight away. I am aware that it can take a number of months to get pregnant after stopping the DepoProvera and have therefore decided to not have an injection (next is due 09.11.05) but instead to start taking the pill. I do not want to stop contraceptives all together, as I do not want to become pregnant before the wedding, but would like to conceive as soon as possible after, and do not want to have to wait until the effects of depo vera wear off. Can I switch to the pill straight away or would it be best to give myself a break? Also, will the DepoProvera wear off whilst I am taking the pill? Thank you for your help.

Sara

Dear Sara,

Hormonal contraceptives often take awhile to wear off. At can be 6 months to a years before your periods return to normal after stopping. DepoProvera. It can take up to 6 months for your periods to return to normal after stopping the Pill.

You can switch to the Pill in the near future and the DepoProvera will continue to leave your system. You can stop the Pill right before the wedding, but there is no guarantee that you will ovulate again right away.

The only form of birth control that is immediately reversible is a barrier method such as condoms and foam or a diaphragm.

Sincerely,
Amy

Getting pregnant after an abortion

Hi Dr. Amy,

Does being overweight make it harder to get pregnant? Also, I had an abortion the first week in June. Since I did have an abortion, will I ever get pregnant again or does abortion damage your body? Thanks again!

Take care,
Tonya

Dear Tonya,

Being slightly overweight should have no effect on your ability to get pregnant. However, women who are significantly overweight often have hormone problems as a result and may have difficulty getting pregnant.

Having an abortion should not affect your ability to get pregnant in the future.

Sincerely,
Amy
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