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.
So, as I said, in order to graduate from medical school, you have to complete 4 years of college followed by 4 years of medical school. At that point, you choose your specialty. ObGYN happens to require 4 years of training. Once you have completed residency, if you wanted to change specialties, you would have to repeat a residency in whatever field you have chosen. General surgery requires 5 years, cardiology can require up to 6-7 years, neurosurgery 7 years, etc. It is generally an unattractive prospect to have to go back and retrain for anywhere from 3-7 years when you are already in your mid-30's, so most people aren't willing to do this. But, again, if you are unhappy with your job, you have to find the job that brings you fulfillment.
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The power of the human brain to sustain denial is incredible. I do believe it is possible, although it is very uncommon!
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An uncomplicated removal of an IUD is actually quite painless and fast, especially in comparison to insertion. Most patients are pleasantly surprised at how easy it is. Very infrequently, the IUD strings are not visible or the IUD is not in the proper position, which may make the removal more difficult and uncomfortable.
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Group B strep is a bacteria that is carried by 25% of healthy women. Women who carry Group B strep in the vagina can expose their babies to the bacteria during delivery, which can lead to infection in the baby. Therefore we test all pregnant women for Group B strep, and treat those that test positive with antibiotics while they are in labor. Group B strep is not a reason to induce labor. If your cervix remains unchanged for a significant period of time, pitocin is used to augment the labor process because your body will likely need the pitocin to generate the contractions it needs to allow the cervix to dilate. This is the same for women who do and do not carry Group B strep. In addition, if your water is broken, we want to limit the amount of time before delivery to minimize the risk of infection. Pitocin is a very safe and useful medication that we use to expedite delivery and to minimize the duration of ruptured membranes.
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Stress has never been scientifically linked to miscarriage. Unfortuantely, miscarriage is not preventable or predicatable.
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Unfortunately, I can't really answer this question without knowing more details about your history and menstrual cycles. I recommend you speak to your physician about whether or not this is an option for you.
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When a mother has an active herpes outbreak or symptoms suggestive of an upcoming outbreak, then cesarean section is the preferred method of delivery to avoid transmission to the baby. The baby can still be infected if he or she has contact with the active sores, however cesarean section will reduce the number of cases by about 6 fold. Herpes infections in newborns can be very serious and potentially life threatening, so a cesarean section is a very valuable treatment option to prevent passing the infection on to the baby.
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