Dr. Joseph Schifilliti

Obstetrics and Gynecology
Scaly Mountain, NC
41 years experience

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Office

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Obstetrics and Gynecology

Languages spoken

English

Doctor Q&A

77 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 38-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Over 24 hours, but..: If more than 24 hours have passed between rupture of membranes and delivery the description of prolonged rupture of the membranes may be used. In such... Read More
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A 37-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Avoid if possible: We know the oral use causes birth defects. The topical appears safer, but seriously, unless the problem you are treating is extreme, i would avoid it.
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A 24-year-old female asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Not mecessarily: What you describe is relatively normal and does not necessarily predict early delivery. I hope you are having routine check ups to assess for blood pr... Read More
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A 20-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Routine : It would be reasonable to be asked about your sexual life and whether you have had the hpv vaccine (which i recommend). There are many women who use b... Read More
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A 30-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
PMS?: Symptoms of pms are similar to what you describe. Those symptoms can be increased especially in the setting of a delayed period. If the pain is too gr... Read More
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A 27-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
No: While it is always difficult to compare symptoms between different persons, anytime i hear a complaint like yours i recommend a medical evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
3 ideas: Could just be an abnormal cycle. Could be an infection. Could you possibly be pregnant? If you are otherwise fine and a home pregnancy test is negativ... Read More
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A 28-year-old male asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Yes, if ...: If you are taking the pills correctly: meaning you are taking a 28 day pack and not missing any pills. In that situation you are using the pills appro... Read More
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A 41-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Probably not but...: It would usually take at least several days for the symptoms of pain and/ or discharge to occur after gonorrhea exposure. However it might be another ... Read More
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A 35-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Ultrasound &/or exam: Ultrasound can determine if there are fibroids, so can a pelvic exam in many cases. A better question is: why is this an issue? Some studies show that... Read More
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A 40-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Great question: One way to look at this is that by limiting excess population growth a developing nation will be able to use limited resources (food, water etc.) more... Read More
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A 33-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
No: There is no reason i know of to attribute a delayed period to a vaginal infection.
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A 23-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Unlikely: Unlikely to get pregnant with the birth control you described. Still, urine pregnancy tests are inexpensive and quite accurate.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Several: 1. Several types of medications including including birth control meds. 2. A medication that increases the clotting and decreases the bleeding. 3. Mir... Read More
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A 38-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Yes: I have heard several physiological explanations. But without trying to explain things I do not fully understand, i will say it occurs commonly.
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A 34-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Possibly: It is possible (i assume you mean the Mirena (levonorgestrel) iud). You should be seen.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Interesting question: It certainly seems common to find that the fetal position is often assumed in order to decrease abdominal pains. I suppose it also offers some degree ... Read More
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A 40-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
What do you think?: Is there a baby involved? If so, he or she would likely want to know their father. If you are not keeping the pregnancy, I am not certain what to tell... Read More
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A 36-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Ask for treatment: There are several options to decrease heavy bleeding. Medical options include birth control pills, but other choices can be reviewed. Depending upon w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Tough one: When i hear this i rarely guess correctly and need to do an exam.
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A 26-year-old female asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Maybe: Pregnancy tests are pretty inexpensive and fairly accurate especially if you've missed a period.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Maybe: Vaginal discharge is typically increased in pregnancy. In addition loss of urine is not unheard of. Finally and most concerning is the possibility tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Many things...: ...Some serious, some not. Breast pain by itself is rarely a sign of breast cancer. Still, i usually recommend an exam and assessment unless the pain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Please see your doc: Your problem is one that is commonly seen. It can occur for many reasons. The assessment can include many approaches. I would want to check a blood co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Here are my thoughts: Placental infarcts, if they occur in an ongoing pregnancy, would lead me to have concern for the well being of the fetus. So addressing the underlying... Read More
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A 36-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Quite a few: 1. Medication to control cycles, of which there are several. 2 .Mirena (levonorgestrel) iud. 3. Endometrial ablation. 4. Possibly a uterine fibroid em... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Not really: Since the egg must be released in order to become pregnant, there would be ovulation. A woman would typically ovulate in the routine fashion about two... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Absolutely: Blood flow increases in general and that increases renal blood flow and gfr.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Possibly: In cases where there is the suspicion of a large baby or a baby with a significantly enlarged head a C-section would allow for less risk and possibly ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
As soon as possible: It is necessary to know at latest by 28 weeks in order to arrange treatment that is typically given at that time if needed. However it is important to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
No and yes: Levonorgestrel and dextronorgestrel are equal components of norgestrol. Levonorgestrel is the active form the dextronorgestrel is inactive as far as t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Doubtful: I would have you checked for a urinary tract infection. Less likely but possible would be a complication of surgery or recurrent cyst.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
See a doc: Warts are typically described as small caulliform bumps, but this description probably doesn't help you. Therefore get seen to determine whether they ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Good question: As i tell my patients, "if you are having a problem with your periods, let's investigate." whether you do don't have fibroids isn't my main concern. R... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Good question: Hpv as you seem to understand, appears to lead to increased oral cancers. If you were to have any symptoms of oral lesions get examined. In the meanti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Yes if it's a 28 day: 28 day packs have the last 7 days which are non hormonal and not needed for birth control or cycle control. They do have some iron which can be good f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Not certain: Not certain what you are asking. But if you are wondering if you could be pregnant then please get tested.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Possibly: Higher doses of Clomid (clomiphene) may help you ovulate, but may not help you get pregnant any sooner due in part to some of the anti-estrogenic effe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Not too much: Well just looking at the cervix is not much worse than a routine exam. Biopsies certainly add some brief pain. Most patients tell me it was uncomforta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Depends: I usually tesy the blood count and TSH (thyroid). Rarely i order more. If a patient has a story of easy bruisability i would check for bleeding disord... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Well...maybe...: I have not actually heard of an antibiotic directly causing a delay of a period. However, presuming that there was a significant infection (which was ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Interesting question: I am not sure what you mean by Premarin (conjugated estrogens) overdose. There are certainly some side effects that may occur with premarin, (conjugat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Some : Breast feeding is estimated to require an extra 300-500 calories a day which is bit more than needed by pregnancy. However you should not limit your i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
I have a few ideas: Sounds like some sort of problem that gets inflamed and then gets better. It could be an underlying mass with or without infection. It might just be a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
It can be difficult: The emotional response to the menopause is varied. There is a good chance your feelings are influenced by the menopause. In any case you should be see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Use as directed: Generally, as long as you limit use to a small amount twice a day and spit it all out i would not have you worry. If you are still worried then use a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Depends: If there is tissue remaining in the uterus a dilation and curettage may be needed. Other than that the mainstay to treatment would be antibiotics of c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
Are you certain?: It is possible that one or both of you have an infection. If she has a vaginal infection it may be making her vaginal tissues more sensitive. And if s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
It depends: An enlarged bladder on a fetal ultrasound may represent different things. Some are rather serious, others not nearly as worrisome. In the best case it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Schifilliti
Obstetrics and Gynecology 41 years experience
No: Daily betadine douching can disrupt the normal vaginal environment. It is not for regular use. If you have a problem that is troublesome you should be... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
235
Thank you notes
Mar 10, 2014
Great answers! Keep up the great service to us all!
HealthTap member
May 17, 2012
He gave me a great answer/ explanation to my question to give me an idea of steps to take next.
HealthTap member
Mar 30, 2015
Dr. Schifilliti is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
The last time i had my pms, it was 4 days late, and it is always 4-5 days and the 5th or 6st day is just spotting. However, this last time was only 3 days with the 3rd day just spotting. Should i sche...Read More
HealthTap member
thank u, i thought maybe a cyst or something but ive never had one before so really just have no idea. dont have insurance tho so jus gotta hope for the best. thank u tho for ur time.
HealthTap member
i wish my ob cared! he doesnt even want to see me but i cant lay down in any position and am in alot of pain

Education & Training

Medical/Graduate school

Harvard Medical School, MA
Graduated 1982MD
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