EXPERT
Dr. Robert W. Vera, M.D.
OB-GYN (Obstetrician-Gynecologist)
Dr. Robert W. Vera M.D. is a top OB-GYN (Obstetrician-Gynecologist) in El Paso, . With a passion for the field and an unwavering commitment to their specialty, Dr. Robert W. Vera M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Robert W. Vera M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Robert W. Vera M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In El Paso, TX, Dr. Robert W. Vera M.D. is a true asset to their field and dedicated to the profession of medicine.
43 years
Experience
Dr. Robert W. Vera, M.D.
- El Paso, TX
- University of Texas Southwestern Medical Center Southwestern Medical School
- Accepting new patients
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Personal Question
Its not unusual. However you could have a laceration that needs to be repaired. Go see your gynecologist or go to the emergency room.
Confused
What is the question? 47 is an age when the perimenopause and sometimes the menopause starts. The period is regular because of ovulation. Its not uncommon to not ovulate some months READ MORE
What is the question? 47 is an age when the perimenopause and sometimes the menopause starts. The period is regular because of ovulation. Its not uncommon to not ovulate some months in the perimenopause, making periods absent or irregular.
Discharge
Well, it could be a number of easily treatable conditions. It may not even be an infection, however, we cannot know what it is by talking about it. You should see a doctor or family READ MORE
Well, it could be a number of easily treatable conditions. It may not even be an infection, however, we cannot know what it is by talking about it. You should see a doctor or family nurse practitioner that do pelvic exams so that the discharge can be evaluated. RWV, MD
Miscarriage again
Hello, Most miscarriages are due to a genetic abnormality in the fetus. Low progesterone can be an issue and can be supplemented by your doctor, if that is the case. However, there READ MORE
Hello, Most miscarriages are due to a genetic abnormality in the fetus. Low progesterone can be an issue and can be supplemented by your doctor, if that is the case. However, there are a number of other issues related to frequent miscarriage. These can be investigated by an Infertility specialist. RWV, MD.
Bleeding
Well, you dont have pain when you pee, so I doubt that its a bladder infection. An exam should find the source of the bleeding because it could be coming from the skin, the vagina, READ MORE
Well, you dont have pain when you pee, so I doubt that its a bladder infection. An exam should find the source of the bleeding because it could be coming from the skin, the vagina, the cervix, the anus, or it could be coming from the placenta. Without any cramping, its doubtful that a spontaneous abortion will occur, however, it would be in your best interests to get an exam by your gynecologist and possibly ultrasound the pregnancy.
What is causing my problem
1. It would be nice to know what kind of iud was placed. 2. Your symptoms could have a number of causes. A. The iud could become dislocated and cause cramping. B. You could be READ MORE
1. It would be nice to know what kind of iud was placed. 2. Your symptoms could have a number of causes. A. The iud could become dislocated and cause cramping. B. You could be pregnant. This would cause cramping and breast pain. It would be best to go see a gynecologist and find out whats going on. RV, MD.
Female issue
The burning is from the urine contacting the skin where the herpes blisters are located. So, unless you can get the urine stream to come out straight without contacting the skin, READ MORE
The burning is from the urine contacting the skin where the herpes blisters are located. So, unless you can get the urine stream to come out straight without contacting the skin, you will continue to have discomfort. You can try to protect the skin with Vasoline or maybe Zinc Oxide 20%(like a baby salve to protect against diaper rash). A lidocaine jelly may help numb the area before you have to urinate.
Pregnancy?
Not likely, but possible. Sperm swim.
Pregnancy symptoms?
The symptoms you have could be nothing, however, without knowing you or examining you, I would be concerned about an ectopic pregnancy and I would seek care now. Hypochondriacs READ MORE
The symptoms you have could be nothing, however, without knowing you or examining you, I would be concerned about an ectopic pregnancy and I would seek care now. Hypochondriacs get sick too. Other diagnosis could be gastritis or gall bladder disease.
Is labor near?
Hello, It sounds like your cervix is dilating and labor wants to start. Bleeding can be worrisome. It might be good to have a sonogram if you havent had one by now to check the READ MORE
Hello, It sounds like your cervix is dilating and labor wants to start. Bleeding can be worrisome. It might be good to have a sonogram if you havent had one by now to check the position of the placenta. Dr. V.
Nauseous using my phone on my period?
There are higher circulating levels of a chemical called prostaglandin just before and during your period. It can cause nausea. I dont know about the association with phone use, READ MORE
There are higher circulating levels of a chemical called prostaglandin just before and during your period. It can cause nausea. I dont know about the association with phone use, however. Dr. V
I had unprotected sex on third day of my period. Are there any chances of getting? Help
Not likely if your periods are regular.
Cervix always feeling open, is this normal?
I guess you are checking your cervix somehow. Anyway, the cervix can feel open. Whether or not this is a problem depends on some issues from what happened at the delivery of your READ MORE
I guess you are checking your cervix somehow. Anyway, the cervix can feel open. Whether or not this is a problem depends on some issues from what happened at the delivery of your child to what the cervix will look like when it is examined by ultrasonography during your next pregnancy. If there was a laceration to the cervix that happened during your delivery and it was not repaired or if it was repaired, but failed to heal properly, then, yes this could impact your next pregnancy. In particular, it could cause pregnancy loss in the second trimester or it could be a factor in causing premature delivery. At your next examination, this needs to be brought up to your gynecologist so that he/she can examine the delivery record as well as the cervix. If you do get pregnant, the cervix can be evaluated as the pregnancy progresses to see if it is shortening or attempting to open prematurely. If this is the case, a suture could be strategically placed into the cervix to keep it from opening before the fetus is mature.
Why do I bleed during intercourse?
Bleeding after intercourse can come from the vagina, the skin of the outer vagina(the labia), the urethra, or the rectum. If you are sure it is coming from the vagina, then it READ MORE
Bleeding after intercourse can come from the vagina, the skin of the outer vagina(the labia), the urethra, or the rectum. If you are sure it is coming from the vagina, then it and the cervix should be examined in detail. Most commonly there is an inflammation of the cervix, from whatever cause, and it causes the cervix to bleed when manipulated as it can be with intercourse. Sometimes, there is a lesion, like a polyp or a fibroid, in the canal of the cervix and it cannot readily be seen on examination. Polyps, which are benign and not cancerous, can bleed as well as fibroids. It may take more than one examination for the cause of the bleeding to become apparent. If you are having pain with urination, the most common cause is a bacterial infection of the urethra or the bladder. There are other causes, but this is the most common.
Could I be pregnant?
Two days late is not a sign that you are pregnant. As the instructions say, the Ella should be taken within 120 hours of unprotected vaginal intercourse and will prevent 60-80% READ MORE
Two days late is not a sign that you are pregnant. As the instructions say, the Ella should be taken within 120 hours of unprotected vaginal intercourse and will prevent 60-80% of pregnancies. I would advise waiting a week before taking another home pregnancy test. I am not sure how the ella could affect your period. It works to antagonize progesterone, so my educated guess is that it could be affecting the lining of the uterus from acting in a normal way and, thus, affecting your expected period. Note that the warning on the Ella insert says that it could cause birth defects if the pregnancy is not prevented. I would consult your doctor if you do think you are pregnant.
I have a tiny bump?
Someone, either a doctor or a nurse practitioner, will have to look at it in order to know what it is because it could be a number of problems or it could be nothing. What immediately READ MORE
Someone, either a doctor or a nurse practitioner, will have to look at it in order to know what it is because it could be a number of problems or it could be nothing. What immediately comes to mind is a sebaceous cyst. This is like a plugged skin gland and the sweat or oil it makes cannot make it to the surface and so this material backs up into the gland and makes
the gland swell. Sebaceous cysts are benign. The human papilloma virus can create growths that look like bumps. This can readily be diagnosed in the office. There is a gland called the bartholin gland which has duct that empties into the vagina. It, too, can become plugged (usually due to infection, but not always). This will make the duct back up with fluid and
it will look like a bump just on the inside of the vagina. If the duct becomes infected, the duct and the gland will suddenly swell painfully and antibiotics and drainage will be needed. A family nurse practitioner or doctor should look at it.
RWV, M.D.
the gland swell. Sebaceous cysts are benign. The human papilloma virus can create growths that look like bumps. This can readily be diagnosed in the office. There is a gland called the bartholin gland which has duct that empties into the vagina. It, too, can become plugged (usually due to infection, but not always). This will make the duct back up with fluid and
it will look like a bump just on the inside of the vagina. If the duct becomes infected, the duct and the gland will suddenly swell painfully and antibiotics and drainage will be needed. A family nurse practitioner or doctor should look at it.
RWV, M.D.
Why do I have a late period?
Late periods are fairly common. The period has a timing mechanism, so to speak. That timing mechanism is ovulation. The cycle starts with the first day of the period. The cycle READ MORE
Late periods are fairly common. The period has a timing mechanism, so to speak. That timing mechanism is ovulation. The cycle starts with the first day of the period. The cycle is usually 28 days(it varies, but not by much). The first 14 days of the cycle after the first day of the period is controlled by estrogen, which comes from the developing follicle in the ovary. As the follicle matures, it ovulates on day 14 (an egg is extruded from the follicle and picked up by the fallopian tube). After this ovulation, the ovary switches to producing progesterone. Those are the two main hormones of the ovary that control the period (estrogen and progesterone). Progesterone is then made for another 14 days and if there is no pregnancy, both estrogen and progesterone decline, and the first day of the period arrives and the cycle repeats. Again, the timing mechanism is ovulation.
Do I have an STD?
I know you tried to get a good picture, but it is still a bit difficult to view for detail. These look like pustules. A skin infection with a staphylococcus or streptococcus bacteria READ MORE
I know you tried to get a good picture, but it is still a bit difficult to view for detail. These look like pustules. A skin infection with a staphylococcus or streptococcus bacteria is more likely than an STD. Ideally, you should have it looked at by a gynecologist. Most likely, you need a good antibacterial soap and a short course of antibiotics. The gynecologist may want to get a bacterial culture of the fluid in those "pimple-like" lesions.
Pregnancy?
If you took the pill the first day of your period, you should be protected. If you took the pill after your period started, you may not be completely protected, but the chances READ MORE
If you took the pill the first day of your period, you should be protected. If you took the pill after your period started, you may not be completely protected, but the chances are still good that you have protection. You will not "damage'' your fertility by taking plan b.
Dr. Robert W. Vera
Dr. Robert W. Vera
Unprotected sex?
Four days before ovulation? Everyone says trust the science, but the body has a lot going on to follow the exact science. Could your cycle be a day off? Could the sperm actually READ MORE
Four days before ovulation? Everyone says trust the science, but the body has a lot going on to follow the exact science. Could your cycle be a day off? Could the sperm actually live a few more hours than is normal for them to live?
