Q: everymonth within the week my menstural period starts i have this heart pains that feels heavy and somtimes i feel a change in flow and pumping rythms. i want to know if this is normal. i am a patient with endometriosis.
A: These sensations are probably not related to your periods or endometriosis. If you continue to have heavy sensations in the chest, you might want to see a doctor for this. Regarding the heart rhythm changes- in a healthy young person the most common cause of this sensation is called a PVC, which is premature ventricular complex. Everyone has these, up to six times in a minute. It usually gives you the sensation that you have missed a beat, a heaviness, then your heart beats slightly faster. It is actually an early heart beat and the heart compensates by taking longer to fill its chambers with blood before contracting. This is why you feel a missed beat or even a heavy sensation.
Saturday, February 9, 2008
Missed Period and Negative Pregnancy Test
Q: I haven't had my period for two months now. i have tested three times and it says that i am not pregnant. i'm really worry. i don't know what's wrong.
A: Over the counter urine pregnancy tests are pretty accurate and detect pregnancy within two weeeks of becoming pregnant. Usually we recommend waiting a week, and rechecking it. The most accurate test is a blood test which your doctor can order. It checks the beta-hcg hormone levels in the blood.
A: Over the counter urine pregnancy tests are pretty accurate and detect pregnancy within two weeeks of becoming pregnant. Usually we recommend waiting a week, and rechecking it. The most accurate test is a blood test which your doctor can order. It checks the beta-hcg hormone levels in the blood.
Tuesday, February 5, 2008
Fetal Alcohol Syndrome
Q: i just found out i may be pregnant, i have been drinking steadily for some time and not trying to get to pregnant.i am worried about FAS,is there a risk for that within the first month?
A: You are at risk, but no one knows for sure how much alcohol and for long it needs to be consumed to cause FAS. Here is a link to more information about FAS.
A: You are at risk, but no one knows for sure how much alcohol and for long it needs to be consumed to cause FAS. Here is a link to more information about FAS.
BIRTH CONTROL AND MENOPAUSE
Q: I have been told I am in menopause. I was prescribed Seasonique bc pills to level everthing off. I have been on the pills for 3 weeks and I am going nuts!! My breasts are sore, Im irritable, I wanto eat, eat and eat more. How long should it take for these meds to balance out my hormones?
A: It is difficult to say because I'm not sure what the goal is of your treatment. Oral contraceptive pills should be used with caution in women over the age of 35. After a month cycle of your pills, if you are still feeling this way you should discuss it with your physician who knows your history well. Typically, we as physicians like to know if something isnt working for you.
A: It is difficult to say because I'm not sure what the goal is of your treatment. Oral contraceptive pills should be used with caution in women over the age of 35. After a month cycle of your pills, if you are still feeling this way you should discuss it with your physician who knows your history well. Typically, we as physicians like to know if something isnt working for you.
Sharp Pains in the Breast And Breast Cancer
Q: I am 33 years old, I had a complete hystectomy a few months ago. I have had sharp pains, not alot, but every once in a while in my breasts. I take an over the counter estrogen, and that is it. I am wondering if this could be some sort of breast cancer. My doctor did an exam and found nothing, but I have a very high risk of breast cancer in my family.
A: estrogen can cause breast tenderness. Breast cancer rarely causes pain. At this time, the U.S. Preventive Services Task Force recommends screening mammograms, with or without breast examination every one to two years for all women over 40. Women with risk factors for breast cancer, including a close family member (like a sister or mother) with the disease, should consider having annual mammograms starting 10 years earlier than the age at which the relative was diagnosed. So you may want to discuss your family history with your physician to see if they recommend getting a mammogram. Breast cancer in more distant relatives are not an indication to have mammograms at an age earlier than 40.
A: estrogen can cause breast tenderness. Breast cancer rarely causes pain. At this time, the U.S. Preventive Services Task Force recommends screening mammograms, with or without breast examination every one to two years for all women over 40. Women with risk factors for breast cancer, including a close family member (like a sister or mother) with the disease, should consider having annual mammograms starting 10 years earlier than the age at which the relative was diagnosed. So you may want to discuss your family history with your physician to see if they recommend getting a mammogram. Breast cancer in more distant relatives are not an indication to have mammograms at an age earlier than 40.
Milk Like Disharge
Q: I just stopped taking birth control pills in november, i just had sex and there is a white milk like disharge coming out of my chest
A: Milky discharge is related to an elevated prolacting level. Amongst other things, you can have an elevated prolactin level in response to pregnancy and hyperstimulation around sex.
A: Milky discharge is related to an elevated prolacting level. Amongst other things, you can have an elevated prolactin level in response to pregnancy and hyperstimulation around sex.
Sunday, February 3, 2008
WEIGHT GAIN AND BIRTH CONTROL
Q: I have been on my period for the past 20 days now and every time that i take my birthcontrol i get sick. In the past two days i have gaind 15 pounds what could be wrong
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