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Related to pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Is there a gynecologist available in the evening?
Doctor :   Hi
Doctor :   How can I help you ?
User :   Hi Doctor,
User :   I am Anish and I have a question regarding contraceptives..can you help?
Doctor :   I am A General Physician but can also help you in Gynecology
Doctor :   Yes please go ahead
User :   Usually we use a condom as a means of protection against unwanted pregnancy...but last night it what should be done now?
Doctor :   Ok.
Doctor :   May I ask you a few questions to help and advise you better ?
User :   yes please go ahead.
Doctor :   You might have heard about the safe period, In the Menstrual cycle , if last night falls under that , you are completely safe from an unwanted pregnancy
Doctor :   May I know when was your wife's last period ?
User :   she is scheduled to have her next period in about 2 weeks time
Doctor :   Could you let me know the exact dates please if possible ?
User :   but her cycles do not have follow a perfect monthly period..they usually get delayed by a few days
User :   just give a couple of mins..i will ask her that right now
Doctor :   Ok, That is the reason I have been asking oyu for the LMP?
User :   Sorry I dont understand LMP..
Doctor :   Last Menstrual Period .
User :   ok...
User :   just confirmed it from her it was on 18th of February
Doctor :   Ok.
Doctor :   you are in the safe period as it was on 3/4 th March the ovulation would have happened .
Doctor :   And the egg remains alive for only one day/24 hrs, though the sperms can stay alive for 48 hrs.
User :   But my wifes periods are not regular in narture so is there any chance that the ovulation date may not be absolutely correct?
Doctor :   So I would say if you have had a un protected intercourse yesterday, i.e.9th March, there is a very remote chance , however irregular they are, as it is usually between 11 days and 19 days.Usaually 16th day from LMP is max.
User :   ok...understood....but could you please tell me what should we do if such a thing happens on a day when its not risky are the emergency contraceptive pills that get advertised on TV etc.?
Doctor :   If you still suspect lets wait till 20th March as it is the usual date of next menstrual cycle , if it does not start then you can take the following steps : User :   Some people say that they have serious side effects that can cause issues in later it true?
User :   soory..just cutt you off..please go ahead..
Doctor :   1.Urine strip test by Cipla - PREG TEST on 21st March early morning mid stream urine .
Doctor :   2.Urine strip test by Cipla - PREG TEST on 23rd March early morning mid stream urine .
Doctor :   3. If both are neg. then you are neg. for preg.
Doctor :   4. If at least one is positive get a blood test done foe S.HCG and it is confirmatory whether neg. or positive
User :   understood....but what if they are positive? We are not ready for a kid now.
Doctor :   Do not go for Unwanted 72 , or other commercial brands as their use on multiple ocassions can derail the hormonal system for any future plans for pregnancy and may ruin her periods and make them more untimely.
User :   ok....then is abortion the only safe way to go if there is unprotected sex?
Doctor :   5. If it tests positive, you have to A. Visit a Gynec. B. Get a medication of mifeprestone-misoprostol combination from her C. After one week of taking the medication , need to visit back for an USG Scan to rule out Incomplte abortions.
User :   what does "mifeprestone-misoprostol" do?
Doctor :   Usuallly U-72 is for people who are frightened to go to a gynecologist and are prepared for short cuts , In your case I would suggest a proper gynec. follow up and a medical abortion with a medication.
User :   ok...thanks a lot for your help and advice doctor.
Doctor :   "mifeprestone-misoprostol" is the same medication in most abortion pills , but proper dosage and follow up by a gynec will not cause long term adverse affects . It is used for Medical Abortion. And till 12 weeks it is safely doen through medication.
Doctor :   Thank you for consulting me. Dont worry , just wait till 20 th march and follow the steps that I advised you.
Doctor :   Take care, Bye for now.
User :   Is it going to be painful for my wife to have this abortion through medication?
User :   sorry just put in the last question...
Doctor :   Not at all.
Doctor :   It is very easy.
User :   Thanks alot doctor
User :   have a nice day.. bye bye
Doctor :   It is not D&C, It is just some prescription pills
Doctor :   bye.
Doctor :   Anything else ?
User :   No doctor, you have been very helpful..thanks a ton
Doctor :   tk cr
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