Answer: My answer may cause more confusion but please hear me out. My view is that you are not pregnant and in all likelihood you were not pregnant last October either. You see, pregnancy after sterilisation is quite uncommon. Pregnancy a decade after sterilisation is even rarer. What makes me doubt the possibility of pregnancy on both these occasions is the mentioned gestation. You say in October you were “4 weeks” pregnant. In strict descriptive terms, there is no such thing as a 4 week pregnancy. This is because a normal standard menstrual cycle is 4 weeks, hence you can only talk of a pregnancy when there has been no menstrual period for more than 4 weeks. In other words, at 4 weeks you have not really missed a period and it appears your period in that instance arrived bang on time. I am just wondering whether you actually did a pregnancy test and if so what prompted you to do so in view of the fact that you had not missed a period.
In the latest instance, you seem to have gone a week over when your period should have arrived (assuming you have regular 4 week cycles). Again, this may just have been a delayed period and nothing more. You have not said whether you have done a pregnancy test and whether it was positive. If this is so then there is a case for doing a blood test to estimate the level of the pregnancy hormone (beta-hCG). This is because, even though uncommon, pregnancy after sterilisation could be ectopic. I have to say, I still think in your case the likelihood is that you have not been pregnant at all.
Question: I m in the 8th month of pregnancy and I have a vertical dark-lined sign through my womb.Is that going to be there even after the delivery? L. (Albania)
Answer: Whilst not every woman gets this, it is, in fact, a fairly common development in pregnancy. It is what is known as linea nigra. It is a hormonal effect and will gradually fade and disappear within weeks of delivery.
Question: I have been told that the thigh bone is short but that there is nothing to worry about. Before this somebody had mentioned the risk of downs syndrome. I am still worried. What do you think? I’m now 23 weeks. D.O. (UK)
Question: I'm 11 weeks pregnant and i've been having a severe abdominal pain; my doctor thinks it is an infection. I'm yet to confirm cos the urine test i did ,the result is not yet out. What do you think? R. (Nigeria)
Answer: You could very well be pregnant. The symptoms you describe are certainly suggestive. Now, I have to say, if I may, that if a pregnancy test confirms this, you will need to evaluate what you are doing and fast. Fragmin is safe in pregnancy and you will certainly need to continue with this throughout the pregnancy and beyond. The dose may be adjusted at some point but I will leave that to your haematologist and obstetrician. You absolutely have to try and stop the heroin use. This is critically important both for you and your baby (if you are pregnant). This will, in fact, help with your appetite as well and hopefully the diet will improve which is also vital. Methadone will need to be maintained but seeing as you are on a rather high dose, there may be an attempt to bring this down gradually in the course of pregnancy. That is, if this does not create the risk of you lapsing into the heroin dabbling. First things first: Do that pregnancy test.