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Dr. Juan Richiusa

Obstetrics and Gynecology
Fort Myers , FL
20 years experience male

Locations

Family Health center SW Fl

Fort Myers , FL

Address

Fort Myers , FL
Directions

Practice website

About

Bio

OB/Gyn

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

Doctor Q&A

131 Answers
15 Agrees
The number of answers this doctor has agreed with.
A 48-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Maybe: Sometimes disproportion between partners can cause problems like lacerations and dyspareunia. There has been cases of perforation. It is very importan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Discharge: Usually you have frothy white discharge with a fishy smell. Sometime you might see some abnormal spotting.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Exposure: Bacteria that is recurrently exposed to same antibiotic tend to become resistant.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
No: If that is your real menstruation is almost impossible to get pregnant. However is this bleeding is not really to your menses, it could be implantatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Maybe: Your fertility is caught by half since you only have one ovary.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
EFFECTIVE: Most of the emergency contraception are very effective within the first 72 hrs. After unprotected intercourse.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Uti can ascend to the kidney and create pyelonephritis. Complications of kidney infections can be very serious. Pregnancy is known for asymptomatic ba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Probably nOthing: In europe is approve for 7 yrs. Fda approved it for 5. So in conclusion might be safe to leave it in.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Symptoms: Symptoms are: pelvic pain, cramping, vaginal bleeding. You add decreasing HCG levels and you can make a diagnosis. Sometimes a ultrasound may be nece... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Inflammation: Copper iud acts as a foreign object i the uterus thus causing inflammation. This response can cause more bleeding during your periods.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Like the depot Provera (medroxyprogesterone) your cycle can be very unpredictable. You may have amenorrhea, abnormal bleeding or regular cycles.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Anytime: Fibroids can be removed at any time. However is not indicated to removed fibroids at the time of delivery because the increase blood supple to the ute... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
No really: Estrace (estradiol) is the generic form of estrogen replacement. Most of this product are made up of a number of different estrogen, and brand anne a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
By ultrasound : Depends on the us tech. Nevertheless sex differentiation can be seen from 16 wks on.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Best time: The best time during your cycle that assures you that you are not going to get pregnant is during your period.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
NO: You shouldn't ask for that. You should see your dr. And find out why are you having breakthrough bleeding, it might be as simple as changing to a diff... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
No: You should contact your pediatrician. It could be that is no fully healed and it should be check.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Normal : Sometimes vaginal discharge before or after your period is hormonally related. Decrease or increase of hormones may change the vaginal environment and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Maybe: You should check with your dr. Bleeding and cramping could be signs of miscarriage.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Bacteria : These happens when the balance in normal bacteria is disrupted. Decrease in lactobacilli which produces hydrogen peroxide which helps kills other bact... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
None: Theme parks have attractions that have very jerky movements. Specially those like rollers coaster. Exposing you to this types of movements puts at ris... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Normal: Normal vaginal ph is about 4.5.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
A lot: First few month your body is adjusting to all the physiologic changes of pregnancy. The most common are nausea and vomiting and being tired all the ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Zyrtec (cetirizine) otc for seasonal allergies. Delsym syrup is safe for pregancy and can help for the common cold.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Vaginal ultrasound how no specific instructions.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Low fluid is something of concern. There is risks of growth retardation, fetal compromise due to cord compression. It could do to fetal anomalies. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Supplemendeficiency: Try to adjust your positioning by putting a pillow in between your legs. In addition try taking a calcium and magnesium supplement.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Large: Fibroids can reach enormous sizes (search guinness world record book). Some women feel they are getting fat. Depending on where they are located they ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
A lot : Some of the stis men are asymptomatic. For example hpv most men are asymptomatic, unless you can see a genital wart. Most men can be asymptomatic with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Other: Calcium medications can cause constipation. You should trying a histamine blocker like (zantac (ranitidine) or pepcid). If this doesn't work you shou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: This is most likely normal unless there is more than 10 days of difference between periods.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Recurrence or mets: You should check with your oncologist for possibility of lymph node metastasis.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Treatment: Usually is nothing. Might be a lack of physiologic lubrication after treatment. This should resolve on its own.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes : All the azole creams are safe during and are the preferred method of treatment during pregnancy. However always consult with your ob/gyn before treat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Be careful: Most pregnant are already immune to cmv. However you can get infection with another serotype of the virus. So if you have the common symptoms go see y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
No: Could be that ovary was behind another structure or you ovulated a corpus luteum showed up on the mri. Wait 2-3 cycle and have us repeated during you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Unknown: What is important is the pattern of contractions. Contractions every 2-3 mins that last more than 1 min for more than 1 hr. Could be a pattern that pu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Prolapse: Dome types of bladder prolapse get the urethra kinked. That's why you insert your fingers the reduce the defect and straighten the urethra for appropr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Costichondritis: This could be inflammation of the joints between the ribs and sternum, this is called costichondritis. Usuall nsaids help with the pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Many causes: Headaches have many etiologies. If the pt had any type of regional anesthesia (spinal/epidural) there could be leakage of CSF due persistent hole in d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Check classification: Everybody can verified. Any medication that is class b is proven to be safe for pregnancy. If you have any concerns ask your dr. Before taking any med... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes : If your breast feeding skin bacteria can cause infection.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Hydrate: Dizziness can lead to a lot of things. Make sure you keep well hydrated. Make sure you tell your dr of any changes. This could be due to a drop on you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Specialist: There is actually sport medicine specialist. They are from different branches either family medicine, orthopedics or pmr, but they can all address yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
NOT: This drug does not work for menstrual cramps. This is use for patient with menorrhagia. It could be use for the first days of your period and decreas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Nipple stimulation causes release of oxytocin and thus milk production.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Fetal infection: Screening is necessary because some of these infections can be transmitted to the fetus and can cause serious complications. At the same time, transmi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: You don't need to have actual intercourse. Exchamge of bodily fluids by foreplay is enough for transmission.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Yes: Hpv is sexually transmitted and you can get by contact with an infected person it may reflect as genital warts or abnormal vginal pap smear.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Juan Richiusa
Obstetrics and Gynecology 20 years experience
Glucose control: During pregnancy mothers have a physiologic adjustment and become Insulin resistant. This is for fetal exchange of nutrients.
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
296
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Richiusa is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Richiusa is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank u so much fo ur help, yet i couldnt get it :( if the first day of my period is day 1 and my peiod lasts 6 then i never have safeperiod
HealthTap member
My wife has this problem I love her so much, bur she dislikes foreplay and sex. We been married for 7 years now and matters are just geworse
HealthTap member
Thank you, your answer was very helpful! I have been told by many drs that u can have a false neg but not F neg

Education & Training

Medical/Graduate school

Ponce School of Medicine, PR
Graduated 2003MD

Awards

Top Obstetrician and Gynecologist, First Place, the Fort Myers Region - Spring
2017
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