Q: At what point in time would I proceed with a work-up for infertility?
A: After one year of unprotected intercourse
Q: What would be the first steps?
- Semen analysis
- Possibly HSG to check tubes
- Possibly labs
Q: What would be some possible treatments?
- Clomid if help is needed with ovulation
- Possibly ovulation detector kits
- Possibly Labs
- Possibly IUI
Insurance benefits vary for infertility-please check with your insurance for coverage prior to appointment.
Q: I haven’t had a period in over a year, what should I do?
A: If you have had spotting or bleeding, call our office to schedule an appointment. The nurse will decide how urgently you need to be seen.
Q: I have been bleeding heavily. What should I do?
A: Heavy bleeding is considered filling a maxi pad in an hour. If this is the case, call the office to talk with a nurse.
Q: I have been bleeding without stopping. What should I do?
A: If you have been bleeding longer than 14 days or are having a period every 21 days or less, call the office to make an appointment.
Q: I missed my period but the pregnancy test is negative. What should I do?
A: Just monitor it, increased stress can cause you to miss a period, but if it happens again during the next cycle, call to speak with a nurse. You may need to change your birth control or schedule an appointment.
Q: What are my birth control options?
A: See Birth Control Method Sheet. (Insert downloadable form labeled “Which birth control method is right for me?” here please)
Q: What happens if I miss a pill?
A: If you miss one pill, take it ASAP and then take your next pill at the normal time, and you must use a back up method for 2 weeks. If you miss 2 pills, take them ASAP and then use back up for the entire package. If you miss more than 2 pills and start bleeding, stop taking the BCP, have your period and then start a new package and use back up for 2 weeks. If you don’t start bleeding, continue the package and use back up for the entire package.
Q: What is the morning after pill?
A: The morning after pill can be used if you have had unprotected sex. It is available over the counter so no prescription is needed. It is most effective when used within the first 12 hours but can be used up to 72 hours after the incident.
Q: I am going on vacation and will be having my period. Is there away to avoid that?
A: Call our office for instructions. It is important that you call as soon as possible so we have enough time to alter your cycle.
Q: I think I might have an infection, but I am not sure if it is a yeast infection, urinary tract infection or something else, how do I know which one I have?
A: Please call the office and speak with a nurse about the symptoms you are having and we will help you decide if you need to come in for evaluation.
Q: Should I get the Gardasil injection?
A: This vaccine is indicated for girls and women 9 through 26 years of age. Gardasil is a series of 3 injections. The first injection can be at anytime after the patient has seen one of the providers who can order the series. The second injection should be given 2 months after the first injection, and the third injection should be given six months after the first injection. It is recommended that the series be completed within a year. The injection can not be given early.
Q: I have problems with constipation, what can I do?
A: You may take the following medications for constipation relief:
-Any over the counter fiber
-Metamucil (powdered drink or flavored wafers)
-Mineral Oil (1/4 cup mineral oil; mix with applesauce; may need to start with every 12 hours and then reduce to daily. Taper off as stools improve)
-Milk of Magnesia
A few you could try to help other then medication would be to avoid bananas, increase your bulk containing foods such as apples with the skin, bran cereal, broccoli, cauliflower, celery, dried peaches, prunes and raw carrots. Also, increase your water intake to 6 glasses per day.
Q: I found a lump in my breast. What should I do?
A: Call our office and we will schedule you an appointment to have it evaluated.