t*******n
发帖数: 4445 | 1 宫颈炎=cervicitis, while cervical erosion is usually without symptom.
Anyway, the vaginal exam and pap smear the doctor did should clarify on this.
Whatever is causing the discomfort, it's reasonable to see if the infection
is the cause. Take Levaquin for the prescribed days (usually 5-7 days?),
and if there is no improvement the doctor should do more tests. |
|
g*****j
发帖数: 1211 | 2 Unexpected vaginal bleeding with no prior history and possibility of
pregnancy is most likely due to miscarriage. First trimester miscarriage is
extremely common. It is due to chromosomal defects in the fetus, which
nothing you could change.
If the bleeding is heavy and does not trend to stop within 3-5 days (does
not include last menstrual cycle), you may want to see a family doctor or
Obstetrician (if you have one). Otherwise, everything should back to normal
in a couple of days.
Miscarri |
|
g*****j
发帖数: 1211 | 3 You have many choices.
1) do whatever you like and use Plan B afterwards
2) start combined oral contraceptive pills. You can actually decide the
cycle and the time to have menstrual flow. However, it is recommended that
you follow a regular schedule. Other forms of the same medicine include
skin patches (change every week) or vaginal ring (change every month).
3) If you don't want to get pregnant anytime soon, you can consider Mirena
IUD. In many women, they don't experience monthly menstru |
|
n******s
发帖数: 210 | 4 several questions that you might be asked next visit to your doc.
Any weight change lately, headache, visual change, comstipation/diairrhea,
difficulty adjusting to temperature, hair change, abdominal pain, cramp
during period previously, hot flashes, abnormal vaginal discharge or itchy.
If you are positive for any of the above, you need immediate medical
attention. |
|
c********e
发帖数: 496 | 5 if you take progesterone and period does come, that means the progesterone
challenge test is positive. then you don't have to test the hormone level.
Your body is lack of that for sure, isn't it?
is progesterone test is neg, then do estrogen challenge test, if positive,
means you need estrogen.
Hormone level is not stable during the period, not always reliable, just a
test to confirm the diagnosis.
If you have done vaginal U/S, PCOS can be ruled out.
You are a little thin, BMI 19 is lower limit |
|
k*****i
发帖数: 298 | 6 wash is for the external genital area. for intra-vaginal use, look for
douche (frequent use not recommended though). |
|
t*******n
发帖数: 4445 | 7 So far nothing indicates cancer, although the vaginal bleeding should be
investigated.
For stomach cancer, occult blood in STOOL may be a useful test. The
definite answer would have to come from endoscopy.
异。 |
|
s***s
发帖数: 13 | 8 update:做了PELVIC EXAM还有VAGINAL ULTRASOUND.一切正常。他们说没有看到TAMPON.
肯定是我
忘记了，自己吓自己了。大概是心理作用，腹部也不疼了。不过以后肯定不再用TAMPON
了！
谢谢各位的关心！！ |
|
y*****g
发帖数: 193 | 9 It's not 排卵期出血. Ovulation doesn't cause bleeding.
现在已经连续4个月这样了. Your condition is called metrorrhagia. Sometimes,
it is called anovulatory bleeding. It can be caused by multiple reasons.
Mostly by hormonal changes, such as hypothyrodism, that's doctor ordered "
TSH/FRee T4" for you. It could be caused by polycystic ovary syndrome, that'
s the reason for checking "FSH&LH". It could be caused by unopposed estrogen
, that's the reason for checking "ESTRADIOL". However, if found high level
of estrog... 阅读全帖 |
|
M***D
发帖数: 249 | 10 You are welcome. I am in USA and here Neuropsych tests are done by Clinical
Psychologists working in the Neurology Department. The neuropsych test can
be quite time consuming. It will be better to get the girl's both parents to
go with her for the tests. Both of her parents will be asked to answer a
lot of questions such as her birth history (by normal vaginal delivery or by
c-section? Birth weight? Any neonatal ICU stay?); developmental history (
any delay in language or social skills); and her... 阅读全帖 |
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t*******n
发帖数: 4445 | 11 check if it's something else like fabric fiber
just blood specks may not worth panicking
aside from broken skin (any rash or redness?), maternal hormonal withdrawal
can cause a bit vaginal bleeding in girls |
|
t*******n
发帖数: 4445 | 12 Ultrasound, even intra-vaginal ones, are pretty safe |
|
l*h
发帖数: 4124 | 13 同仁医院角膜组主任诊断为“病毒性角膜炎”，点托百士药水，环氯眼药水。一周后复
查，病好转，建议2岁后做“角膜移植”。
This looks like another crap case done by those "famous" hospitals. If viral
keratitis was diagnosed, why Cyclo-C was used? Even if it was used, why
only at 0.05%? Why only 1 week? Even if the proper drug, aciclovir is used,
it should be used at 3% and should be continued for at least 1 - 2 weeks
after cure is achieved.
How can you conscientiously do those expensive surgical procedures knowing
there is uncontrolled infection?
On another ... 阅读全帖 |
|
d*******t
发帖数: 6 | 14 【 以下文字转载自 Family 讨论区 】
发信人: dawnlight (dawnlight), 信区: Family
标 题: 大妈向姐妹们请教个妇科问题（男士免入）
发信站: BBS 未名空间站 (Sun Aug 26 02:25:08 2012, 美东)
大家好：
最近做了个gynecological examination,vaginosis screen中取了些vaginal分泌物，
医生打电话给我说有一点点细菌感染，要我吃药一周，但是国内都外用双唑泰栓（适应
症：细菌性阴道病、念珠菌性外阴阴道病等混合阴道炎），不知道美国这这方面外用药
能在什么药店买到，以及药名是什么，一般是处方药还是非处方药，国内这种药都是非
处方药，一般药店就可购买。
非常感谢。 |
|
N*********c
发帖数: 330 | 15 Vaginitis has many causes, could be infectious (yeast infection, bacterial
infection or other infections), hormonal- post menopause related, or fistula
, prolapse or other structural abnormality related. Which one your mom has?
The treatment is different. |
|
w**********1
发帖数: 72 | 16 本人经历了二次剖腹产术。第一次在国内，属于稀里糊涂就给剖掉的。这次有了老
二，一门心思想要自己生，好好的，连个孩子都不能按正常途径生，这人生也忒不完整
了。无奈OB 每次检查都好言相劝我再次选择剖腹产。印象最深刻的是他说，老MIDWIFE
有句话，产妇个子小于5FEET，鞋码小于SIZE 3的，尽量用剖腹产。俺不至于那么微型
，不过也差不了多少了。还有一个考虑，我是事后才发现的，OB不太信任或者说是没把
握我第一次C做的如何，具体而言，是不清楚子宫疤痕和腹部粘连是否严重。
在美国，有的OB愿意做VBAC（vaginal birth after c-section）, 有的OB是不愿
意做的。因为有风险。允许做VBAC的OB所交的保险费用也要高些。至于医院， 也是如
此，有的医院可以做，有的不可以。在美西部，越来越少的医院接受VBAC。尤其是小医
院。因为做VBAC需要有整套手术人员待命，如麻醉师，洗手护士等，以防VBAC不成，立
即转剖腹产。所以提醒有计划VBAC的准妈们，事先与OB沟通好。
对于剖腹产，有些经验和想法与JM们交流。
1.不用太抗拒剖腹产 |
|
i******y
发帖数: 898 | 17 ☆─────────────────────────────────────☆
wanwanma2001 (wanwanma) 于 (Tue Sep 1 22:11:14 2009, 美东) 提到:
本人经历了二次剖腹产术。第一次在国内，属于稀里糊涂就给剖掉的。这次有了老
二，一门心思想要自己生，好好的，连个孩子都不能按正常途径生，这人生也忒不完整
了。无奈OB 每次检查都好言相劝我再次选择剖腹产。印象最深刻的是他说，老MIDWIFE
有句话，产妇个子小于5FEET，鞋码小于SIZE 3的，尽量用剖腹产。俺不至于那么微型
，不过也差不了多少了。还有一个考虑，我是事后才发现的，OB不太信任或者说是没把
握我第一次C做的如何，具体而言，是不清楚子宫疤痕和腹部粘连是否严重。
在美国，有的OB愿意做VBAC（vaginal birth after c-section）, 有的OB是不愿
意做的。因为有风险。允许做VBAC的OB所交的保险费用也要高些。至于医院， 也是如
此，有的医院可以做，有的不可以。在美西部，越来越少的医院接受VBAC。尤其是小医
院。因为做VBA |
|
B*********e
发帖数: 273 | 18 ☆─────────────────────────────────────☆
pangbaby (i love baby) 于 (Fri Sep 25 12:03:25 2009, 美东) 提到:
我的保险是UnitedHealthCare的PPO，上次看版上有姐妹说这个保险挺烂，555
反正我看怀孕生产的话，多数都是copay后80%报销，不过住院的话还有500copay，然后
80%，不过其中一条我没看懂，就是住院的话 Minimum length of stay for vaginal
delivery = 48 hours, for c-section= 96 hrs
怎么会有个minimum stay呢，难道不是maximum stay吗？如果住院小于2天呢？
btw，问一下过来人，如果这样的保险，从开始怀孕到最后生产（包括手术麻醉什么的
），大概要自己掏腰包多少钱？？5000块钱拿的下来吗？
美国医疗真是太贵了，sigh，刚才看国内网站，说国内生孩子如果有保险1000块钱就够
了，没保险5000rmb，当然是没特大意外的情况下，看着好便宜啊。
☆──────── |
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l****g
发帖数: 476 | 19 I am trying to prepare myself for a vaginal birth, either with/without
epidural, as long as there is no medical reason for a C-section.
I searched on line and find some tips,
1. Prenatal exercise
Walking, Prenatal Yoga, Swimming
2. Stay at home longer and walk around when contraction starts
at least till 5-11
3. Request epidural as late as possible. surely it could be too late after 7
cm dilation.
4. Kegel exercise
5. Avoid induction unless it is medically necessary.
What else we can share?? |
|
b******r
发帖数: 110 | 20 RE的infertility clinic还只有trans-vaginal的B超。
我好像就是过不了我心里这一关似的，如果B超后出血加重，我会恨死我自己的。。。 |
|
s**********3
发帖数: 1216 | 21 I had lasik about 5 yrs ago and I did ask the same question before i
delivered. My ob said it should be fine and referred me to see an eye
specialty who ended up saying the same thing to me. I asked about the
concern which ob in china always say that it is not 100% safe for women with
high degree short-sighted to vaginally deliver their babies. but my ob said
she never heard of such philosophy before. So, do not have to worry too
much about this. Plus, you can always ask your own ob about this. |
|
x********u
发帖数: 325 | 22 your doctor should prescribe pills or vaginal insert for you.
How low is your progestrone level? I can't think of any reason the Doc
wouldn't prescribe for you if it is below normal. |
|
j*******6
发帖数: 429 | 23 Endometrin Vaginal Insert。这个就是补黄体酮的栓剂，FDAapproved，比较贵。每天
塞入2-3只。是处方药，必须要医生开。
我还剩8粒Endometrin栓剂。 还有导管applicator。如果你要，给我站内信。付个邮费
就行。 |
|
x*z
发帖数: 507 | 24 我4周多时是14.OB给我开了30颗vaginal insert pills. 说到第8周就不用了。我还没
开始用呢。想问用过的jms会不会加重恶心啊？说明书好像是说副作用会嗜睡，头疼。
。 |
|
m****2
发帖数: 190 | 25 I still have 3 month's supply of Endometrin Vaginal Insert. They are still
good. if you want, send me email. By the way, they are not cheap, I cannot
remember the price, but I still have the receipts with the medicine |
|
x********u
发帖数: 325 | 26 我也建议你换个ob，这个是很低了,不知道你的医生为什么不开药
我第一次怀孕的时候18， 医生还是给我开了口服药，prometrium，这次 20多一点，医
生说 ok
vaginal insert可能效果更好，不过贵很多。 |
|
m****o
发帖数: 559 | 27 今天去看了医生，两周前搬家，不知道是不是什么地方弄得不干净了，yd开始有些异味
，白带什么正常，今天去医生那里，她只说对孕妇来说属于正常了，但是也采集了些yd
里的样本去做化验，还给我开了药，药名是：metronidazole vaginal .75% gel 70g ,
yd里用药的，连续5天，但是回来后看了看说明，好像并不建议孕妇用阿，网上搜索了
一下，说 可能会影响到胎儿，我也不知道要不要用这个药？有jm们用过吗？ |
|
A******e
发帖数: 3373 | 28 ft
B是指mode-B，也就是二维超声波扫描。一般的B超就是在腹超。腹超误差比较大，所以
在某些特定情况下，医生采用vaginal ultrasonography，也就是把扫描头从阴道伸入
进行扫描。 |
|
k*****i
发帖数: 298 | 29 avoid straining and do more kegel exercises for now.
there are vaginal supports but that's not exactly convenient... |
|
n*******3
发帖数: 5232 | 30 即使是Vaginal Ｕltrasound，5周6天也是太早了吗？ |
|
g****t
发帖数: 945 | 31 你的HCG多少啊？ 记得好像有4万的话Vaginal ultrasound一般都可以看到心跳了。 |
|
n*******3
发帖数: 5232 | 32 Was it vaginal ultrasound or just normal one? |
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m*******e
发帖数: 1886 | 33 fetal heart beat can be detected via trans-vaginal ultra-sound as early as 6
.5 weeks. You should be able to see FH at this time. Ask OB for an ultra-
sound if you are worried. Once it is confirmed, next check-up will be at 12
week |
|
g****t
发帖数: 945 | 34 需要做两件事
1 验血HCG，小于5，就合格了。
2 找OB做一个vaginal ultrasound (阴超），可以清楚看到子宫里面是否有残留物。
一定要做阴超，腹部B超是看不清楚的。
2个都合格了，就OK了，没什么可担心了。 |
|
d*********s
发帖数: 109 | 35 C-section: not good for mom and babies(baby has fluids in the lungs, higher
risk of respiratory problems)，unless there's fetal distress, active herpes.
Major surgery, painful recovery, you can't have skin to skin bonding and
breastfeeding right away. A lot of times nurses give them formula and
pacifier which makes breastfeeding much harder. VBAC chance is smaller (for
later pregnancies).
Vaginal Birth: easier recovery, and it's the natural way and much safer for
mom and baby, babies push out the |
|
g********m
发帖数: 132 | 36 我30周的时候查处vaginal infection，医生给开了药，我当时也是范嘀咕，可是如果
有感染不即使治疗的话，可能会导致早产之类的后果。我后来还是选择吃了药。而且mm
都吃了4天了，就把剩下的吃完吧。 |
|
d*********s
发帖数: 109 | 37 我现在36周长了45磅，怀孕前是105，但是都是在肚子上，从25周就有人以为我快生了
。很多人都说到了最后几个星期miserable,我觉得还不至于，我觉得每天散步很好，还
有pelvic tilt, kegel,越早开始越好，最近几个星期觉得明显下身有压力，脚肿，但
是没什么不能忍受的。
50％的双宝是vaginal birth,我们的计划是用了个很有经验的midwife,作为doula陪我
們去医院，等到至少5～6cm再去。我很怕他们给我IV， continuous EFM, pit和
epidural,而且在医院里不能吃喝（十几个小时下来不要饿死渴死？）。我们选的医院
有jacuzzi,准备等到push的时候再出来。
现在正努力争取能够捱到38周，不少的双宝妈妈都有preterm labor,然后都去医院打
magnesium停止contraction，还有打steroid to speed up lung development, 想到他
们要进NICU就可怕，我也想avoid C-section at all costs,我們十分憧憬skin to
skin, rooming |
|
d*********s
发帖数: 109 | 38 绝大多数的OB follow medical model. 我的第一个OB上来就说38周要么induce，要么
schedule C-section (好像twins就没可能vaginal birth一样,而且只字不提labor C-
section)，问她为什么她还不高兴。还听说有OB 24周就让没有任何问题的mm Best
Rest，我的天，Best Rest 1周，loss of bone density 相当于2年!
你是customer, 推迟C-section是你的权利，没有什么他们肯不肯的, they may not
like it but there's nothing they can do but to reschedule you!
我们最终找了个OB, 因为他同意我不用到OR去push, 医院的规定是双胞胎push要在OR,
不能在LDR, 但是OB 签的birth plan dictates the hospital policy。
所以你可以拒绝任何你不想要的intervention: IV fluids, pitcocin, episiotomy,
epi |
|
w****e
发帖数: 1013 | 39 MM也不容易呀，中间还要从德国飞到美国。我现在要从麻州去新泽西都觉得受不了路途
的颠簸。上个星期就坐车半个小时就觉得小腹那里涨的很不舒服。
MM的心理素质一定也很好。我检查了唐筛，医生建议说risk是3/5260，不建议做羊穿，
而且血检对双胞不准，不建议做血检，可是我还是觉得挺放不下的。但是因为羊穿有风
险，又不太敢做。
问一下MM，内检是vaginal U/S吗？还是别的检查？如果是别的检查，是怎么査，査什
么项目的？ |
|
w*********n
发帖数: 126 | 40
内检就是vaginal 检查。主要就是查宫口有没有开，开了的话开了多少，还有就是宫口
是否软化以及软化的程度。
不过一开始的时候是不会内检的，主要是B超，或者阴超测宫颈的长度，我是因为33周
的时候宫颈长度只有2厘米了，所以才内检的，从那以后就是每周一次内检。33周时开
了一指，34周也是一指，35周和36周检查的时候都是开了两指，明天37周了，不知道开
几指了 |
|
k**a
发帖数: 1124 | 41 prometrium can be taken vaginally as well.
you can also try to take it at night. |
|
r*f
发帖数: 39119 | 42 nod, 我知道一个, 老大是emergency c出来的，老二是9个月后怀上的，
当时她的family doc叫她流掉，她不肯，老二后来是vaginal delivery，
两孩子都很健康。。。
t
will |
|
c******e
发帖数: 151 | 43 red blood when I wiped last Sat. and call my OB 4 times. I did so much
research online and convinced myself that I am having an ectopic pregnancy
because I have pain on my left pelvis (only on the left). I finally went in
for my vaginal ultrasound and was glad to know that the baby is in my uterus
:) So let's all take our minds away... |
|
r*f
发帖数: 39119 | 44 当时上厕所是很难受啊，可是如果是vaginal delivery，能爬能走，
那个部位和洗澡没有直接关系呀。。。。。。。 |
|
f*****e
发帖数: 152 | 45 保险没cover前的原价是 about 15,000 vaginal delivery. |
|
d*********s
发帖数: 109 | 46 忘了提一句，有一个很好的breastfeeding and parenting的website:
www.kellymom.com
我们参加了一个breastfeeding class, lamaze class, multiples class (if you
have one in your area that's really great), parent-baby connection class, 都
很值得。50% twin pregnancy go over 38 weeks, and 50% delivery are vaginal
birth, so try to do it the natural way even though you have having twins! We
are planning on a natural birth (no medication whatsoever) and will see how
it goes!!!
我有一个blog, diet这一部分或许会对你有用：
http://dragonrides.wordpress.co |
|
t*****0
发帖数: 156 | 47 Is there an anti-c-section movement in medical field? Why everytime I asked
for a c-section( I have some personal and health concerns which make me
consider a C-Section), my ob doctors immediately rejected it. I felt that
one of them almost wanted to bite me. Should I switch doctors?
I have checked with my insurance company, and they said they cover elective
c-section fee. If my doctors talked me into having a vaginal delivery by
listing reasons and facts, I would totally listen and understa |
|
e********e
发帖数: 435 | 48 c-section is a surgery; thus, carries much higher risks of complications
than vaginal delivery (ie. more blood loss, risks of infections, uterine
rupture during subsequent pregnancies, etc). the human body is designed to
deliver naturally. i don't think your doctors are against c-section. from
their stand point, you are probably not medically indicated for c-section
yet.
c-section is really considered the last resort. most female ob's that i know
try very hard to avoid having c-sections (done to |
|
t*****0
发帖数: 156 | 49 Is there any reliable study showing a planned c-section(not emergency c-
section) carries more risks than vaginal delivery? My personal experience
just tells me the opposite. I know clotting is more common in a c-section
than in natural delivery. Other than that, under modern ameircan medical
envrioment, I don't find any study telling a planned c-section has more
risks.
Anyway, I find the doctors, you are right, most of them I find are female
doctors seem very against C-section. One of my d |
|
W*******g
发帖数: 458 | 50 Thank you! Did your OB consider you high risk? Did she monitor you closely?
Did you feel any uncomfortable during pregnancy? Any pain/cramping? Did you
use give vaginal birth or use cesarean section? Is there any precaution that
I should follow? Sorry that I have so many questions...But really
appreciate your help!
I |
|
