Dr. Joseph Adashek, MD

This is not necessarily a miscarriage.  An easy way to find out is to do a pregnancy test.  If it is negative then this is just tissue left in the uterus.

Hello.  2cm is very small and it most likely doesn't mean very much at all.  However, the answer to your question depends on why it was ordered in the first place.  The person that ordered it for you should explain what the results mean. In a message dated 8/5/2023 5:39:24 AM Pacific Daylight Time, answers+1506011_1116405_5246535938b9aee1e26372546f940d00@expert.findatopdoc.com writes:  |    You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. | | | | |   | | | | One of your patients has asked you a question | | Click here to view this request online | | | | | | | | Dr. Adashek | | Question Alert | | You Have A New Patient Question | | Simply reply to this email with your answer. | |   | | | |   | | | Test results? | | |   | | What does there is an ill-defined heterogeneous posterior myometrium measuring 2.3 x 2 x 2.1 cm means? | |   | | | Age: | 40 | | Gender: | Female | | Duration: | none | | Medications: | none | | Conditions: | Posterior wall adenomyoma, multiple small myoma uteri, profilirativr phase endometrium, partial proximal obstructio right fallopian tube | | |   | | | |   | | Reply to this email to answer, or Login to see all questions. | |   | | | | | | IT IS SAFE TO PARTICIPATE. Answering this question does not constitute medical advice or establish a doctor-patient relationship. All questions and answers are for informational purpose only. All question submitters are advised to seek the care of their local medical provider. | |   | | | | Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, (866) 664-DOCS Unsubscribe Manage preferences | |

No.  It is doubtful that missing just one dose will cause harm. In a message dated 8/6/2023 4:57:29 AM Pacific Daylight Time, answers+1505959_1116405_657740734668f183b20ba6cf6f942b7e@expert.findatopdoc.com writes:  |    You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. | | | | |   | | | | One of your patients has asked you a question | | Click here to view this request online | | | | | | | | Dr. Adashek | | Question Alert | | You Have A New Patient Question | | Simply reply to this email with your answer. | |   | | | |   | | | I'm pregnant taking blood thinners for clots in my leg? | | |   | | I'm pregnant and have blood clots in my legs. I've been taking meds for it for a month. Will it cause problems if I miss a dose? | |   | | | Age: | none | | Gender: | none | | Duration: | none | | Medications: | none | | Conditions: | none | | |   | | | |   | | Reply to this email to answer, or Login to see all questions. | |   | | | | | | IT IS SAFE TO PARTICIPATE. Answering this question does not constitute medical advice or establish a doctor-patient relationship. All questions and answers are for informational purpose only. All question submitters are advised to seek the care of their local medical provider. | |   | | | | Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, (866) 664-DOCS Unsubscribe Manage preferences | |

Yes.  They are VERY accurate and inexpensive.

Yes.  Very normal.

It is not uncommon to bleed after intercourse.  Sometimes, it can happen more often than not.  If that is the case, you should see your OB/GYN and he/she can run cultures to rule out bacterial vaginosis.  I hope that this helps.

Hello.  So, rather then stress about being pregnant, pregnancy tests today are super accurate and relatively cheap, therefore, running to the store and getting a test is super easy and can answer your question in 1 minute. Of course, this does not answer the question on why things taste weird and like metal.  One thing to do is get a test to make sure you don't have anemia.  Otherwise, I am unsure why things taste like metal, although, blood will taste like iron and this could be another reason. I hope that this helps.

Hi.  I'm sorry that your daughter is going through this.  I am a maternal-fetal medicine specialist so I do know a great deal about this. I always tell patients that we did survive as a species without D & C's so you shouldn't worry too much that they are making her wait.  You never told me how many weeks pregnant she is/was.  You just wrote that they are making her wait for 8 weeks.  Obviously, my answer depends on how many weeks the baby was when he/she died.  If she was 8 weeks pregnant vs. 12 weeks vs. 16 weeks, my answer would change dramatically. Since the uterus is sterile, there is no risk for sepsis so you do not have to worry about that.  Also, medically, you never really HAVE TO have surgery in cases such as these.  As I said, we did survive as a species with doing this type of surgery. Typically, if the baby is >10 weeks SIZE (not 10 weeks but 10 weeks size), then the body can take a long time and there is an increased risk for retained products of conception so, typically, we would recommend a D & C, however, if it is smaller than that, than we usually wait a number of weeks before we would perform surgery as well.  After all, surgery has a risk of anesthesia complications, infections, uterine scarring and a small risk of uterine perforation.  It is always nice to NOT have to do the surgery rather than perform surgery.   I hope that this answer helps.

The good news is that pregnancy tests are extremely accurate, therefore, if it is negative, you do not have to worry. The tough question is why do you have irregular bleeding?  It probably has nothing to do with the fact that you had sex.  Irregular bleeding is one of the most common reasons that someone goes to see their OB/GYN.  Many times, there is no significant reason it just happens.  If it really bothers you, then birth control can make your periods regular. I hope that this helps.

Yes.  You should wait 6 weeks (and make sure you are cleared by your doctor).

Hello.  The number two reason that someone goes to see their OB/GYN (Number one is pelvic pain) is irregular periods.  It does not mean that you are pregnant.  I assume you are not on the birth control pill.  One way to regulate your cycle would be to start the birth control pill.  This would help you have regular periods.

Hi. So blood clots just mean that blood had time to sit inside the uterus before it came out.   It is very typical and nothing to worry about.

So, blister tends to suggest a herpes infection.   If you have a great deal of pain, an anti-viral medication such as acyclovir.   If there is no pain, you do not need to be treated.   It does not sound like gonorrhea. Sent from the all new AOL app for iOS

Hi. Do you mean you have your periods 2 months apart or are you saying you bleed for 2 months? With either question, the answer is the same:  Basically, there can be many many reasons for this to happen.  The number one reason people see their OB/GYN other than their yearly exams is due to irregular periods.  Most of the time, it is nothing serious and very common, however, the treatment would depend on what the diagnosis is. So, in this case, you really need to follow up with your OB/GYN for care.  I'm sorry that the answer is not something that is simple.

Sometimes you will have periods that hurt worse than others.  Just like you will bleed worse at times than at other times.  There really is no good reason why this happens, however, as you get older, your periods tend to be more similar.

 When you have a positive pregnancy test and then it becomes negative, sometimes that is an indication that you may have had a very early pregnancy that was not viable.  If it is now negative and continues to be negative, then you are not pregnant.  If there is any doubt you should see your OB/GYN, however, most likely, if you have one more negative pregnancy test, you are not pregnant.

I am sorry for the delay.  I cannot tell where on your breast the lump is since I cannot see where your nipple is in relation to the lump.  However, it looks like a small abscess.  I would recommend going to Quickcare or an emergency room as soon as possible.  I am not nervous that it is breast cancer but I think you need it drained and antibiotics.

 It's not going to do anything harmful.  This isn't like milk.  No harm will come to you.  Perhaps it would be 0.000001% less effective but that's it. I know that you won't be able to write me back but I'm wondering why you are using a boric acid suppository?  Did an actual board certified OB/GYN tell you to use that? Take care.

Hi.
 First of all, I am proud of you for bringing this up and not just "living with it." There is absolutely  no reason that you need to suffer with this problem.  You probably have an imperforate hymen.  The fact that you can still have sex does not mean that you do not have this problem.  There are different degrees of imperforate hymen.  It can vary from being so imperforate that it can block you from bleeding with your periods to a pretty mild case where having sex with someone with a large penis causes pain. You should see your local OB/GYN physician, preferably, someone that does "adolescent gynecology."  I know that you are 21 years old, but, it is typically a surgery done on younger people.  The surgery is not that bad and recovery is not a problem.   Actually, my daughter had the procedure done and her recovery was not a problem and she is happy that she had the surgery done.  (She was not able to use a tampon at all before and now she can.  I obviously do not want to know if she can have sex without pain.) Lastly, speaking, as a male, most men would not want you to suffer in pain during intercourse.  Also, they would not notice if you were "tighter" or not since the vaginal muscles would not change--only the hymen would change and this does not contribute to the "tightness" to the vagina.   The best thing you can do is try to find someone that does the surgery a fair amount.  I think that there are people that now specialize in adolescent gynecology--especially in bigger cities.  You can go to www.acog.org and do your research looking for an "adolescent gynecologist" or even a "pediatric gynecologist" since you want to see someone that does this surgery a lot.  Again, I know that you are 21 years old but I have a feeling that you have suffered with this problem for awhile.   An "adolescent gynecologist" and pediatric gynecologists have their own subspecialty.  Typically, if someone is an adolescent gynecologist they see only adolescents. If you have further questions, please feel free to e-mail me with questions.  My e-mail is jadashek@aol.com.   Joseph Adashek  MD FACOG 

 Hello: Well, first of all, the answer to every question "Could I be pregnant" is always a yes assuming you have had sex. The best thing to do is just go buy a pregnancy test at the drug store.  They are EXTREMELY accurate and there are very few false positives and very few false negatives.   Since your breasts can hurt anytime in your cycle, it is a poor predictor for pregnancy. I hope that this helps.