Question 1

I'm currently 36 weeks and 6 days pregnant, but I'm really anxious about the possibility of having a C-section. I had two miscarriages last year at 3 months, and although my APLA test came back negative, I'm taking ecospirin. My doctor mentioned that she won't wait beyond 38 weeks for a normal delivery because of my previous miscarriages, and I'm worried about not being able to wait for a natural birth. Is there any room to wait a bit longer for a normal delivery? Feeling confused about what to do.

Accepted Answer

consult obstetrician

Question 2

I'm really worried about my wife's scan; it was supposed to show a heartbeat at eight weeks, but there was nothing. We've already been through a miscarriage in 2019 and tried IUI and IVF in 2020 without success, along with fibroid removal surgery last December. She got pregnant naturally this time, but now there's no heartbeat. The report says the gestational sac has regular margins and a large yolk sac, but the fetal pole is there with no cardiac activity. It mentions a mean sac measurement around 19.73 and biometry CRL at 7.8 mm, with a single intrauterine nonviable gestation estimated at 6 weeks 5 days, and multiple uterine fibroids. I'm really anxious about whether there's any hope or if this is a miscarriage. Could you help us understand the situation better?

Accepted Answer

okk well and

Question 3

I recently had a D&C because of a miscarriage, and my partner and I are planning to try again. But ever since the procedure, my periods have been much lighter and only last about two days, which is way different from before. Is this normal? Should I be concerned?

Accepted Answer

TSH Level Interpretation and Treatment

*TSH Level Interpretation*

1. *Normal range*: 0.4-4.5 micro IUmL (varies slightly depending on the laboratory)
2. *Your TSH level*: 12.20 micro IUmL, which is *high*

*Implications of High TSH*

1. *Hypothyroidism*: A high TSH level indicates that your thyroid gland is not producing enough thyroid hormones, leading to hypothyroidism.
2. *Treatment necessary*: To manage hypothyroidism, thyroid hormone replacement therapy is necessary.

*Thyroid Hormone Replacement Therapy*

1. *Levothyroxine (T4)*: The most commonly prescribed medication for hypothyroidism.
2. *Initial dosage*: Typically starts with a low dose, around 25-50 mcg per day.
3. *Dose adjustment*: Based on your TSH level, age, weight, and overall health, your doctor may adjust the dosage.
4. *Monitoring*: Regular TSH level checks (every 6-8 weeks) to ensure the dosage is correct and your TSH level is within the normal range.

*Recommendation for a 33-Year-Old Female*

1. *Consult an endocrinologist or primary care physician*: To discuss your TSH level, determine the best course of treatment, and initiate thyroid hormone replacement therapy.
2. *Initial dosage*: Likely to be around 25-50 mcg of levothyroxine (T4) per day.
3. *Regular monitoring*: Schedule follow-up appointments to monitor your TSH level and adjust the dosage as needed.

What kind of test does a gynecologist do?

pelvic exams, Pap tests, cancer screenings, and testing and treatment for vaginal infections.

More Obstetrics & Gynaecology Health Queries

I recently had a D&C because of a miscarriage, and my partner and I are planning to try again. But ever since the procedure, my periods have been much lighter and only last about two days, which is way different from before. Is this normal? Should I be concerned?

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