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Dr. John Sand

Obstetrics and Gynecology
Ellensburg, WA
46 years experience male

Locations

Office

Ellensburg, WA

Address

611 S Chestnut St Ste B, Ellensburg, WA
Directions

Insurances accepted

Aetna

BlueCross BlueShield

UnitedHealthcare

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

63 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 31-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
No easy answer: It depends how long these cramps have been a problem. If the are of recent onset, and they are accompanied by a new discharge and pain with sex, an... Read More
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yes: Menses can be suppressed due to low body weight from athletics or anorexia. When weight increase ovulation and fertility are restored. Use contracepti... Read More
A 32-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Too early.: Ultrasound will often not be able to see a pregnancy at 5 weeks. Assuming no worrisome symptoms or signs, you should wait until a routine dating ultra... Read More
A 27-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
It's "OK": Menstrual patterns vary greatly. It is normal to have variable flow throughout your menses.
A 19-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Urachus maybe: The urachus, is a remnant from embryologic development forms a cord in the peritoneum (lining of the abdominal cavity) that runs up the middle of t... Read More
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yes: There is no way to figure out if you are pregnant or not except to get a test. They are readily available and inexpensive. Don't torture yourself wi... Read More
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Not likely: Sex right after a normal period using a condom is unlikely to result in pregnancy. 10 to 14 days after the "stand" you can know by getting a pregna... Read More
A 28-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Wait.: A very early pregnancy failure is best left alone. You body will take care of it with little more than a little more bleeding and cramping with your ... Read More
A 27-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
A mistake.: It is unusual to lose weight late in pregnancy. The most likely cause is a mistake during "weigh in". If not, then you should talk to your doctor abou... Read More
A female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Not likely: In general it is best to double your pills the next day, when you skip a pill, but ovulation will probably still be suppressed. Check a pregnancy tes... Read More
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Emotional trauma: If the abortions were all early, there is little evidence that even 3 abortions would harm you except for the possibility of premature delivery with s... Read More
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Stop bad habits.: Making a doctors appointment is important to get proper counseling, laboratory tests, and vaccinations. Of course you should stop any tobacco, alc... Read More
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Get a pregnancy test: A classic reason for a short menses is pregnancy, but there is often variation between cycles. Drinking a lot of alcohol is never a good idea, especi... Read More
A 35-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Maybe: You could be having mid-cycle spotting related to ovulation. It is normal to have some spotting a day or two after an hsg.
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Maybe : The first thing to try is a sports bra, and good posture. Many women with large breasts slouch to hide their breast. This, and not the breast weight... Read More
A 23-year-old member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
No: Common signs are: clear crystalline stringy cervical mucous, and some women actually have a painful sensation or "mittelschmerz" when they ovulate. ... Read More
A 29-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Mid-cycle: Women ovulate two weeks before their nest period; thus for a 28 day cycle - day 14, for a 30 day cycle day 16 etc. The fertile period is one and tw... Read More
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Light menses: An unusually light menses can occur with an early pregnancy, so be sure to get a pregnancy test.
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Not ovulating. : Despite the cyclic symptoms, you probably are not ovulating. This is usually due to stress, or rapid weight change, or more rarely to a prolactin se... Read More
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Light menses: An unusually light menses can occur with an early pregnancy, so be sure to get a pregnancy test.
A 39-year-old member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
It can.: Birth control pills generally are designed to allow a period every 28 days. When there is spotting or unscheduled bleeding your doctor may change... Read More
A 31-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Stop OC's, Go to ER: Don't wait for potentially serious symptoms like sudden numbness to see a doctor.
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Get a pregnancy test: Patients often falsely assume they could not be pregnant if the are on contraceptive pills , using an iud, or have had a tubal ligation. Get a pregn... Read More
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Get a pregnancy test: Some women will spot occasionally at mid-cycle associated with ovulation. It is always a good idea to get a pregnancy test to make sure you are not p... Read More
A female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yes: For the first month or so of birth control pills your body is still adjusting to the pill cycle; you may bleeding or spot irregularly during this ti... Read More
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Sure. : I depends what you are taking it for, but for bacterial vaginosis, that is a fishy smelling heavy vaginal discharge, there should be no problem.
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Not likely.: Some patients can experience all the symptoms you listed but usually are gone by 4 or 5 months after stopping the drug. Small women are more suscepti... Read More
A 20-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
It is the depo: Bleeding often becomes irregular an prolonged on depo-provera due to thinning of the uterine lining. It might be a good idea to start oral contracepti... Read More
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yes: Pregnancy tests are sensitive enough to diagnose pregnancy as soon as the missed menses, that is two weeks after conception.
A 28-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Not likely: Endometriosis is a chronic condition, causing painful menses usually from the onset of menstruation and sometimes chronic pain and pain with sex. Is... Read More
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yep: Depo is not effective 3 mo's after it is stopped.
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Benign change: This not a cancer or pre-cancer but a benign, that is inconsequential finding.
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Unlikely: Small cysts are not a problem. Birth control pills should work just fine.
A member asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yeast or HSV: Some yeast infections can be very irritating. The irritation can be made worse by scratching, using nylon underwear, irritating and irritating soaps,... Read More
A 49-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
No!: Topical corticosteroids inhibit cellular immunity, just exactly the wrong thing for yeast, because it thereby promotes yeast growth, even though its a... Read More
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Can be.: Menstrual fluid consistency can vary, and of course can be mixed with the discharge from the vaginal canal. If you think you could be pregnant get a... Read More
A 22-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Very different.: Withdrawal bleeding refers to bleeding after withdrawal of hormones, like the end of a oral contraceptive cycle. Implantation bleeding refers to... Read More
A 29-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Probably not: Incisional pain is common for a couple of months after a c-section. As long as there is no bulge that comes and goes suggesting a wound hernia, or s... Read More
A 34-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Tamiflu (oseltamivir): First make sure it is influenza and not just a "cold" by seeing your doctor. Tamiflu (oseltamivir) is effective if taken early, and can be taken pro... Read More
A 28-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
A little.: Most women who have have normal deliveries of healthy babies can remember having some spotting early in pregnancy. On the other hand it can be the fi... Read More
A 41-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Common.: Menstrual cycle length can vary a few days.
A 26-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Mid-cycle spotting: Some women will "spot" at mid-cycle in response to the estrogen spike associated with ovulation.
A 27-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Unlikely: Complications usually occur within the first few days after amniocentesis.
A 45-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Repair: Anything can poke through a defect in the abdominal wall or "herniate", like omentum intestine, or even an ovary. The treatment is to remove the her... Read More
A 27-year-old male asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
"A balanced diet": As it turns out, the embryo can get everything it needs very easily even if the mother's diet is poor. In general plenty of milk, protein in the for... Read More
A 42-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Just wait.: 50% of women have at least one small fibroid. At menopause, they usually shrink by themselves so wait. Even if you are having symptoms, like pain, h... Read More
A female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Depends on CA125: Ca 125 is a sensitive marker for recurrence and if it is within normal limits cat scan may not be needed. Your gyn oncologist is the best judge of ... Read More
A 18-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Test and see.: Pregnancy tests are accurate at the time of missed menses. Implantation bleeding will typically lead to a light short "period" which you can confirm b... Read More
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Keep 'em in.: Twins deliver at 36 to 37 weeks, and triplets can deliver much earlier and suffer that much more from early delivery. Hopefully you have at least a... Read More
A 21-year-old female asked:
Dr. John Sand
Obstetrics and Gynecology 46 years experience
Yes: An early twin failure is not uncommon especially since you are at higher risk for fraternal twins.

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

4
Recommendations
117
Thank you notes
HealthTap member
Dec 16, 2012
Very thorough exam and evaluation the very first time I presented with my concern, including biopsy and ultrasound without having to schedule them at another time.
HealthTap member
Mar 30, 2015
Dr. Sand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Sand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
is this bad ,normal or what..and i took a pregnancy test and it came out positive m confused
HealthTap member
This was very helpful. Thanks! Thank you so much. I was frightened.
HealthTap member
Thank you so much! I just wanted to be sure everything was okay. :)

Education & Training

Medical/Graduate school

University of California, Davis School of Medicine
Graduated 1976MD

Residency

University of New Mexico Hospital

Awards

Top Doctor, First Place, the Yakima Region - Spring
2017
Top Obstetrician and Gynecologist, First Place, Washington - Spring
2017

Affiliations

American Congress of Obstetricians and Gynecologists
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