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Pregnancy Bliss | Reproductive Health Hub

Fibroids impact on planned pregnancy

Question: Hello, I am 38,married and have a son. I want to have another baby but in my gynaecological control I have learned that I have two intramural fibroids (about 2 and 4 cm.).There is also blood incompatibility. I would like to know if there are any risks. Or should I not consider having another child (as my doctor suggested)? Thanks for your time and help. Z.Y. (Turkey)

Answer: I have no idea why your doctor suggests that you should not consider having another child. I cannot see the fibroids being the reason why the doctor gave that advice. Intramural fibroids are within the muscle layer of the uterus and they do not tend to impact on your ability to conceive let alone to carry a pregnancy. What I am unsure about is the other issue you have mentioned in passing: What did you mean by blood incompatibility? Is this rhesus sensitization? It is possible this was the reason (rather than the presence of fibroids) the doctor advised you against a future pregnancy. You can find more information on fibroids and pregnancy by clicking here:

Copper T coil

Question: After my second child i go for copper the child is 3 years old and i am forgotten whether the duration of copper t is of 3 years or 5 years? what do i do now? Farah (United Arab Emirates)

Answer: You can relax. It doesn’t matter much. What you should do depends on what you want to do now. If you are planning to try for another baby, you can take it out regardless what the recommended duration is. If you still need it for contraception, just keep it in. The fact is, for copper-based intra-uterine devices, the recommended duration is not that important. As long as it is still in the uterine cavity, it will be effective. Just for your information, the modern crop of copper-T devices are recommended to stay in for 5 to 7 years but even beyond that they remain effective as long as their structural integrity is not compromised. Theo only issue that can be of concern is that if the device stays too long (over 10 years), it can get partially embedded in the uterine wall making it difficult to retrieve.

Severe headache in pregnancy

Question: Severe headaches during pregnancy. I would like to know if it is possible perform blood test during pregnancy for antiphospholipid syndrome? O. (UK)

Answer: I am a little confused by your question. Why do you want to have a blood test for antiphospholipid syndrome and what is the connection of that to the mentioned ‘severe headaches’? OK; it is possible to perform the blood test during pregnancy but it is not desirable. The results during this time are not very reliable. However, I need to stress the fact that there is no relationship between the symptom you have mentioned (headaches) and antiphospholipid syndrome. If you are pregnant and you have been experiencing these, you need to bring this to the attention of your doctor to get it properly investigated.

Vaginal spotting at 13 weeks pregnant

Question: Hi, my wife is 13 weeks pregnant tomorrow and due our 1st scan on wednesday but she lost a very small amount of blood last night,there was a little clot in her pants that was about just under an inch long but that’s all she has lost,but there was a bit of blood colour in her wee but has gone now and that’s all. Is that normal or have we lost our baby? S.T. (UK)

Answer: I can only give you a balance of probabilities and that is; it is exceedingly unlikely that your wife has lost the baby. The description of the bleeding would seem innocuous and that’s fairly common especially in early pregnancy. However, because she has not had a scan at all in this pregnancy I cannot be 100% certain that all is well. This is because, sometimes if there was a problem with the pregnancy from the outset such as anembryonic pregnancy, that sort of bleeding may be the first sign. However that tends to manifest earlier than the 13 weeks that your wife is at. All in all I think she is alright and this is just a scare. Best wishes.

Urinary incontinence in pregnancy

Question: I’m currently 21 weeks pregnant. I am unable to control my urine. It just come down. Should I be concerned? L.C. (USA)

Answer: Stress urinary incontinence, that’s incontinence when you cough, sneeze or even on climbing stairs or rising from a sitting position, is not uncommon in pregnancy. This is especially so in the second half of the pregnancy. The underlying cause is the increasing pressure of the enlarging womb to the urinary bladder. Plus, the high levels of progesterone hormone during pregnancy makes sphincters less firm.

You can reduce the problem by trying to do regular Kegel (pelvic floor) exercises, training yourself to take regular bathroom breaks (rather than waiting for the urge), avoid coffee and alcohol, cut down or quit if you smoke and avoid excessive weight gain. All those should help in the immediate and long term.

On the other hand, if you are having incontinence without actually being aware you are losing urine, that would be a different matter and, for that, you will need to be seen for proper examination and possibly tests.

A broken hymen

Question: If hymen is torn, will it bleed or not? S. (Pakistan)

Answer: When a hymen is broken, through the act of penetrative sexual intercourse, by using a finger; deliberately or unintentionally through insertion of an object into the vagina, there is always bleeding. The hymenal membrane is highly vascularised and when it tears or breaks it will always bleed. If any such act takes place and there is no bleeding, the hymen is almost certainly still intact. The amount of bleeding following breaking of the hymen varies from person to person.