Charles Benjamin Palmer, IV.

A woman's menstrual cycle can be somewhat different after a miscarriage (as it can after childbirth as well). This is due to hormone changes associated with a pregnancy. After a few weeks to months, the menstrual cycle should resume to how it was before the miscarriage. I will say however, that other factors such as stress, body fat (too much or too little) and birth control also affect a menstrual cycle so keep that in mind as well. If 3 months go by after the miscarriage and the menstrual cycle is still abnormal, see your gynecologist. Best wishes...

A hysterectomy is the surgical removal of the uterus. This is called total hysterectomy. Many people think that a "partial" means just the uterus, and leaving the ovaries behind, when in reality there is no such thing. A total hysterectomy WITH a bilateral salpingoophorectomy is removal of the uterus, tubes, and ovaries, along with the cervix.

Uterine cancer varies in type, however endometrioid endometrial adenocarcinoma is what I would venture to guess is what you are describing. It is a very common cancer, however, in your age, not so much.

Your surgeon is probably wondering about removing your ovaries and weighing the risks and benefits.

Benefits:
1.) Can allow full surgical staging
2.) Practically eliminates risk of a future ovarian cancer

Risks:
1.) Immediate surgical menopause (hot flashes, night sweats, mood swings)
2.) Decreased bone health as you get older
3.) Questionable cardiovascular risks

If it is endometrial cancer, then your CANNOT use hormones because the cancer is estrogen driven.

Depending on what the initial biopsy showed (FIGO Grade 1 for instance), some gynecologic oncologists can offer a Mirena IUD or megestrol tablets or even Depo Provera injections instead of surgery. This will, however, require serial biopsies of the lining of the uterus.

All of these things must be taken into consideration. Best of luck!

At a minimum, six weeks. Swimming, bathtub baths, lifting more than 10-15 pounds, and sex (anything at all in the vagina) must wait until six weeks AFTER your physician has inspected any incisions and the vaginal "cuff" (This where the cervix USED to be. Showering is fine

The reasoning for the swimming and tub baths, is for dirty water with harmful bacteria not to reach the healing vaginal cuff and cause infection.

The reasoning for not having ANYTHING in the vagina and heavy lifting is so that the stress of those activities does not break a stitch or suture at the vaginal cuff, which could cause many problems which includes bleeding, infection, delayed healing, and worst of all, evisceration (Your intestines come out through your vagina) which is a medical EMERGENCY.

The route of hysterectomy is also important. If you have an abdominal incision, this will take longer to heal than a laparoscopic or robotic procedure.

All and all, take it slow. Even after your six weeks is up, you will still not be physically in the same state as you were prior to surgery. It sometimes takes months to get back to that level.

Yes. Not the nasal mist, but an injection.

Dr. C. Ben Palmer, FACOG

I would recommend to begin annual gynecologic exams beginning around 13-14. These are basically a “getting to know “ what the gynecologist involves. Certainly noninvasive examinations such as Pap smears would not begin until age 21. We can offer advice on menstrual irregularity (surprisingly common in adolescents) and methods of controlling it. Should she become sexually active, she may feel more comfortable speaking to an ONGYN that a pediatrician or family doctor

The more nipple stimulation the better. Other women can try over the counter herbal supplements like fenugreek and Brewer's yeast. The actual benefit of these herbs are anecdotal. Other options are metoclopromide (Reglan), a prescription medicine has been known to help, if your physician is willing to use this. Ask your child's pediatrician if they think supplemental bottle feeding is warranted.

Ectopic pregnancy can be for several reasons. Generally there is a problem of moving the fertilized egg down the Fallopian tube to the uterus for implantation. There are tiny “hairs” called cilia that help move this process along. Things that can impair this transportation is smoking, history of surgery on your Fallopian tube, a prior ectopic pregnancy, using Invitro fertilization, and history of sexually transmitted diseases like chlamydia, gonorrhea or PID. Sometimes there is no explanation. But having an ectopic pregnancy does make the next pregnancy a higher risk of having another one. Good Luck

Ectopic pregnancy can be for several reasons. Generally there is a problem of moving the fertilized egg down the Fallopian tube to the uterus for implantation. There are tiny “hairs” called cilia that help move this process along. Things that can impair this transportation is smoking, history of surgery on your Fallopian tube, a prior ectopic pregnancy, using Invitro fertilization, and history of sexually transmitted diseases like chlamydia, gonorrhea or PID. Sometime there is no explanation. But having an ectopic pregnancy does make the next pregnancy a higher risk of having another one. Good Luck

It depends on which kind it is:

Skyla: 3 years
Mirena: 5 years
Paraguard: 10 years

I assume you are referring to progesterone. This medication is effective with period control but there are side effects. To answer your question, the answer is yes, they can cause weight gain. Progesterone can make your body retain water weight. They also increase appetite which may also increase weight. You have to weigh your options. Sometimes a Mirena IUD is a good solution, even though it is progesterone based. The progesterone in the IUD acts more locally than systematically so you should not have the side effects that you experience with a pill. Also, the IUD is good for 5 years

Nothing will work as well as a prescription from your physician. I recommend you get evaluated so they can visually inspect the area and perform a wet mount to confirm that it is yeast. Otherwise I would recommend keeping the area clean and most importantly DRY. Yeast love moisture. Also, I would recommend starting an OTC probiotic which may help the good bacteria in your body with the yeast

If your mother had breast cancer, she is considered to be a first degree relative. The usual recommendation is for you to have a mammogram 10 years before the age your first degree relative was diagnosed. That would mean sometime in your early 30's. since your mother and grandmother had breast cancer you should consider genetic testing for a BRCA mutation. Of course if you notice a lump or mass, breast skin puckering or dimpling, you should seek care at once