Question: how long after i have started bleeding during my early stages of pregnancy do i have to see a doctor? S. (UK)
Answer: Bleeding in early pregnancy is regarded as an emergency because, at the very least, it should be regarded as a threatened miscarriage until proved otherwise. It means, therefore, you need to contact your doctor as soon as you develop this symptom. Of-course following that initial review the doctor may judge that it is reasonable to wait and see. More often than not a hospital review is arranged where an ultrasound scan to get clarity of what is going on will be arranged. Again this is prioritised.
It is certainly true that, in case of a threatened miscarriage nothing other than to ‘wait and see’ will be done. However, it is also true that a light vaginal bleed in early pregnancy could be the first warning that the pregnancy is not viable such as in a case of anembryonic pregnancy and even an ectopic pregnancy.
Question: I’ve got polycystic ovaries and I’m trying to conceive. The doctor has given me metformin. Will this help? S.D. (Pakistan)
Answer: Metformin is sometimes used for women with polycystic ovaries especially if the woman is overweight or obese (which is common). The theoretical basis for its application is that, since many of these women tend to have insulin resistance, Metformin, a drug used in Type II diabetes, will improve carbohydrate metabolism, thereby facilitating the person’s efforts to lose weight and, through that, improve her ovulation pattern and ability t conceive naturally. Various studies have failed to show that Metformin has the expected positive impact on these aspects. It should therefore be given with an explicit understanding that it is not a weight loss medication. Moreover, it should be made clear that there is no evidence that it can improve a woman’s chances of conception. Metformin will still have a role to play among women with polycystic ovaries where proper biochemical tests have confirmed that they indeed have insulin resistance.
Answer: With this vaccine being completely new, it will be less than honest to declare with absolute confidence that it is definitely safe. However, the track record of safety of seasonal flu vaccines (which are similar) is quite good and reassuring. There are concerns that safety checks in clinical trials of the vaccine have been rushed. However, this was a fine balancing act as winter bears down upon us, when a surge of cases of swine flu is virtually inevitable. As I said before, there is a track record of these types of vaccines to give additional reassurance. The injection is made of inactivated virus.
Question: I have been having miscarriages in first three months and recent was found with diabetes. I really want a baby, what do i do? It has been five months am not conceiving. N.S.N (Zambia)
Question: Can I have a sterilisation just after a vaginal delivery? S.A. (UK)
Question: what is the effect of a prolapsed intervertebral disc (slipped disc) on pregnancy? Is it safe to go for a caesarean? A. (USA)