Questions and Answers
I’m concerned. I had 2 patients recently with ectopic pregnancies following the use of Plan B. #302/15
Q        I am a CNM and I recently had two patients with the identical problem, ectopic pregnancy after using Plan B. Is there an increased rate of ectopic pregnancies after using Plan B? CNM A:       Below is the paragraph on ectopic pregnancy...
How long will it take for me to lose the weight I gained after 7 years on Depo? #301/15
Q        I have been using Depo-Provera for the last 7 years and I feel that it is time to come off of it. I have seen increased weight gain (about 5 pounds per year). How long will it take for me to lose the weight that I have gained after stopping the...
Why would the cervix be left in place during a partial hysterectomy? #306/15
Q        Can you please educate me abut why a cervix would be left in place during a partial hysterectomy? Is there a medical benefit? Why not just do a total hysterectomy? Great website! Keep up the good work. Women’s health NP A:       I...
What is endometriosis and how can it be treated? #1007/14
Endometriosis is a common cause of secondary dysmenorrhea. It consists of endometrial glands and stroma outside the uterus. CONTRACEPTION: Treatments that eliminate menses often successfully reduce symptoms of dysÂmenorrhea caused by endometriosis. The LNG...
Can Depo-Provera injections cause an allergic reaction as bad as anaphylaxis? #209/15
Q        How often do allergic reactions, such as anaphylaxis happen when women are provided Depo-Provera?  A:     Depo-Provera injections occasionally cause an allergic reaction. Anayphylaxis is extremely rare, but it may happen [Patient Package...
Can sperm escape from a condom if the penis is not removed from the vagina immediately after ejaculation? #207/15
Q        If a guy doesn’t immediately remove his penis from a woman’s vagina after ejaculation, can the sperm escape from the condom? A:     Yes! A guy counting on condoms as his contraceptive and who fails repeatedly to remove his penis from his...
What are the 4 most important benefits a woman receives above and beyond contraception? #203/15
QÂ Â Â Â Â Â Â Â Please provide me with an outline of the 4 most important benefits a woman on contraceptives receives ABOVE AND BEYOND CONTRACEPTION. A: Â Â Â Â Message: Women receiving contraceptives receives SO MUCH MORE!!!I have almost heard it one time too...
Why do most women visit the doctor’s office? #208/15
Q        From ages 12 to 50, what are the most common reasons why a woman makes a trip to the physician’s office? A:       That’s an easy one! Women go to the physician and nurse practioners because of menstrual cycle problems.Below is a case of a...
After several years of taking birth control pills, my patient developed facial numbness. Should she stop the pills? #102/15
Q:      My 39 year-old patient has taken Microgestin for several years. There is no significant medical history, no family history of strokes, etc., she is a non-smoker. Blood pressure, WNL developed 2-day history of facial numbness which resolved...
How much should I be concerned about interactions of certain drugs with oral contraceptiives? #103/15
Q:      I understand that modafanil/armodafanil interfere with oral contraception, which makes sense in terms of metabolism. However, I am puzzled regarding the caution for use with IUDs that emit hormones. How much should we be concerned about this...
