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.
44 years
Experience
Dr. Robert W. Vera, M.D.
- El Paso, TX
- University of Texas Southwestern Medical Center Southwestern Medical School
- Accepting new patients
No results found
Should I take another test?
Yes. Take another test.
Markedly Elevated LFTs and biliary colic in 23F
Im a gynecologist, but it is obvious to me that you have significant liver inflammation. The differential diagnosis is: 1. Infectious causes 2. Parasite pathology 3. Autoimmune READ MORE
Im a gynecologist, but it is obvious to me that you have significant liver inflammation. The differential diagnosis is: 1. Infectious causes 2. Parasite pathology 3. Autoimmune causes 4. And with the spleen involved, malignancy needs to be ruled out 5. I suppose if there is significant fatty liver damage, then the venous portal flow could be shunted away from the liver and account for the enlarged spleen, but I can only be guessing about this to put all this information into one picture. 6. I didnt see any evidence of gallstones in the report and, anyway, gallstones dont affect the spleen. A gastroenterologist is your next step and I would be quick about it.
About contraceptive pills
Your story is hard to follow. I think you are using a minipill, is that correct? It has only one hormone, a progestin and if you keep taking it, your period might not come for READ MORE
Your story is hard to follow. I think you are using a minipill, is that correct? It has only one hormone, a progestin and if you keep taking it, your period might not come for some time. You could stop and start the combination oral contraceptives now.
Birth control
Its not bad and you can get pregnant. RWV, MD
Outer vagina sores
Its really difficult to tell from this picture what the problem is. Ulcers, sores or blisters are typically associated with genital herpes. However, thats would be just a guess READ MORE
Its really difficult to tell from this picture what the problem is. Ulcers, sores or blisters are typically associated with genital herpes. However, thats would be just a guess from this photo and you should get seen by a gynecologist or womans health nurse practitioner to be sure. Dr. Vera
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.
