A. There is no insurance coverage that is required for someone to make an appointment with any doctor, with the exception that some insurance plans, such as HMOs, may limit the choices of doctors available to you. If, however, you are inquiring as to whether or not your appointment will be a covered benefit, the best approach is to inquire from wherever you got the plan, i.e., your employer’s benefit office or a private insurance broker.
A. These are pretty typical symptoms of someone whose hormones are out of balance. If you’ve been given Clomiphene, then your doctor has presumably concluded that your ovulation process is not working properly. Clomiphene is designed to induce ovulation, but it may have to be raised to a higher dose in order to effect the desired result.
A. First of all, you should not be deciding what is or is not correct about what the doctor told your girlfriend. That is her business and should be taken up by her. Moreover, let her decide if she needs a pain reliever. If there are unresolved issues regarding her health, she should discuss this with her doctor. I can’t reach any conclusions about her status based upon this information.
A. Ibuprofen is considered safe in pregnancy, but a good many pregnant women get headaches because they don’t hydrate well enough. Your fluid demands are very great, so try increasing significantly the amount of water you drink each day.
A. Yes, it is and one must remember that it is important to permit as much oxygen as possible to get to your baby. Be sure to be vigilant in treating episodes of wheezing or shortness of breath.
A. Yes you may. There is no evidence linking narcotic pain relievers with any form of birth defect.
A. At this moment, you do not need to go to a hospital unless you have serious abdominal pain. However, the matter needs close and careful follow up, which your doctor can provide via the use of sequential hormone testing and ultrasound.
A. There is no evidence to suggest that there is any danger to pregnancies from acupuncture/massage as long as it is carried out competently by a practitioner who knows that you are pregnant and has experience treating pregnant women.
A. This is most likely withdrawal from the pill, which is quite common. There’s nothing wrong with Yaz; it’s as good as any other pill. Be sure that pregnancy is carefully ruled out before you have the IUD placed.
A. Nothing important, just that days of flow have become less predictable now that extremely low doses of hormones are being used by most people. There’s no loss of protection involved. You could likely correct this by increasing the hormone dose, but then you’d risk creating more bothersome side effects.
A. Pregnancy tests are extremely reliable nowadays, so pregnancy is quite unlikely. The symptoms you are having could have a variety of explanations, including digestive or hormonal problems. Further evaluation in a couple of weeks is advisable if the symptoms don’t resolve.
A. Very unlikely. The Mirena has a failure rate of well under 1 percent. Also, the progestin hormone in the Mirena is not likely to be producing these symptoms. Most likely this is unrelated to your device, but should be reported if it does not resolve in a few days.
A. Some amount of vaginal bleeding is considered normal throughout the first six weeks after birth. What you describe does not read abnormal. If it seems to be getting heavier, try to rest more and increase your fluid intake. Then notify the doctor if you see no improvement.
A. I am so glad for this question to come up as I have seen far too many patients suffer unnecessarily during labor out of entirely unfounded fears about epidural anesthesia. There’s a reason why everyone you know is advising you to have an epidural, and that’s because it’s a spectacularly safe and effective anesthetic. The only caveat: It’s best to have it done in a hospital where there is 24- hours-on-the-premises anesthesia coverage as the process does have to be monitored closely.
A. There’s nothing you need to do other than remain well rested and hydrated. This is a sign that your cervix is beginning to soften, efface, and open, so labor should not be far off.
A. First of all, stop working as soon as possible, and be sure your asthma continues to respond to the bronchodilators as it usually does. If it doesn’t, see your doctor right away, as you are in the high-risk group for H1N1. As to the baby’s movements, be sure you’re doing kick counts daily and report immediately if the baby’s movements are not adequate.
© 2007-2015 CW Publishing Group. CW Publishing Group is a trading name of CW Communications Inc.
DISCLAIMER: The contents of You & Your Family/youandyourfamily.com are for informational purposes only and should never replace the advice and care of a licensed healthcare professional. Neither CW Publishing Group nor its consultants guarantees the accuracy, completeness or timeliness of any information contained in the publication/on the Web site, and neither shall be liable for any loss, damage or injury directly or indirectly caused by or resulting from such information or its use. The consultants¹ participation in this publication/Web site shall not in any manner be interpreted to constitute an endorsement by them of any products or services that may be advertised or referenced herein. Sources: References made within articles are available on written request from the Publisher.