OBGYNDoc
Minneapolis, MN
Female, 36
I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.
This is a difficult question to answer, because it depends on many variables. A high A1C may be indicative of either diabetes, or even a "pre-diabetes" state. If you are able to control this through diet or medications, your chance of successfully conceiving will be much higher. With a slightly high testosterone and A1C, it is likely that you have polycystic ovarian syndrome, which can put you at risk for many other medical problems such as diabetes and heart disease. It is important that you try to make lifestyle changes to improve your numbers- healthy diet, exercise and weight loss (if you are overweight) will be important. In the end, the biggest determining factor as to whether you will be able to conceive is whether or not you are ovulating. You can determine this by tracking your cycles carefully, paying attention to certain subtle signs, taking your basal body temperatures daily or by using an ovulation predictor kit. If you are ovulating regularly, then there is a good chance that you will be able to conceive without assistance. If you are not ovulating, then you will likely need assistance with either a medication that will induce ovulation (clomid), or a medication that will help control "pre-diabetes" (metformin).
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The only way to be certain would be to perform paternity testing after the baby is born.
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Stress has never been scientifically linked to miscarriage. Unfortuantely, miscarriage is not preventable or predicatable.
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When a mother has an active herpes outbreak or symptoms suggestive of an upcoming outbreak, then cesarean section is the preferred method of delivery to avoid transmission to the baby. The baby can still be infected if he or she has contact with the active sores, however cesarean section will reduce the number of cases by about 6 fold. Herpes infections in newborns can be very serious and potentially life threatening, so a cesarean section is a very valuable treatment option to prevent passing the infection on to the baby.
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The power of the human brain to sustain denial is incredible. I do believe it is possible, although it is very uncommon!
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Unfortunately, I can't really answer this question without knowing more details about your history and menstrual cycles. I recommend you speak to your physician about whether or not this is an option for you.
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Unfortunately, symptoms of early pregnancy are often very similar to symptoms of PMS. The only way to differentiate is to be patient and wait for a missed period so that you can take a home pregnancy test. Typically, however, early pregnancy symptoms do not begin before the first missed period.
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