Question: 3 months ago I had thyroid surgery due to nodular goitre. Now i am fine
and we are trying for a child. My doctor advised me to take thyroxin until i become
pregnant. Is there any problem in taking medicine as we are trying for a child? My
menses occurred one&half months ago. Is pregnancy detection test applicable in my
case? Should i stop medicine? S. (United Arab Emirates)
Answer: Your general question is whether there could be a problem taking medicine
if trying to conceive. The answer is that, yes, some types of medicine should not
be used when trying to conceive or during pregnancy. However, that does not apply
to Thyroxine. Thyroxine is perfectly safe to take when trying for a baby and even
during pregnancy itself. With regard to your second question, thyroxine does not
interfere with reliability of a pregnancy test and you should certainly not stop
taking thyroxine. Doing that could in fact adversely affect your ability to conceive
and even increase your risk of miscarriage due to deficiency of this essential hormone.
Sex after a miscarriage and risk of pregnancy
Question: When would it be safe to have sex after a miscarriage and would i be high
risk of fallen pregnant if i don’t use a condom? M. (UK)
Answer:You can ovulate as early as two weeks after an early trimester miscarriage.
This means, any unprotected sex after that short interval can result in a pregnancy.
You should therefore ensure you use reliable contraception if you are not planning
to get pregnant. A condom is useful in this regard but I am sure you will be aware
it is not the most reliable form of contraception.
Rapid weight gain in pregnancy
Question: I am about 14-15 weeks pregnant and i have put on almost a stone in weight
in the last 3 weeks. I have noticed that my knee joints are quite painful I am quite
worried as i have been overeating as well. Should i try to lose weight and are my
knees hurting because of the weight gain or is it a common symptom. R. (UK)
Answer: I think you have your answer to the first question. If you have acknowledged
that you have been over-eating; that is the underlying cause for the rather rapid
weight gain. Joint pains could be due to a combination of factors including the expected
loosening of joints that occur in pregnancy, the weight gain and quite possibly a
reduced rate of physical activity. Don’t try to lose weight. That is normally unadvisable
during pregnancy. Instead make a conscious effort to start eating healthily and appropriate
portions. That should be sufficient to get you back to a healthy state even if you
will weigh a little heavier than you could have been.
Blighted ovum diagnosis
Question: I'm 9 wks pregnant going to 10 wks. Dr suspected blighted ovum pregnancy
after my scan. I am not bleeding or spotting. How long will it take for spontaneous
miscarriage to occur? S. (USA)
Answer: I am a little uneasy about your description of the doctor’s verdict: Why
‘suspect’? A diagnosis of a blighted ovum following an ultrasound scan leaves no
room for doubt so I cannot understand why a doctor would say he/she ‘suspects’. In
any case, if this diagnosis is correct, all I can say is that, if you adopt expectant
management; that is, await spontaneous miscarriage, this will almost always occur
before the end of the first trimester (13 weeks). It is not possible for anybody
to be more specific than that. Doctors (and most affected women) tend to prefer active
intervention in the form of either medication or surgical evacuation once the diagnosis
is made. This gets around the problem of uncertainty as t o when miscarriage will
eventually occur and the distress that may be associated with that state of limbo.
Missed period with a negative pregnancy test
Question: I missed my period, i try a pregnancy test but its negative. I did a transvaginal
ultrasound scan and the result my endometrial stripe is intact measuring 0.77 cm.
Am i pregnant? C (Philippines)
Answer: Looking at the information you have supplied here it is very unlikely that
you are pregnant. An endometrial stripe of 0.77 cm is normal for a non-pregnant uterus.
My view is that, if you don’t get your period in the next four weeks or so, you should
see your doctor for tests to establish why that is. There are many causes of absent
periods, most of them relatively easy to reverse.
Missed period , loss of appetite and abdominal swelling
Question: i complete my last period since date */*/**** (almost two months ago)
but last month i didn’t get a period up to now but my stomach it is like expand
and i lost appetite. So, I want to know if I’m pregnant or not? V.M. (Tanzania)
Answer: I have far too little information here to say with certainty whether you
are pregnant or not. Have you had unprotected sex? Is it unusual for you to miss
a period? How old are you and so on... The symptoms you have are non-specific. If
you normally have regular periods and it is unusual for you to miss a period and
crucially, if you have had intercourse without contraception, then it is quite possible
that you are pregnant. The best thing to do at this stage (if facilities allow where
you are) is to perform a pregnancy test to get a definitive answer. Alternatively,
you can have an ultrasound scan to see what is going on. Remember there are other
causes of a missed period apart from pregnancy.