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.
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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You will need to discuss this with your physician. This forum is intended to answer questions about the profession of OBGYN, not to answer specific medical questions.
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If the Mirena IUD is placed properly, it should not shift positions with intercourse. No method of contraception is 100% effective, but the Mirena is reported to be >99% effective. If you do conceive with the Mirena in place, it could be harmful to the pregnancy. You should immediately consult with your doctor in that unlikely situation.
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In our practice, as in most practices, patients may choose who they see throughout their pregnancy for outpatient care. However, when they are in the hospital for delivery, we have one doctor assigned to take call. The reality of this profession is that in order to maintain a healthy personal life, we simply can't be available 24/7. Instead, we've opted to maintain a call schedule in which one physician is available for deliveries and emergencies at all times. Without such a system, it would be impossible for Ob/Gyns to maintain any sort of healthy lifestyle. The consequence of this is that patients don't get to choose who will deliver their baby. Almost all patients are understanding of this and are willing to get to know all of the physicians throughout their pregnancy so they are not meeting us for the first time on the big day.
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I actually don't agree. Sperm preservation may become more common, as it is a non-invasive simple process. However egg retrieval is more complicated. The donating patient would have to start fertility medications to stimulate production of eggs (normally women only produce one egg per cycle, but with a retrieval, they want to stimulate production of multiple eggs). In addition, the retrieval of eggs is invasive, uncomfortable, and requires anesthesia. Most women would not want to undergo this procedure without a medical necessity. In addition, eggs are less tolerant of the freezing process than sperm, and do not the survive the process as easily. However we are fortunate to have this technology at our disposal for the times when it is truly indicated, and hopefully these procedures will become less cost-prohibitive over time.
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This is a very important question, not lame at all. I would start by asking friends and family who may live in your area. Post a question on your Facebook wall or ask your coworkers. Personal experiences with people you know are probably the best way to choose your provider. I don't put much trust in the online sites that allow patients to rate their doctors anonymously. I find that mostly people with negative experiences tend to post reviews, which makes the ratings really skewed. If you have a family practice doctor or internist, you could ask him or her for recommendations. Finally, you could use your insurance provider website for suggestions.
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Due dates are established based on last menstrual period, if known accurately and periods are regular, or based on the earliest ultrasound performed. If your due date is pushed back a month, it does not mean your pregnancy will be prolonged. It means that your original dating was incorrect. Most likely your ultrasound showed that the fetus measured a month smaller than anticipated, thus you likely conceived a month later than you had originally thought. The growth of a fetus in early pregnancy is a very accurate way of dating a pregnancy.
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