- Q?What Are Benefits And Risks Of Tubal Reversal?
The most obvious benefit of tubal ligation reversal is the opportunity to become pregnant and have a baby. Another benefit is the relief of post-tubal ligation symptoms. Some women have the ligation reversal in order to restore their sense of being “whole again”, and others for relief of guilt and/or to be consistent with religious beliefs. Many women have told me that they felt the sterilization operation took away what they felt is in God’s domain to decide about whether or not they would have any more children.
There are risks associated with any surgical procedure, but these are minimal. The primary risk of tubal ligation reversal is the long-term risk of tubal or ectopic pregnancy. It is estimated that the baseline 2-3% risk of ectopic pregnancy in the general population of women who have not had a tubal sterilization is increased to 10-15% after reversal of tubal ligation.
- Q?What are the risks factors of hysterectomy surgery?
Hysterectomies are a fairly common procedure, as such surgeons are highly skilled in the procedure. Complications may include blood loss, infection and a negative reaction to anesthesia. These are common with all forms of surgery. During the surgery, there is also a risk that other organs may be affected, because the pelvic region is a very tight operating environment. As such, patients may have to have follow-up surgery to correct any damage done to other organs.
- Q?I have been trying to get pregnant for about two years. My doctor told me he thought I had endometriosis. What is it and how would I know if I have it?
Endometriosis is a condition in which tissue that normally lines the inside of the uterus (the endometrium) spreads and implants in areas outside of the uterus. Often the site of the implantation is somewhere in the abdominal cavity. In patients with endometriosis, these implants of endometrium grow on a cyclic basis just as the normal endometrium does. When the normal endometrium sheds during your menstrual cycle causing your period, so do these endometrial implants. They can cause a small amount of bleeding within your abdominal cavity which results in pain.
Symptoms of endometriosis are often described as menstrual cramping and pain that begins before the onset of menstrual bleeding, and continues through the menstrual cycle. The severity of endometriosis often does not correlate with the degree of pain experienced with endometriosis. Often women with a small amount of endometriosis will have significant cyclic pain, and often women with a large amount of endometriosis will have minimal pain. Endometriosis is often seen in women who previously had pain-free menstrual cycles, and have gradually noticed a worsening in their pain.
The definitive diagnosis of endometriosis can only be made through surgery where the endometriotic lesions can be seen and sometimes biopsied to make the diagnosis.
- Q?What is HPV?
Human PapillomaVirus (HPV) is a very common infection that can be spread through sexual contact. Studies suggest that three of every four people who have sex will get a genital HPV infection at some point in their lives. Sexually transmitted HPV can be spread through vaginal, anal, and oral sex. Some types of HPV can cause cancer of the cervix, vulva, vagina, and penis.Genital warts are not usually linked with cancer. To lower your risk of developing HPV, limit your number of sexual partners and use condoms. If you are between the ages of 9-26, you should have the HPV vaccine to help protect you from infection. Regular pap tests are the best way to prevent precancer and cancer of the cervix.
- Q?How long after intercourse should I use a pregnancy test?
Home pregnancy tests are most accurate about 27 days after conception. This is when a menstrual period is 10 -12 days late. Newer pregnancy tests say you can use them one day after a missed period. If you suspect you are pregnant even though a home pregnancy test is negative, you should have an exam by a doctor.
- Q?What medications can I take while pregnant?
Allergy Symptoms: Benedryl, or Cortaid
Congestion: Sudafed, Actifed, or Mucinex
Constipation: Metemucil, Colace, or Milk of Magnesia
Cough/Chest: Robitussin DM or Triaminic
Fever: Tylenol (2 regular strength)
Headache: Tylenol (2 regular strength)
Heartburn: Maalox, Mylanta, Kudrox, Rolaids, or Tums
Hemorrhoids: Preparation H, or Anusol
Pain: Tylenol (2 regular strength)
Yeast: Gynelotrimin, Mycelex (May use vaginal applicator unless you have been told not to have anything in the vagina), or Monistat (okay after 3rd month)
- Q?What symptoms should I be concerned about during my pregnancy?
If you experience any of the following symptoms, please contact your physician immediately:
Vomiting more than 24 hours
Fever more than 102°
Vaginal bleeding like a period
Persistent severe headache
Strong, regular contractions before your 9th month
Frequent, burning urination
Severe abdominal pain not relieved by a bowel movement
Absence of fetal movement