Dr. Andrew Alexander

Obstetrics and Gynecology 40 years experience

Sugar: Many women crave sweets in pregnancy and have perfectly healthy babies. Does your urine show any glucose? Typically, screening will be done at 28 week... Read More

4.6k viewsReviewed >2 years ago

A 34-year-old member asked:

Itchy vagina and vulva, what to do?

Obstetrics and Gynecology 40 years experience

Itching: You need to see your doctor. It could be a yeast infection or an std.

4.6k viewsReviewed >2 years ago

Dr. David Earle and another doctor agree2 doctors agree

1 comment

A 30-year-old female asked:

Treated for chlamydia, 2 pills azithromycine, 2 weeks of doxycycline, lower right abdomen still in pain after treatment, do i still have it?only symptom i had w/ chlamydia, could the test have been wrong?

Obstetrics and Gynecology 40 years experience

STDs & pelvic pain : Abdominal pain has many causes, and chlamydia has many different manifestations. You received a proper treatment, but that doesn't prove "cure." a va... Read More

4.9k viewsAnswered >2 years ago

A 21-year-old female asked:

How common is not having a menstral cycle for 2 years? and when you finally do the next month isn't like the month before?

Obstetrics and Gynecology 40 years experience

No periods: Not having a period for over 2 years is not normal. It may be the sign of a hormone problem. You should see your ob/gyn and get this checked out. Not ... Read More

4.6k viewsAnswered >2 years ago

A 34-year-old member asked:

Brownish discharge and bleeding between cycles on birth control. what is wrong?

Obstetrics and Gynecology 40 years experience

Bleeding: That kind of bleeding can be very normal. Sometimes the inner lining of the uterus breaks down because it is so thin from being on the pills. Othertim... Read More

4.6k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 36-year-old female asked:

Should i be worried about sudden hcg doubling time slow down from 33hrs to 340hrs after recent bleeding episodes? current hcg @6w=8200, @5.5wk=6500.

Obstetrics and Gynecology 40 years experience

HCG levels: I'm concerned about your levels. Get them repeated and an ultrasound in about a week. Heart tones should be seen by 7 weeks.

4.7k viewsAnswered >2 years ago

A 39-year-old member asked:

When i get an ovarian cyst me stomach swell up why?

Obstetrics and Gynecology 40 years experience

Cyst and swelling: Sometime the cyst may be large enough to put pressure on the bowel to cause swelling. Also, there can be hormonal factors that lead to cyst developmen... Read More

4.7k viewsAnswered >2 years ago

A 37-year-old member asked:

Will an orgasm harm the uterus after a hysteroscopic myomectomy?

Obstetrics and Gynecology 40 years experience

Orgasm: No. It will not damage the uterus.

4.7k viewsReviewed >2 years ago

3 thanks

A 41-year-old member asked:

Is it possible for me to have nomal pregnancy yet i have ovarian cyst?

Obstetrics and Gynecology 40 years experience

Cyst in pregnancy: Yes. Ovarian cysts may resolve in pregnancy. Some will persist. They rarely cause problems. Ultrasound can distinguish between cysts to worry abou... Read More

4.7k viewsAnswered >2 years ago

A 41-year-old member asked:

Endometrial stripe measures of 1.0cm, is it normal?

Obstetrics and Gynecology 40 years experience

Lining.: 1 cm is normal in a menstruating women - i.e. Not menopausal.

4.6k viewsReviewed >2 years ago

A 24-year-old female asked:

I had sex then few hours later i had bleeding and presumed it was my period 6/5/13 then found out i was pregnant. my edd 8/2/14 when did i conceive?

Obstetrics and Gynecology 40 years experience

Conception.: If your edd was by ultrasound, then you would have conceived around november 10th. You should be 8 weeks along with a fetus with an active heartbeat. ... Read More

4.6k viewsAnswered >2 years ago

A 37-year-old member asked:

Could low estrin birth control not make you gain weight?

Obstetrics and Gynecology 40 years experience

Weight: Generally, birth control pills do not cause weight gain. Although, I have had some patients claim it does. However, some patients probably lose a litt... Read More

4.6k viewsAnswered >2 years ago

A 19-year-old female asked:

I am 11 weeks pregnant and i've noticed my bellys gone really really flat, and i'm experiencing extreme cramping but no blood?

Obstetrics and Gynecology 40 years experience

Cramping: I would see your OB for this to see if the pregnancy is progressing normally. This symptoms could signal a miscarriage.

4.7k viewsAnswered >2 years ago

A 27-year-old female asked:

My periods always very regular fo 6-7 days. recent months they have become irregulr n light;lasts only for 2to 3 days. experiencing migraines too?

Obstetrics and Gynecology 40 years experience

Lighter periods: This may be completely normal. Sometimes, the hormone levels change from month to month which may affect the amount of bleeding and cramping. Stress o... Read More

4.7k viewsReviewed >2 years ago

Dr. Clifford Gevirtz agrees1 doctor agrees

2 thanks

A 36-year-old member asked:

Lower abdominal pain as well as strange bleeding in between periods..what do you think this could be?

Obstetrics and Gynecology 40 years experience

Symptoms: You should see an ob/gyn for evaluation. You might have uterine fibroids or polyps. It could also be the sign of endometriosis or ovarian cysts. A... Read More

4.7k viewsAnswered >2 years ago

A 36-year-old member asked:

How to alleviate extreme breast tenderness and swelling during pregnancy?

Obstetrics and Gynecology 40 years experience

Breast tenderness: This is a common symptom of pregnancy. There is no magic solution. You can use tylenol (acetaminophen) or acetominophen ( maximum 1 gram every 6 hour... Read More

4.6k viewsAnswered >2 years ago

A 34-year-old member asked:

I have red itchy, and swollen vagina, what is this and treatment?

Obstetrics and Gynecology 40 years experience

Swelling: You need to see your doctor and get tested. It could be a yeast infection or an std.

4.6k viewsAnswered >2 years ago

A 25-year-old female asked:

Had a tubal ligation on september 6th 2013. have had on and off bleeding since then. pink to brown, heavy to light but non stop.

Obstetrics and Gynecology 40 years experience

Bleeding.: There is nothing about the 'tubal ligation' that would cause irregular bleeding. However, if you stopped any birth control before the procedure you mi... Read More

4.6k viewsAnswered >2 years ago

A 46-year-old female asked:

How accurate is an endometrial biopsy if you had one last year w/a hysteroscopy which was normal and a office biopsy last week same results?

Obstetrics and Gynecology 40 years experience

Hysteroscopy: If you are having it done to rule out hyperplasia, then its a pretty good test - not perfect. However if bleeding were to be abnormal, you'll still ge... Read More

4.6k viewsAnswered >2 years ago

A 42-year-old member asked:

Since my period ended i'm still having abdominal pain and i don't know why?

Obstetrics and Gynecology 40 years experience

Pains: Sometimes this pain may be due to a resolving ovarian cyst. It could also be a sign of endometriosis.

4.7k viewsAnswered >2 years ago

A member asked:

Is pancreatic cancer curable?

Obstetrics and Gynecology 40 years experience

Pancreatic cancer: The stated cure rate hovers around 3%. Those are sad statistics. The majority of those 3% had small tumors located near the "head" of the pancreas. Th... Read More

4.9k viewsReviewed >2 years agoMerged

Dr. Mark Hoepfner agrees1 doctor agrees

A 31-year-old member asked:

Can an ovarian cyst make you get negative pregnancy test?

Obstetrics and Gynecology 40 years experience

Pregnancy test: No. A cyst will not cause a false positive pregnancy test.

4.7k viewsReviewed >2 years ago

Dr. Pamela Pappas agrees1 doctor agrees

A 31-year-old male asked:

My tsh is 4.30 uiu/dl. free t3 (liothyronine) 4.28 pg. free t4 1.36 ng. t3 (liothyronine) 186 ng/dl. t4 9.17ug/ dl. do i have subclinical hypothrodism?

Obstetrics and Gynecology 40 years experience

Hypothyroidism: Maybe. You have enough circulating thyroid now, but your pituitary is working a bit harder than average to allow your level of production to stay norm... Read More

4.9k viewsAnswered >2 years ago

A 26-year-old male asked:

Can you exercise so hard that you go over your max heart rate? if so, is it dangerous?

Obstetrics and Gynecology 40 years experience

Exercise and pulse: Young people can easily exceed the recommended pulse rate of (220-age) x 0.7. First off, it's an artificial, but fair estimate for the average person ... Read More

4.9k viewsAnswered >2 years ago

A 25-year-old female asked:

Okay so i've stopped spotting pink completely and im 9 days late now. what could it be? my two pregnancys i've had all my tests came out negative.

Obstetrics and Gynecology 40 years experience

Spotting: If you are not on any birth control it may be due to a fluctuation in your body's hormones. Often times this can be due to stress and be of no consequ... Read More

4.6k viewsAnswered >2 years ago

A 20-year-old female asked:

Aftr 3 days of mised period, i had a blood test 4 pregnant and it came negative.stil i can't believ.what could b the cause 4 my abdominal pain + misd period?

Obstetrics and Gynecology 40 years experience

Pain: You may have an ovarian cyst which forms after ovulation. It can be quite painful. Most of time these spontaneously resolve, but the pain can be quite... Read More

4.6k viewsReviewed >2 years ago

Dr. Pamela Pappas agrees1 doctor agrees

3 thanks

A 42-year-old member asked:

Can you tell me if gonorrhea and chylamidia have the same symptoms?

Obstetrics and Gynecology 40 years experience

STDs: Both gonorrhea and chlamydia can cause discharge, irritation, and odor. You should have an std test if you are concerned. If left untreated, these inf... Read More

4.6k viewsReviewed >2 years ago

A 45-year-old member asked:

After my hysteroscopy will i still be able to get pregnant?

Obstetrics and Gynecology 40 years experience

Hysteroscopy: It is difficult to answer this without knowing the details of the procedure. If it was just a diagnostic procedure to make sure everything was alright... Read More

4.7k viewsAnswered >2 years ago

1 comment

4 thanks

A 42-year-old member asked:

Will an orgasm damage the uterus after a hysteroscopy myomectomy?

Obstetrics and Gynecology 40 years experience

Orgasm: No. You need to worry about damaging your uterus.

4.7k viewsAnswered >2 years ago

A female asked:

I recently had unprotected sex on dec.16 and after 2 or 3 days i noticed little bleeding on my underwear. i also noticed more amount of blood when i wiped the first time. is this implantation bleeding?

Obstetrics and Gynecology 40 years experience

Bleeding: It may just be bleeding from your cervix which can happen after sex. Sometime, bleeding can be due to an infection. Bleeding can also be normal in ear... Read More

4.7k viewsAnswered >2 years ago

A 27-year-old female asked:

Sudden pain in my lower back. i didn't lift or carry any heavy things recently. finished my period 3 days ago. what could be the reason? it's painful!

Obstetrics and Gynecology 40 years experience

Back pain: Its hard to tell from just this information. It could be due to a cyst left. It could also just be a pulled muscle. If it's severe, get it checked o... Read More

4.7k viewsAnswered >2 years ago

A 34-year-old member asked:

Possible reasons for a 45day menstrual cycle ?

Obstetrics and Gynecology 40 years experience

Long cycle: Stress, hormone irregularities, or an early miscarriage could all be reasons. You're a little young for perimenopause. Keep track of your cycles and s... Read More

4.6k viewsAnswered >2 years ago

2 thanks

A 16-year-old female asked:

I've always had a transparent-white like kind of fluid coming out of my vagina but lately it looks really yellowish and thick, why is that happening?

Obstetrics and Gynecology 40 years experience

Discharge: Its probably just mucus which is nothing to worry about. If you have itching, burning, or concerned about stds, get it checked out.

4.6k viewsAnswered >2 years ago

A 27-year-old female asked:

8 weeks pregnant and found that it is miscarriage.only gestation sac is found today bleeding started. should go for d and c or inser tablet in vagina

Obstetrics and Gynecology 40 years experience

Miscarriage: The advantage of a d and c is that it can be done quickly and you know when it is going to happen. Misoprostol or Cytotec (misoprostol) is usually eff... Read More

4.7k viewsReviewed >2 years ago

Dr. Jeff Livingston agrees1 doctor agrees

2 thanks

A 43-year-old member asked:

I have a breast infection and had drainage and breast incision done today, what to do?

Obstetrics and Gynecology 40 years experience

Breast infection: Follow the doctors instructions. Complete antibiotic therapy if given. Change dressings as recommended. Keep any follow up appointments. See what the ... Read More

4.6k viewsReviewed >2 years ago

Dr. Wayne Ingram agrees1 doctor agrees

5 thanks

A 32-year-old male asked:

My wife has 6 cm chocolate cyst in left ovary does she should get pregnant?

Obstetrics and Gynecology 40 years experience

Cyst: If she is having pain, i would recommend she have a laparoscopy and have the cyst removed. Painful cysts like this are usually caused by endometriosis... Read More

4.7k viewsAnswered >2 years ago

A 20-year-old female asked:

I have pain during intercourse and i feel these same pains when i cough or sneeze. its a deep sharp pain.

Obstetrics and Gynecology 40 years experience

Pain. : This pain might be due to adhesions or endometriosis. If it is severe, see your doctor. The only way to know for sure is to do a laparoscopy.

4.6k viewsAnswered >2 years ago

A 34-year-old member asked:

I have a 5cm ovarian cyst with a trace of free fluid, how can i treat it?

Obstetrics and Gynecology 40 years experience

Cyst: The cyst may resolve by itself with no particular intervention. I would recommend a follow up ultrasound in 1 - 2 months. Sometimes they will resolve ... Read More

4.7k viewsReviewed >2 years ago

Dr. Geoffrey Rutledge agrees1 doctor agrees

A 45-year-old member asked:

How to treat my itchy vagina?

Obstetrics and Gynecology 40 years experience

Itching: You need to see your doctor and get tested. It could be a yeast infection or an std.

4.6k viewsReviewed >2 years ago

Dr. Mark Hoepfner agrees1 doctor agrees

A 41-year-old female asked:

Missed period. bhcg is below 1. is it possible that i am pregnant? can my bhcg rise after 72hrs?

Obstetrics and Gynecology 40 years experience

HCG: A level less than 1 is negative. You are not pregnant. If you are concerned, a repeat test in 72 hrs could be obtained, but it will almost probably ne... Read More

4.7k viewsReviewed >2 years ago

Dr. Natalie Hodge agrees1 doctor agrees

A 20-year-old female asked:

How long after stopping bc will my cycle regulate? stopped bc late october. had last period nov 24th. none this month yet. cause for concern?

Obstetrics and Gynecology 40 years experience

Cycle: I wouldn't worry at this point. It may take several months to determine what your new cycle will be like off birth control pills. Continue to monitor ... Read More

4.7k viewsAnswered >2 years ago

A 19-year-old female asked:

Having crusty white discharge in underwear happens only when i laugh get excited use restroom. vag & anal irritation/soreness. no strange odor. virgin?

Obstetrics and Gynecology 40 years experience

Discharge: It is likely normal vaginal discharge. If concerned, you should see your ob/gyn to be evaluated for a yeast infection.

4.7k viewsReviewed >2 years ago

Dr. Roy Arnold agrees1 doctor agrees

A 31-year-old female asked:

I got my period last dec.5, and now i'm having this blood streaks on my panty.this just started when me and my husband do sex 3 days ago.

Obstetrics and Gynecology 40 years experience

Spotting: Probably the bleeding is from the tip of the cervix getting bumped. It is probably nothing to worry about.

4.7k viewsAnswered >2 years ago

A 23-year-old female asked:

Should i keep taking my birth control if i start bleeding in the middle of my cycle?

Obstetrics and Gynecology 40 years experience

Bleeding: Yes. Keep taking your pills daily. Do not stop if you are bleeding in the middle of a pack. If you stop, your bleeding will probably get worse and you... Read More

4.6k viewsReviewed >2 years ago

4 thanks

A 25-year-old female asked:

Im 31 weeks. i got dizzy twice today i feel real sleepy itchy and im a bit sweaty.

Obstetrics and Gynecology 40 years experience

Dizzy: These all sound like normal symptoms at this point in pregnancy. Drink lots of water and try not to stand in any one position for a long time. Eat fre... Read More

4.6k viewsAnswered >2 years ago

A 31-year-old member asked:

Safe to get pregnant with ovarian cyst?

Obstetrics and Gynecology 40 years experience

Cyst in pregnancy: Yes it is safe to get pregnant with an ovarian cyst. Generally, they shrink in pregnancy. Some will persist. Ultrasound will help distinguish cysts ... Read More

4.7k viewsAnswered >2 years ago

A 19-year-old female asked:

Much much less blood for period on minastrin 24 fe than loestrin 24 fe (blood was brown and came 2 days into placebos) but still bad cramps. period?

Obstetrics and Gynecology 40 years experience

Bleeding: Each pack of birth control pills is inducing a period. Generic birth control pills are effective, but the levels can differ slightly from the brand a... Read More

4.7k viewsAnswered >2 years ago