Dr. Robert W. Vera M.D.
OB-GYN (Obstetrician-Gynecologist)
8061 Alameda Ave El Paso Texas, 79915About
Dr. Robert Vera is an obstetrician-gynecologist practicing in El Paso, TX. Dr. Vera specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Vera can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Vera can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
Education and Training
University of Texas Southwestern Medical Center Southwestern Medical School 1981
Board Certification
Obstetrics and GynecologyAmerican Board of Obstetrics and GynecologyABOG
Provider Details
Dr. Robert W. Vera M.D.'s Expert Contributions
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, 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. READ MORE
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 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. READ MORE
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, 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. READ MORE
Pregnancy?
Not likely, but possible. Sperm swim. READ MORE
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 get sick too. Other diagnosis could be gastritis or gall bladder disease. READ MORE
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 position of the placenta. Dr. V. READ MORE
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, however. Dr. V READ MORE
I had unprotected sex on third day of my period. Are there any chances of getting? Help
Not likely if your periods are regular. READ MORE
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 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. READ MORE
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 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. READ MORE
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% 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. READ MORE
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 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. READ MORE
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 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. READ MORE
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 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. READ MORE
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 are still good that you have protection. You will not "damage'' your fertility by taking plan b. Dr. Robert W. Vera READ MORE
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 live a few more hours than is normal for them to live? READ MORE
How much folic acid should I take while trying to conceive?
https://www.cdc.gov/ncbddd/folicacid/about.html This link should answer your question. Dr. V READ MORE
Menstruation?
This is a common problem. Menstrual problems like the one described is usually diagnosed as dysfunctional uterine bleeding and the cause is usually anovulaton. To be brief, the timing mechanism for regular timely periods is ovulation. If there is no or irregular ovulation, the periods are irregular, light, or sometimes very heavy. Anovulation has various causes and the patient would need an exam and laboratory work up in order to find a cause. Anovulation, if left untreated for months to years, can be dangerous as it can stimulate abnormal cell growth in the uterus and this could lead to precancerous or cancerous changes. READ MORE
What could be going on?
There is not enough information to make a diagnosis. Likely causes: 1. Anovulation...a common hormonal aberration that causes the ovary not to ovulate, thus preventing normal menstrual cycles. 2. Complications from the tubal ligation...causing adhesive disease that may cause sticking or binding of the intestines causing cramps and pain. 3. Pain and cramps could be caused by pelvic infection. Again, there could be other explanations, but there is not enough information here to make a diagnosis. READ MORE
Pregnancy?
I do not have the statistics at hand, but a number of pregnancies start out as twins and only one survives to term. A twin may be “absorbed” by the mother’s body very early in the first 3 months of pregnancy. This situation is not uncommon. Genetic abnormalities occur more frequently in twins and this may be one reason why one twin does not go on to survive. There may be other reasons. This can be followed by ultrasounds to give you more information. READ MORE
Treatments
- Urinary Incontinence
- Vaginal Prolapse
- Pain
- Interstitial Cystitis
- Stress Incontinence
- Urinary Tract Infection (uti)
- Uterine Prolapse
Professional Society Memberships
- American Congress of Obstetricians and Gynecologists, Texas Medical Association, El Paso County Medical Society,
Articles and Publications
- El Paso City Beat article
What do you attribute your success to?
- Great parents and amazing mentor along the way.
Hobbies / Sports
- History Buff- Spanish Influence in America
Favorite professional publications
- American College of Obstetricians and Gynecologists- Green and Grey Journal
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