Question 1

I'm 37 and in my 36th week of my first pregnancy. My ObGyn said I have a genetic blood clotting issue that's affecting the baby's growth she's small at 2.25 kg, and I even lost 2 kg last week. They prescribed daily Innohep 450 injections to help, but I'm worried since I'm planning a C-section. Could this medication cause excessive bleeding during surgery?

Accepted Answer

Yes, Innohep (enoxaparin) can increase the risk of bleeding, including during a C-section. It's a low-molecular-weight heparin, a type of anticoagulant, meaning it prevents blood clots but can also make it harder for the blood to clot. Because of this, it's crucial to discuss this with your ObGyn and surgeon.

Question 2

I'm wondering about a follicle size that's 30x30mm with a small amount of free fluid on the 16th day  does that mean it's a follicle or could it be a cyst? I've been on CCQ medication, and my periods have always been regular, so I haven't had PCOD or cyst issues before. Has anyone had a similar experience and conceived successfully with these numbers?

Accepted Answer

-A 30x30mm follicle size on day 16 is quite large, but it could still be a mature follicle ready to ovulate, especially with minimal free fluid. It's unlikely to be a cyst unless it's irregular in shape or causing symptoms. Since you're on CCQ medication

Question 3

I'm a bit worried and need some advice. I got my period on April 12th and ended up having unprotected sex on the 5th day, which was April 16th. Just to be cautious, I took a pill on April 18th, within the 72-hour window. Then on May 3rd, I started bleeding again, but it wasn't as heavy as my normal period and went on for 45 days. I had all the usual period symptoms like cramps and back pain. Now I'm not sure if that was withdrawal bleeding or if my period just came early. Todays the 20th and I still havent got my period, assuming that previous bleeding was withdrawal. Is there a chance I might be pregnant?

Accepted Answer

For high ESR (Erythrocyte Sedimentation Rate) and severe leg pains & swelling, consider consulting:

1. *Rheumatologist*: Specializes in arthritis, autoimmune disorders, and inflammatory conditions.
2. *General PhysicianPrimary Care Physician*: Can evaluate overall health, provide initial guidance, and refer you to a specialist if needed.
3. *Orthopedician*: If leg pains and swelling are related to musculoskeletal issues.

What will the doctor do for irregular periods?

Doctor may do some physical examination, do tests to find out the cause of irregular periods and then suggest the treatment accordingly.

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