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Doctor Q&A for Dr. William Brown

A 52-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Mirena (levonorgestrel) probably ok: Often at insertion of a mirena, (levonorgestrel) the string is left a little long, knowing that it can easily be trimmed later on. That is preferable to being unable to find the string! bleeding during the first six months after Mirena (levonorgestrel) placement is variable and what you describe is common. There is no harm in having it checked if you are concerned that it could be expelled; an examination would be reassuring.
2 thanks
A 24-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Sono reliable: For dating pregnancy, an ultrasound at the stage you define is a very good time to do so. A fetus that demonstrates cardiac activity and appears to be 11 wks by crl is reliably 11 weeks. That's one reason for doing ultrasound. Abdominal ultrasound of the fetus at this stage does have limited accuracy with regard to fetal anatomy, but dating should be quite reliable.
A 22-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
HPV can be treated: Hpv is so common that 70-80% of young women have or have had hpv. Most of the time it causes no long-term problem and the immune system will get rid of it in most people, as with any virus. There is debate about whether or not it can return, or do you just get a different "strain". If a wart is present, topical application of acid by a doctor or prescription medication for home use can help.
A 32-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Maybe: Some women just have very sensitive breasts, some of them have "fibrocystic breasts". Tenderness can be reduced by less stimulation (sexual, as well as good support while being active, even sleeping in a bra). Reduction in caffeine and chocolate often helps. Use tylenol (acetaminophen) or advil for immediate relief.
A 33-year-old male asked:
Dr. William Brown
Gynecology 44 years experience
OK to watch: If she is continuing to lactate, the previously blocked milk duct was likely the cause of the lump, which resolved as this one should. Sometimes moist heat, with continued feeding on the side of the "milk cyst" should help it to go down. If she develops redness, fever, or increasing tenderness, then infection has to be considered; antibiotics will be indicated.
1 thank
A member asked:
Dr. William Brown
Gynecology 44 years experience
Stopped by now: If coital activity 11 hours ago caused abrasion or laceration of (or around) the clitoris, no significant bleeding should be going on any longer. If so, you should seek medical attention. The area will be painful for 4 - 7 days, but should heal with no long-term consequences. Healing might be more problematic if the bleeding is persistent, signifying a more serious injury.
A 23-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Can't say: Your symptoms could be related (not necessarily), but there is too little information to draw a meaningful conclusion. When was your last period, what kind of contraception do you use, are your periods regular, when in the cycle did these events appear? We need a lot more history to be of any help to you. Sorry.
A 26-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Too early: Symptoms of pregnancy (like breast tenderness) do not occur this soon after conception. Certainly, you could be pregnant and hopefully you are, but you need more confirmation than breast tenderness. If no menses by september 12, especially if your breast tenderness persists, a pregnancy test would be appropriate.
A 23-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Late period ?OK: Taking emergency contraceptive hormones can delay the onset of the subsequent menstrual period by a few days. There is always the possibility that the treatment failed and you might be pregnant. I would not be too concerned yet. Practicing reliable contraception will avoid this kind of anxiety in the future.
A 50-year-old female asked:
Dr. William Brown
Gynecology 44 years experience
Suppress cysts: Ovaries that are functional (between puberty and menopause) all form cysts. Small cysts produce the egg at ovulation and female hormones. Cysts in your ovaries of the size reported can be watched and will likely go away in as short a time as one menstrual cycle. No worry unless you are having a lot of pain. Birth control pills might help suppress cyst formation.
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