Question: Does molar pregnancy happen again to the person who was had it before?
I am also wondering if molar pregnancy can cause infertility? T. (Malaysia)
Answer: Yes, molar pregnancy can recur but this is relatively rare being in the order
of around 1.2%. This means, approximately 99% of women with a history of a molar
pregnancy will not have that happening again.
Regarding the second part of your question, molar pregnancy does not affect your
subsequent fertility at all. Even if treatment for the mole required chemotherapy,
usually in the form of medication called Methotrexate, that too should not adversely
affect your fertility. However, in the case of using Methotrexate, you are normally
advised to wait for three months before trying to conceive again.
Stomach ‘bubble’ on pregnancy ultrasound
Question: My wife is just over 19 weeks pregnant. We had the ultrasound done and
were overjoyed when we found out we were having a boy :) Concern/question is....We
gota call from doc saying he wanted to do another ultrasound 3 weeks from last appointment.
When pressed, he said the "bubble" or stomach could not CLEARLY be seen. Said should
be no reason to worry, but is this normal? Is this like looking for a thumb and finding
out later he was just hiding it in his mouth? Kinda concerned on this one...any feedback
would be much appreciated. Cheers. T. (Canada)
Answer: There are many known causes of an absent (or even smaller than normal) stomach
bubble. Many of these are quite uncommon, even rare. What is most important, and
I suspect this is what your doctor was alluding to when he said "not to worry", is
that if this feature is seen in isolation, it almost invariably means the baby is
OK. If, indeed this was the case on your baby's detailed scan, it is perfectly justified
for your doctor to reassure you.
However, presence of additional soft tissue abnormalities, especially of the upper
gut (oesophagus) and/ or urinary tract does change the picture and prognosis considerably.
In any case, following such a finding, it is standard practise to repeat the scan
2 - 4 weeks later to ensure nothing has been missed. It also tends to be reassuring
as, in most cases, the bubble will be visible this second time around. I hope that
is of some help and best wishes.
Metronidazole (Flagyl) in pregnancy
Question: My wife has taken metronidazole (four tabs) and Amoxicilin (six tabs)
during her root canal therapy during second week of June without knowing that she
is pregnant. Now she is found to be pregnant by five weeeks.Is the foetus safe? Whether
we should continue with the pregnancy.How far it is safe?
Answer: There is a theoretical risk of possible harm to the fetus from using Metronidazole
in early pregnancy but this has not been borne out by experience. Proper large scientific
studies have not shown harm. In practise, it is therefore deemed to be quite safe.
Amoxicillin, like all other forms of Penicillin, is completely safe at any stage
of pregnancy. I see absolutely no reason not to continue with the pregnancy in your
Cord prolapse recurrence
Question: With my second child I had a cord prolapse it was really scary and I was
just wondering what the chances of it happening again are! J.D. (UK)
Answer: Recurrence of cord prolapse is pretty rare. Remember, in virtually all cases
of cord prolapse, the predisposing conditions such as excessive fluid, abnormal lie
of the baby etc. are unique to that particular pregnancy. There is no such thing
as a particular woman being prone to cord prolapse. On a balance of probability,
it is fair to say you can and should rest easy.
Best time for conception in the monthly cycle
Question: I am trying to get pregnant. When am I most likely to get pregnant? O.
Answer: If you have a regular menstrual cycle, working out the most fertile part
of the cycle is pretty easy. If your cycle lasts an average of 28 days, mid-cycle
is when you ovulate (release an egg). You count from the first day of your period
as Day 1 of the cycle. Sexual intercourse should be concentrated around Day 14. Ideally
you should have sex daily from Day 11 through to Day 16. You are, then, most likely
to get the timing right. If your cycle is longer or shorter than the 28 days, adjust
the timing accordingly.
Mid-cycle is the time when conception is most likely to take place. If you have a
long cycle of, let’s say 35 days, the fertile period will be a week later.