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Ask a Behaviorist Expert Cathy Collins-Fulea MSN, CNM, FACNM is the Section Head, Midwifery and Medical Director, In-Patient Obstetrics for the Henry Ford Health System in Detroit MI. Ms Collins-Fulea's initial nursing and midwif ery education were complete in England before returning to complete a refresher program at Booth Maternity Center in Philadelphia. She then completed her Master's in Nursing Administration at Oakland University in Mic higan. read more
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 midwife
  Thread Posted by Replies Views Date
  Not ovulating more less Question My husband and I have been ttc since December   I am using the First Response ovulation predictor and apparently I do not ovulate regularly   My period is very regular though every 24 days   The monitor shows that I will ovulate than skip a month or more   I am 39 and have a 20 month old daughter   I will be having bloodwork done to check for pregesterone on Monday   Could you tell me more about this and what the next steps might be   What tests would need to be done to see if Clomid might help regulate ovulation   Thank you
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mazeymoo 1 876 7/15/09
4:51 pm
  Not ovulating more less Question Hello My husband and I have been ttc since December   I have been using the First Response ovulation predictor which shows that I am not ovulating regularly sometimes it will skip one month sometimes two   I have very regular periods every 24 days   I am 39 and have three children the youngest is 20 months old   I went yesterday to talk to the doctor about this   They want to start with bloodwork to check progesterone levels and thyroid function   After that she mentioned taking an endometrial sample   I wonder if you could tell me a little about that and also at what point could Clomid be considered   Thank you
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mazeymoo 1 800 7/15/09
10:27 am
  birth control pill more less Question I started taking birth control pill sunday 28 I took it randomly by that I mean that I didn't take it the sunday of my period So my question is how long would it take for the birth control pill to work knowing that i toook it on a random sunday and didn't take it the first sunday of my period
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france 1 800 7/10/09
3:28 am
  mini-pill use--2 questions more less Question Hi I just weaned my 10 month old from breastfeeding I have been on the mini pill since my 6 week postpartum appointment I have not had a period yet but do think I have been ovulating the last few months since she started eating solids too   This month I forgot to reorder my mini pill through the mail and so there was a 5 day lapse in my taking it We did have sex twice in that time with no backup contraception  After that 5 day lapse I took 2 pills and then decided to stop the mini pill altogether since the possibility of another pregnancy was exciting to me I was curious if you thought my chance of getting pregnant was high since I still haven't gotten my period yet and have no idea if or when ovulation is occurring Also was curious how long you think it might take for my period to resume I have been off the mini pill for about 2 weeks now Wasn't sure when I should take a pregnancy test
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1 350 7/3/09
7:04 pm
  cysts more less Question Hi Kathy I am pregnant with 14 weeks From the 5th week onwards I have pink spotting from time to time And for most of the time after pink or brown spotting I notice some tissues / bloods vessels in the toilet after I pee   One month ago my doctor checked inside and saying that on that specific day the pink spotting was from the cyst(the size is like a dried grape) in the vaginal no bleeding around the cervix but he did not know whether all the spotting over the months came from the cyst or not He told me that if I were not pregnant he could just cut the cyst but now he would wait until I deliver My questions are: what is the cause of the cyst what would be the tissue/blood vessels like substances in the toilet(my doctor said he did not know what they were) Does this mean that I have a higher chance of miscarriage  Any concern or any questions that you think I should ask the doctor Do you think that I have infectin in the vaginal or URI what should I do or am I just worrying too much I had FSH testing 12 5 before I pregnant is this related to the spotting This is my 2nd pregnancy and no spotting at all in my first I am now 40 years old   Thanks        
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Jennifer 1 478 6/23/09
1:12 am
  Still trying more less Question Hi Cathy We have been trying to have a baby for about 6 months the first 2 I was in Clomid and my cycle was every 29 days  But on my 1st month of Clomid I was in a lot of stress because of my daughter been in the hospital so I didn't get my period till 37 days later Then the 2nd month I didn't get my period till 33 days after so I decide to stop the clomid because I was instructed to take it the 5th day to the 9th day of my cycle that was when my cycle was at 29 days Now I have notice that my cycle has been fot the past two months every 33 days Now according to the fertile calander my fertile days have been the 17th to the 19th day of my cycle making me ovulate on the 20th My question is what is the best time to have intercoures because my husband and I always have it in the night Now I've been hearing that the best time is in the morning but I wake up at 4am because I go into work 6am but I have a long drive I am only 32 yrs old by the way What do you think of all this I've had 3 pregnancies 2 with no problems already teenagers but the 3rd one I had a miscarage back in 1/2007 I was ten weeks just giving you some of my background Thanks
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Ggirl 1 458 6/15/09
12:09 pm
  Thanks! more less Question Cathy I had a C section 31/2 months ago   Six months ago my doctor told me that I have a fibroid tumor then the day on my child birth they found another one; so I have two fibroid tumor now   On my 6th month pregnancy my baby turned sideways (TRANSVERSE)  my stomach shape was really weird I'm only 5ft tall   I gained about 30 lbs for the whole pregnancy   I need to lose at least 30lbs right now but it seem like I kept gaining   By the way I'm breastfeeding every 3 hrs   I ate healthy foods I exercise as well for 1hr [tread climber wii fit gardening & walking outside not including house works I'm not working though   My problem is I still look 5 months pregnant   Is it because of my fibroid   Or because of the baby being transverse   Do I need to see my OBGYN for follow up   Please help God Bless You & thank you yvette     
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yvette 1 441 5/31/09
3:17 am
  Flying 22 Weeks more less Question Hi Cathy Are there ANY risks whatsoever with flying domestically (2 hours) at 22 weeks Thanks
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Rary 1 482 5/29/09
5:02 am
  shettles method and baby's sex more less Question I am trying to get pregnant for the first time and would really like to conceive a girl Do you have any opinion on the Shettles method for trying to conceive a certain sex thanks
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kcole333 1 841 5/11/09
10:11 pm
  my pregnancy! more less Question my name is katherin and i would like to know what happens if im Rh positive would that harm my baby by me being Rh positive or that's good because when i went to the ob gyn for my first time they did my pap smear and they got some blood and my results were all good and they said that i was Rh positive can you give me some information about that
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katherin1 1 652 5/11/09
2:01 pm
  Some Questions more less Question Hi Cathy I am pregnant with 7 weeks and have a very strong desire to eat baked potato chips instant noodles and nuts including peanuts and also honey Is that safe to eat or drink during the whole pregnancy   I concern about will that cause allergy to the fetus And my son is 17 months old can I give peanut and honey for him to eat    he has allergy to eggs   Thanks        
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Jennifer 1 783 5/5/09
7:42 pm
  menstruating while nursing exclusively more less Question I have been nursing my 4month old exclusively without pacifier I got my period yesterday which is very heavy and have to change my pad every hour I thought nursing helps postponing the period what is causing me to get my period
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may 1 477 5/5/09
6:27 pm
  Depo Side Effects? more less Question Ive been on Depo since sept about 6 wks ago i began gaining weight without any diet change i have since gained 20 ibs in that short time period ive also been experiencing extreme headaches and cramping on a daily basis along with fatigue and dizziness are these side effects from the depo or could it be something else i recently lost 80 ibs and was almost at my goal wight when this happened and its very upsetting thank you
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Momma2AsiaNXander 1 495 5/3/09
10:00 pm
  flying in early preg pls help more less Question I have recently found out I am 4 weeks pregnant I had a miscarriage in Oct 08 and feb 09 both were missed miscarrriages and needed D C I did not bleed with either just knew something wasnt right and preg syptoms had lessened managed to get scan to find baby had died I am due to fly to spain this weekend for a family holiday its only 2 hour flight is it safe to do so If there is any risk I wont go but dont know what to do My gynae cons started me on 150mg aspirin once day to help prevent further miscarriage Please help my cons is on holiday and have no way to get answer before i go my GP said he wasnt qualified to answer
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cherylp 1 398 4/26/09
11:29 am
  Cradle cap more less Question Cathy I am not sure if you're the right person to ask about baby's cradle cap   I'm to scared to scrub my baby's head because it's very soft   The nurse at the hospital gave me a very soft hair brush but I never use it   Now the problem since I did not scrub his hair for a while; he has a very thick cradle cap especially in the middle where the soft spot is   IS THERE ANY SPECIAL MEDICATION OR SHAMPOO THAT I CAN BUY    My friend said if I don't scrub it now [baby get infected]  IS MY FRIEND RIGHT   ANY ADVISE God Bless You Yvette
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yvette 1 418 4/23/09
3:24 pm
  HPV more less Question Can you tell me if after being diagnosed with hpv(no tissue abnormalities no cancerous tissue detected) you can still have intercourse with your partner Is it safe or should you wait a year or more to have intercourse Thank you
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france 1 376 4/20/09
3:10 pm
  Miscarriage ??? more less Question HI Cathy My period started on 3/17 and IUI on 3/30 and 3/31 on 4/12 HCG 177 Progesterone 48 9 On 4/17 starting from 1:00pm I had brown spotting just a little on the underwear and everytime when I wipe and it turned to pink at 6:00pm til 11:30pm it stopped The next day I had the ultrasound the doctor told me the lining was 12mm which he said was fairly good He suggested rest and continue to have the 200mg progesterone everynight before bedtime After the ultrasound I had a little pink blood on the pad And they took the blood which came out HCG 1704 and progesterone 29 Today4/19 just woke up at 8:30am and see more spotting close to bright red (just like spotting before period comes) when I wiped and I had bedrest again and one hour later I wiped again it turned to brown and continued brown upto now in the middle I could see 2 times something like blood vessels in the toilet bowl after I pee and everytime when I have spotting it comes will mild cramp in lower abdoman I am 40 years old  my questions are" 1) the decrease in Progesterone from 48 9 to 29 caused the spotting what can help to prevent it to decrease 2) What would be the "blood vessels" like substance 3) does it mean that I have miscarriaged or still have hope thansk  
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Jennifer 1 233 4/19/09
8:08 pm
  confused or else and also is it diffcult to have a pregnancy with a tilted uretrus more less Question hello midwife how are you   I'm confused about thias my boyfriend and I had sex while I was on my period and after we were finish I had very bad cramps and every since that day cramps has been going and they are sharp pain could it been that my urterus is tilted or else and can we concieve a baby im scared because now we have a daughter and she is two months and we was trying for another in later time
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sexymama 1 453 4/15/09
5:38 pm
  Mercury more less Question Hi Cathy In addition to the questions I asked yestersday I would like to ask one more question Since my HCG came back at 177 so I assumed that I am 4 weeks pregnant now I heard that the in the past years mercury was used in tooth filling materilas (the silver filling) 10 years ago I had my 2 premolars filled with "Silver" like materils as the surfaces had decayed it was done in Hong Kong   When reading thr some of the articles regarding pregnancy they said it is very dangerous to the fetus because each time we brush we teeth we brush the mercury and the evapour will fill up our mouth and If accidentally swallow the saliva or the water then it would cause permanent damage to the fetus   Even when we talk we should not stand close to the face of the babies Is that truth what can I do now Can I go to dentist and have it removed or it may cause more problems Thanks        
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FirstTimeMom 1 457 4/15/09
12:30 am
  Questions more less Question Hi Cathy My period started on 3/17/2009 and had the HSG on 3/24/2009 IUI on 3/30 and 3/31    On 4/12/2009 my blood test HCG was 177 and Progesterone was 46 My questions are 1) should there be any residue from the HSG in the uterus on the day IUI done any harmful effect 2) the HCG and progesterone levels are good enough 3) If 2 weeks later I want to travel 18 hours by flight to my home country and stay there for a week and then travel back again any concerns Pls advise I am 40 years old pls give some advice on healthy pregnancy   Thanks  
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FirstTimeMom 1 414 4/14/09
1:19 am
  Uterine and ovarian cyst found, 28yr old more less Question After trying for 8 months for a second child and then being 3 weeks delayed for my cycle I went to my OB since all my OTC pregnancy tests were coming back negative I had pregnancy symptoms and was convinced I was pregnany but something in my gut was telling me I wansn't  I had an external and internal ultrasound and a full blood work up and scheduled a F/U I was in a significant car wreck the day after my first US and they Dr at the ER confirmed in deed I was not pregnant  At the F/U the OB said my WBC ct is low and I had a cyst on my ovary that looks to have bleed into itself and also a 2mm cyst in my Uterus He said this is highly unlikely to happen and that hopefully it is just a fluid sac and will disolve I go back for a second internal US in 1 week (6 wks since 1st US) and if it is still there he wan'ts to do a DNC to remove it all saying that he is concerned with Uterian cancer He mentioned this would be extremely rare since I am only 28 120lbs and healthy otherwise I am constatly having "pre menstral" camping and a lot of discharge have been fatigued and finally did get a menstral cycle however it was not "normal" for me (very long and light with painful cramps) He also mentioned this is why I haven't been able to get pregnant Have you ever seen a case like this Would a DNC remove the cyst (or cancer if thats what it is) and that is a cure I can't find anything online on creditable medical websites for information similar to my case I'm trying to stay off the internet however want to know a little more of this situation since having to wait 4 weeks for my next f/u with the OB Thank you
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Froggy's mom 1 266 4/11/09
1:10 am
  Bleeding more less Question Hello Cathy I had a c/s done 7 weeks ago and I have 2 fibroid that my doctor advice [it's ok not to take the fibroid out at this time or forever   Is that right   Yesterday I'm bleeding [heavy] I called my doctor because I'm worried it might be my fibroid reacting  [not sure]   She said  it probably my period She told me on my 6 weeks check up that I won't be having my period until 6 months because I'm nursing   Is this true   Please help me   Do I have to call her back about this matter God Bless You Yvette  
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yvette 1 248 4/9/09
6:55 pm
  pumping more less Question I will be going back to work in 1 month and am trying to build my breastmilk supply for mt nanny to feed him with   When i pump (with a medela double pump)  i am only getting 2 4 oumces total   How can i get more at each pumping   My son is 8 weeks and around 13 pounds   He nurses every 2 3 hours
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sassyshelli 1 255 4/9/09
1:35 pm
  is it OK more less Question Hi Cathy I had IUI done yestersday we were advised not to exercise and avoid heavy lifting My son is almost 16 months old and still learning walking My concern is it OK to lift him from time to time such as taking him upstairs and to and from his crib etc he is 25 pounds Gardening is my only interests is it OK to continue such as digging a small to plant the roses I am 40 years old thanks    
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FirstTimeMom 1 321 3/31/09
7:27 pm
  is it safe? more less Question HI Cathy I had IUI done 2 days ago and these few days I have stomach pain/heartburn and a lot of gases   Can I take some Mylanta (Aluminum hydroxide magnesium hyudroxide and simethicone How many days I can take it say a week or if not can you suggest other safe medication Thanks  
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Jennifer 1 315 3/30/09
7:57 pm
  Pulling censation more less Question I'm 39 weeks pregant and while I was sleeping last night and got up to go to the bathroom I noticed a strong pulling censation under my belly button when I straightened up   Is that normal or should I call my doctor and get a check up
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Sally 1 309 3/29/09
1:27 pm
  about c-section more less Question Hi I had a c section two weeks ago actaully  my second one the first c section was easy i was feeling good within the second week but this one im still bleedind ocassionally like a period and also the cut be bleeding too I really would like to know if that is normal Please get back to me Thank you
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Rosegraham21 1 276 3/20/09
3:24 pm
  traveling in car more less Question I'm traveling in a car for 13 hours by myself at 26 weeks is that safe   My doctor said it would be ok as long as I take breaks and streach every 2 hours   What is your opinion
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jblui28 1 272 3/20/09
3:28 am
  birth control more less Question I have been on birth control for two weeks i am on my third week and my breast hurt a little can you tell me if this is a normal side effect and how long it usually last
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france 1 279 3/16/09
11:31 pm
  10 days late and midwife still wont see me to confirm pregnancy more less Question I'm about 10 days late (I'm never more then 2 days late) and have  been trying to concieve for over 8 months now I'm thrilled at the possibility I'm pregnant and want nothing more then to know for sure I called my midwife once at 5 days late and once more at 8 days late and she will not see me I have a 2 year old and had my first ultrasound with him to confirm at 5 weeks because OTC tests were still coming up negative and I had extreme breast tenderness and nausea She said due to insurance changes at their practice they will not see me till i'm expected to be at least 10 weeks along she will not even give me a script for a blood test I told her my husband wanted to go for massages and water sports (he doesn't think anything is real till he sees physical proof) and she said "go ahead and have a great time" not even "take it easy" I'm really frustrated with this kind of patient care and feel like I should find a new practice Is this patient care normal these days or should I be looking for someone new I had such a great experience with her with my son but have felt like she is maybe too laid back She is part of a large physician group however I dont particuallary like the other physicians or mid wifes As far as the pregnancy I had cramping over the bottom center of my belly for a few days and ovulation type discharge last week and have some breast tenderness however not as extreme as with my first pregnancy I have been experiencing fatigue dull headaches and light nausea Is there any other medical reasons why I would be so late other then pregnancy  
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Froggy's mom 1 289 3/15/09
11:39 am
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