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.
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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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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Typically, if a due date is changed, it is because an early ultrasound showed that the baby is not measuring the proper size for the original due date. The last menstrual period is usually the most accurate way to date a pregnancy unless you have irregular periods or bleeding after conception that may be mistaken for a period. In those situations, an early ultrasound may be a more accurate way to calculate the due date.
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Absolutely, you should speak to your gynecologist about this. You have carried a very painful and traumatizing secret with you, and it clearly has had a deep effect on your sexual life. You need to find a good therapist who specializes in sexual disorders. I strongly encourage you to reach out for help. This can be a very challenging condition to treat, but with the right providers, you can really take big steps towards a recovery. You deserve the chance to heal, so please reach out for help from your gynecologist, internist, insurance provider or anyone you trust!
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If you haven't already, you should talk to your gynecologist who placed the IUD. It is possible that he/she could trim the strings a bit to make it less 'pokey'. This is fairly common, but most of the time, a little trim will fix the problem.
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When a new lump is detected, it is natural that everyone's greatest fear is cancer. Most of the time, routine testing can reassure us that the lump is benign. Rarely, testing comes back with a diagnosis of cancer. As an Ob/Gyn, the types of cancer I might diagnose would include uterine, cervical, ovarian, breast and thyroid. When breaking this type of news to a patient, it is, indeed, heartbreaking. However, I find that being direct and honest, as well as empathetic, is always the best policy. I try to have information available for referrals to specialists who will treat the disease, and I do my best to get the patient in as soon as possible to see the specialist. I encourage patients not to spend time on the computer reading both information and misinformation that is available online, but rather to wait until they are face to face with the specialist. I always try to find a way to have a positive outlook when they leave my office, and try to encourage them to do the same.
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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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