Question: “I recently saw a 26 yr old female whose LMP was 3/13/22, she had unprotected sex 3/27/22 and took Plan B 3/28/22, experienced spotting 4/4/22 and has not had a regular menses since 3/13/22. Pregnancy test done 5/16/22 and negative. What is the...
Question: “I have a patient that had a copper IUD placed and was advised that it was effective for 12 years. She looked at the Paragard website and of course it reiterates that the FDA has only approved Paragard for 10 years. She is my patient and is asking my...
Question: “Is it normal for women to have “smegma” of sorts on their clitoris or the lips sometimes as a form of discharge? or does that mean yeast infection or unbalanced pH?” Answer: You made me laugh using the term “vaginal...
Question: “Hi! I have a question about vaginal discharge. Almost every day I have discharge that is brownish. I have gotten it checked out in the past and doctors have said it is normal and that I just have more discharge than others. I am wondering if you had...
Question: “Hi there. I am a women’s health NP. I work independently. Recently I saw a 44 yr. old new patient who is on combined oral contraceptives and also on norethindrone day 10 to 21 of her cycle. She stated her previous gyn prescribed the additional...
Question: “Is there a specific amount of weight gain in a client that would be unacceptable to continuing DMPA if that is her method of choice? We have tried other options and she wants to use DMPA despite a significant amount of weight gain. Thank you.”...
Board-certified as an OB/GYN with a fellowship in contraceptive research and education, I aim to help people make informed decisions about their health.
I’ve co-authored sixteen editions of Managing Contraception* with over one million copies in circulation. I’m here to answer your questions about birth control.