Doctor Q&A for Dr. Stephen Pappachen

A 21-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Vaginitis: Assuming that the sex is unprotected, one of the many that can contribute to altering the vaginal flora is the ejaculate. Like with most exposures, t ... Read More
1
1 thank
A 74-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
No (within reason): So many things to address here. I will summarize by saying that risk assessment is key here (e.g. comorbidities present, pregnancy, etc...). Use of ... Read More
1
1 thank
A 24-year-old male asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Unlikely: Given that you were on PEP (presumably Post Exposure Prophylaxis) after the exposure and tasted negative, the risk is low. Nevertheless, there is a r ... Read More
A 24-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
No: There are many possibilities. As the genitourinary structures are undergoing a lot of changes, what you are noticing could be a part of that (e.g. cy ... Read More
1
1 thank
A 19-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Possible: The presentation does seem suspicious for a miscarriage. There is no substitute for a thorough history and physical. exam. It is also helpful to mon ... Read More
A 31-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Unlikely: There are too many barriers here, it seems like. If any more doubts remain, take a pregnancy test for peace of mind.
A 19-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Possible yeast: There are a lot of possibilities here. Symptoms are somewhat suspicious for a yeast infection. As such, an OTC (over the counter) antifungal medicat ... Read More
A 21-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Risky: There is always a risk. It doesn't sound like the risk is great, nevertheless it exists. Keep in mind that, unlike women, from the cradle to the g ... Read More
1
1 thank
A 21-year-old female asked:
Dr. Stephen Pappachen
22 years experience Obstetrics and Gynecology
Repeat in one week: Repeating a urine pregnancy test in one week is reasonable. Blood testing is more accurate than urine testing.
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less