EXPERT
Ms. Mirela Cernaianu
OB-GYN (Obstetrician-Gynecologist)
Dr. Mirela Cernaianu is an obstetrician-gynecologist practicing in Westlake Village, California. Dr. Cernaianu specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Cernaianu can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Cernaianu can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
Ms. Mirela Cernaianu
- Westlake Village, California
- Universitatea de Medicina si Farmacie Carol Davila
- Accepting new patients
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What are ways to deal with menopause?
The best, fastest and easiest way for your sister to get relief would be to get her hormone levels checked and discuss hormone replacement with her doctor if indicated. Please READ MORE
The best, fastest and easiest way for your sister to get relief would be to get her hormone levels checked and discuss hormone replacement with her doctor if indicated. Please have her make appt with her GYN or a doctor that specializes in HRT (hormone replacement therapy).
My daughter got her first period earlier than normal. Can this have an impact on her health?
Young girls get exposed early nowadays to different chemicals contained in various plastic containers - one of them is called BPA, a chemical that mimics the estrogen hormone - READ MORE
Young girls get exposed early nowadays to different chemicals contained in various plastic containers - one of them is called BPA, a chemical that mimics the estrogen hormone - I would have her hormone levels checked and look into limiting or completely eliminating all BPA containing water bottles, soft drinks, plastic containers. Also never microwave food in a plastic container, only glass.
There are some medical conditions that can lead to an early period - a doctor can easily rule them out.
Early periods can also happen if girls are overweight and sometimes they pose a significant psychological stress on the young girls, who have to fit in.
There are some medical conditions that can lead to an early period - a doctor can easily rule them out.
Early periods can also happen if girls are overweight and sometimes they pose a significant psychological stress on the young girls, who have to fit in.
Is it safe to have a body massage after a c-section?
You are safe to get a body massage as soon as your c/section scar is healed. At 3 months after delivery your uterus is definitely back to normal size and life will return to normal READ MORE
You are safe to get a body massage as soon as your c/section scar is healed. At 3 months after delivery your uterus is definitely back to normal size and life will return to normal except for breastfeeding, diaper changing and sleepless nights.....
Congratulations on your pregnancy and please enjoy motherhood!
Congratulations on your pregnancy and please enjoy motherhood!
Can a home pregnancy test show a wrong reading?
Yes some tests are not very sensitive - you should go see a doctor.
Will vitamin D deficiency affect pregnancy?
Some studies have shown as association between low vitamin D and autism. Vitamin D is important for bone health, immune system, sugar control, good energy etc. Please continue READ MORE
Some studies have shown as association between low vitamin D and autism. Vitamin D is important for bone health, immune system, sugar control, good energy etc. Please continue taking vitamin D3 2000-5000 units daily depending on your levels.
In spite of Glycomet medication, my weight is constantly increasing. What should I do?
There could be other issues going on with your body - please have the doctor check your adrenal, consult a nutrition specialist, and ask to have an imaging test of your pancreas READ MORE
There could be other issues going on with your body - please have the doctor check your adrenal, consult a nutrition specialist, and ask to have an imaging test of your pancreas to start.
Excessive swelling in my legs during the seventh month of my pregnancy. What should I do?
Swelling of the feet is normal in last few months of pregnancy and is due to the compression caused by the enlarged uterus on the veins in your pelvis, causing blood to stagnate READ MORE
Swelling of the feet is normal in last few months of pregnancy and is due to the compression caused by the enlarged uterus on the veins in your pelvis, causing blood to stagnate in the lower legs. Lie down with legs propped on a few pillows or up against the wall (google "legs up the wall yoga" and click on images) for 15-30 min 2-3 times throughout the day, and after being active - you can ask your doc for compression stockings, and if your family members and loved ones offer foot massages please do not turn them down.
:-)
:-)
What is the best way to deal with my menstraul cramps?
Please see your doc - I have had lots of success with progesterone treatment - bio identical, not progestin.
What is the connection between being overweight and the inability to conceive?
Please google "PCOS," or "polycystic ovaries," or "insulin resistance and infertility" - that being said, there are a lot of women who are severely overweight and conceive easily, READ MORE
Please google "PCOS," or "polycystic ovaries," or "insulin resistance and infertility" - that being said, there are a lot of women who are severely overweight and conceive easily, so it seems very simplistic to blame it on your weight. You should get a 2nd opinion. Good Luck!
What's the earliest I can get a mammogram?
Consider getting tested for the BRCA gene, or maybe your mother can get tested and then if she is positive you should seek genetic counseling. You can get a baseline mammo at 35, READ MORE
Consider getting tested for the BRCA gene, or maybe your mother can get tested and then if she is positive you should seek genetic counseling. You can get a baseline mammo at 35, but consider annual breast exams, and annual breast ultrasounds as well as possibly thermograms at any age. There is no study to show that exposing your breasts to digital radiation year after year increases your risks of cancer, but more and more women are worried about this issue. Look into checking your hormones, and how you metabolize your estrogen.
Airport security and being pregnant
Try to avoid going into the scanner - we do not know the effects it can have on a developing fetus and there is no study to show it is safe for babies - please opt out.
How can I differentiate between implantation bleeding and periods?
If your period feels off in any way - a few days early or a few days late, maybe lighter or shorter than you expected it to be or maybe more "crampy" than usual then it is possibly READ MORE
If your period feels off in any way - a few days early or a few days late, maybe lighter or shorter than you expected it to be or maybe more "crampy" than usual then it is possibly an implantation bleed, especially if you start feeling tired and have breast tenderness and get hungry and nauseated at the same time. Pregnancy tests are so sensitive nowadays they can sense the HCG hormone in the urine a few days after implantation.
Are there home remedies to treat vaginal yeast infection?
Baking soda, boric acid suppositories you can buy on amazon (not to be used during vaginal bleeding), also avoid soap on the area and avoid any carbs in your diet - they all take READ MORE
Baking soda, boric acid suppositories you can buy on amazon (not to be used during vaginal bleeding), also avoid soap on the area and avoid any carbs in your diet - they all take time to work - you get much faster relief with MONISTAT over the counter, or prescription Terazol cream or oral Dilfucan.
I am having severe itching in my vagina. Could it be a UTI?
UTI manifests as burning when you pee, pain in your lower abdomen, maybe bad smelling urine or even blood in the urine or a strange urine color. A vaginal yeast manifests with READ MORE
UTI manifests as burning when you pee, pain in your lower abdomen, maybe bad smelling urine or even blood in the urine or a strange urine color. A vaginal yeast manifests with intense itching and also burning when you pee, a white cheese discharge. It sounds like you might have a yeast infection.
What could be the reason behind sudden pain around my right ovary?
Please consult a doctor - it could be an ovarian cyst developing and growing. An exam and maybe an ultrasound in the office can easily point to the cause of the problem.
Is it periods or implantation bleeding?
It is possible it is implantation bleed, but it is also possible you had a longer cycle than usual and you just ovulated later than usual (maybe due to stress).
Is a TSH value of 3.17 normal in 9 months of pregnancy?
That depends on whether you are taking thyroid replacement or not. I tend to look at levels of free T3 and free T4 as being more important than TSH since TSH is made by the pituitary READ MORE
That depends on whether you are taking thyroid replacement or not. I tend to look at levels of free T3 and free T4 as being more important than TSH since TSH is made by the pituitary and it is not a thyroid hormone - I like my hypothyroid patients to have a TSH between 0.5 and 1.5 in general so yes the TSH might be too high indicating need for more thyroid hormone.
I hope this helps - talk to your doc about checking thyroid levels.
I hope this helps - talk to your doc about checking thyroid levels.
Why am I bleeding after my pap?
When we do a pap smear we use a plastic spatula that gently scrapes the surface of the cervix to collect the cells - it is not unusual to bleed a little afterwards, however if READ MORE
When we do a pap smear we use a plastic spatula that gently scrapes the surface of the cervix to collect the cells - it is not unusual to bleed a little afterwards, however if it happens every time you have a pap discuss it with the doctor and she/he can evaluate you for a possible vaginal infection, ectropion (inner mucosa of the cervix is spread on the outside more than usual). We do pap smears every year so if you need a pap every 6 months there might already be some issues with your cervix that cause the bleeding with the pap.
If you have abnormal pap smears you might consider vaginal boric acid supp from amazon 2 times a week (not on your period) and start DIM 100-200 mg 2 times a day for 6 months. Of course discuss this with your doctor first.
If you have abnormal pap smears you might consider vaginal boric acid supp from amazon 2 times a week (not on your period) and start DIM 100-200 mg 2 times a day for 6 months. Of course discuss this with your doctor first.
How much Colace can I take while pregnant?
Try other things that can help with constipation like: - drinking 3-4 liters of water daily, - taking prune juice daily in am empty stomach, - drink a smoothie daily with READ MORE
Try other things that can help with constipation like:
- drinking 3-4 liters of water daily,
- taking prune juice daily in am empty stomach,
- drink a smoothie daily with kale, spinach, apple, carrots, and maybe grapes or pears as well (coconut water to mix), - - adding fiber like metamucil or benefiber to your diet (1 tablespoon mixed in 10 oz of coconut water or 1/2 water and 1/2 juice of your choice).
- change your prenatal vitamin
- walk 1-2 miles daily (20-40 min)
Also cut down on meat, breads, pasta and cheese intake.
- drinking 3-4 liters of water daily,
- taking prune juice daily in am empty stomach,
- drink a smoothie daily with kale, spinach, apple, carrots, and maybe grapes or pears as well (coconut water to mix), - - adding fiber like metamucil or benefiber to your diet (1 tablespoon mixed in 10 oz of coconut water or 1/2 water and 1/2 juice of your choice).
- change your prenatal vitamin
- walk 1-2 miles daily (20-40 min)
Also cut down on meat, breads, pasta and cheese intake.
What is cerclage?
Cerclage is a procedure done under anesthesia - the uterus entrance is closed with a purse string suture threaded through the cervix- it is to prevent loosing the baby, which can READ MORE
Cerclage is a procedure done under anesthesia - the uterus entrance is closed with a purse string suture threaded through the cervix- it is to prevent loosing the baby, which can happen if the entrance is weak. The weight of the baby pushes on the weak cervix and it will dilate it, also the water bag is exposed and can easily rupture, leading to miscarriage. The cerclage keeps the cervix closed and protects the pregnancy.
