Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...
Hi, I would like some advice on whether you think I need to see a doctor. For the past 13 months I have been having bleeding mid-cycle. I understand that this can be completely normal with ovulation. It is light enough to only use a pantyliner. What I'm concerned about is that it has lasted anywhere between 4-11 days each month (starting around day 13-14). I mentioned it to my Gyno NP in October, and she was not concerned, so I have not worried. I have noticed that it is worse with exercise, and I bled after running yesterday (day 23) and today. I also notice clear/white tissue clumps coming out. Could this just be a "new normal" for me since it has been decently consistent through the year? Or should I try to get some tests, and which ones? I wonder if it might be a hormone issue as well. I'm 25, never been sexually active, no birth control. Thanks for the help!
ReplyDeleteWomen who have spotting or even bleeding during midcycle for a day can attribute it to ovulatory bleeding. If the bleeding has a bit of pain (or even pain without the bleeding) that pain is known as Mittelschmerz, old German term that has "middle pain" is a medical term for "ovulation pain". Ovulation predictor kits, mostly used for timing ovulation for those seeking pregnancy, can help determine if the hormone cycle is mimicking the menstrual bleeding that you are seeing or if the bleeding is remote from ovulation. Bleeding or spotting that occurs for more than a day, and in the case of the reader who states her bleeding lasts 4-11 days, that is mid-cycle bleeding, or metorrhagia: bleeding that is regularly timed. Metorrhagia is a condition to see your gynecologist.
ReplyDeleteI would like some advice on how to deal with cervical stenosis. I am 35 years old. For the past 2 years my periods have started with spotting and painful cramps that last about 4 days before the flow starts. I was finally diagnosed with cervical stenosis. I have never had a procedure done on my cervix, but I have had 4 c-sections because my cervix never dilated. My doctor has recommended ablation because he feels that cervical dilation would be ineffective. I feel that ablation might cause problems several years from now if my lining were to regenerate and my cervix closed completely. He has also recommended very low dose birth control pills to keep my lining thin. Would I have to take these until menopause?
ReplyDeleteCervical stenosis has many causes, although precancerous treatments like LEEPs are among the most common reasons women have this. Other gynecologic treatments can cause this as well as infections. For women who have had several operative deliveries like c-sections it may be the cause. Failing to dilate in labor is not always due to cervical stenosis, they are two different condition. Many women have no symptoms at all from cervical stenoisis and require no treatment. Others may have painful menstrual periods, and treatments for the lining of the uterus such as thinning with DepoProvera, Nexplanon, oral contraceptives, Mirena IUD, or endometrial ablation can all be successful strategies. First one has to have a successful treatment, be fore planning whether this treatment will have to continue until menopause. For women done having children, we recommend Same Day Office Endometrial Ablation with NovaSure at Women's Health Practice: 217-356-3736.
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