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Intermed
Portland , ME
About
SpecialtiesDoctors 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.
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
61 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 28-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Condyloma: It could be a condylomatous (wart) lesion. It should be looked at by a physician-especially if it is new, or changed.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Likely 4cm: If i had to guess, would guess that it is 4 cm-not uncommon to find cysts during pregnancy and if you have no symptoms, it will likely be followed thr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Hot flashes: Hot flashes and sleep disturbances will likely be unmistakable. You are not likely to miss the signs, even without the signs of bleeding irregulariti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Estrogen status?: This will usually cause a withdrawal bleed if there is adequate estrogen. Difficult to explain without knowing more. For example, have you had menst... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Contractions : Periodic contractions can be normal. Your abdomen might feel hard for a minute or two and then soften. If you have pain or persistent contractions, y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes: Yes. Ovulation can be several days earlier or later, and fertilization is +/- several days, repeat if menses delayed, absent.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Not likely: Her next menses could be delayed after an abortion. She she monitor her cycle for the next month or so and contact her physician if she has concernin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes: Would likely help a great deal.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Not likely: Pcos is not often complicated by ruptured ovarian cysts. If you have acute abdominal pain, nausea, lightheadedness etc, seek medical attention.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Often normal: It is often normal not to conceive the first couple months. In fact, only 50% of couples are pregnant after 6 months of trying. If you have attempt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Unclear to me: On oral contraceptives your ovaries should be suppressed, thus ovulation is suppressed. You should not be releasing oocytes (eggs).
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes, it is normal. : Estrogen levels drop just prior to your menses. Estrogen levels are also low during your menses. This is likely why one experiences hot flashes, simi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consult a physician: Or healthcare provider. Even if your cycles are regular, it is recommended that you seek an evaluation, as it has been more than 12 months of attempt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes: Could be perfectly normal. Monitor for your normal cycles to resume.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes: Yes. An ovarian cyst should not interfere or complicate this treatment.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Not likely: Monitor your next few cycles. There can be some normal variation in the duration, amount and interval of the bleeding. Call your healthcare provider ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consider a change: You are on a Progesterone only pill. If Estrogens are not contraindicated (some contraindications: hypertension, migraines, family history of clot/st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Usually 26-28 wks: Rhogam typically offers about 6 weeks of coverage and it is generally recommended for rh negative women for "antepartum prophylaxis" at 26-28 weeks. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Range: Count the first day of bleeding as day#1 (convention). Ovulation normally happens between days #12-16, or mid cycle (of a normal 28-30day cycle). Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Spotting: Likely spotting outside of your regular cycle. Can occur with variations in ovulation, with oral contraception and with some infections. Monitor for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Question: Why "pull out method" if you are trying to conceive? A pregnancy test will be accurate after fourteen days from ovulation, if not slightly sooner, dep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Physical therapy: Kegel exercises, physical therapy and biofeedback can be beneficial.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Variation: This could be normal variation. Monitor the next few cycles and call your healthcare provider if still concerned.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Not usually: Most women do not notice an increase in appetite with oral contraceptives. Moreover, weight gain or loss with oral contraceptives is typically 1-3 lb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 47-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consult provider: Some bleeding can be normal. Discontinuing use depends on the risks, benefits of use, in your particular circumstances. If abnormal bleeding continu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 47-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consult provider: Some bleeding can occur, especially when starting this type of therapy. Discontinuation will depend on relative risks and benefits in your specific ci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Midcycle: Count the first day of bleeding as day #1. Ovulation usually occurs between days 12-16 (day #14 if you have a 28 day cycle). These are the most fert... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
It can be: It could be a normal discharge, especially if you have no itching or irritation.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consult provider: There could be a number of reasons why you are not cycling normally, or ovulating: changes in weight, exercise, hormonal issues (thyroid, prolactin). ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
May be normal: It can be normal to feel some uterine cramping at times, which can feel like bowel pain ( episodes of diarrhea, constipation, gas pains).
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Evaluation: It is usually recommended that couples (women under 35yrs) attempt pregnancy for a year before an evaluation, but there are some exceptions (irregular... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Pregnant: A cyst would not make a pregnancy test positive. It is unclear to me how you know that you are "6wks pregnant". You will need evaluation with serial... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Likely: If your periods are usually regular, you will likely ovulate and get your period as usual, in 28 days.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Normal: Ovaries are often not visible during a transabdominal ultrasound. The vaginal ultrasound will provide a better evaluation of the ovaries.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
She can request : To be searched without the scanner, but the machine should be safe anyway.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes: Unprefictable bleeding can certainly occur.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes, it can be: It can be quite normal for it to be late and somewhat heavier. I would monitor your symptoms and call your doctor if bleeding does not seem to subsid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Low risk: Consider contraception if you want to prevent pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Monitor: It may take a few months for normal cycles to resume. Call your medical provider for fevers, concerning bleeding or pain.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Seek evaluation: Small cuts or breaks in the vaginal mucosa. These are quite rare. Fissures or small tears can occur on the vulvar skin as well and certain disorders... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Yes, but early...: Too early to say. Time will tell. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
It could: Or it could be a normal, lighter menses. Take a simple urine pregnancy test to be certain. It will be reliable now.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Unclear: You may have some unscheduled bleeding, as you are not having a regular, ovulatory cycle. Consider cycle control with oral contraceptives or cyclic Pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 42-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
More testing: It could be a resistant organism. If the problem does not resolve shortly, consider requesting referral to a pediatric urologist, as there can be som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Uncommon : But certain risk factors can increase your risk: obesity, anovulation, hypertension, diabetes, infertility. See a gynecologic oncologist.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Likely normal : Likely normal variation. Follow symptoms over next couple of months.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
No. : No. If you have not been treated for syphilis then you would still be infected. You would still be positive for herpes, and able to transmit the dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Unclear: Count the days between the first day of bleeding from two consecutive cycles-this will tell you how many days your cycle is.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Consider treatment: You don't need to worry per se, but you are not likely ovulating regularly, which can have an impact on your bone health and your endometrial lining (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Robin Nobleanswered
Obstetrics and Gynecology 28 years experience
Walking: Walking and regular exercise may help, but this may not happen prior to labor.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
82
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Noble is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Noble is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you do much for taking the time to answer me, Dr. Robin! Greetings from Mexico! Alba Arellano
HealthTap member
Thankyou Sian has been refered but have to wait 2 months shehaving difficulty knowing she wetting and can't go when she needs to wee :(
HealthTap member
Thanks for your quick reply! Thank you i will do that. I many more periods should i monitor when u say a few
Education & Training
Medical/Graduate school
Columbia University College of Physicians and Surgeons, NY
Graduated 1995MD
Residency
YALE-NEW HAVEN HOSPITAL
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