The doctor is in!
Every month Imperfect Women is partnering with Dr. Silvio Aladjem to bring you a column featuring Dr. Aladjem answering your questions of medical interest related to pregnancy. We are excited to bring you this feature and hope that you are able to benefit from it.
Question from S. Y: I have a chocolate cyst. It is 3 cm. and I want to know if it will affect my chances of getting pregnant.
Dr. Aladjem: These cysts are also called endometriomas and they appear secondary to a disease known as endometriosis. In this disease, cells from the endometrium (lining of the uterus) end in other parts of the body, primarily in the pelvic area. When they lodge in the ovary they grow and bleed in response to hormonal menstrual changes, just like the endometrium, and form cysts. Because blood accumulates their color is dark and resembles chocolate, hence their name.
My first concern would be to evaluate the extent of your endometriosis, since most likely its manifestation is not just this cyst you are talking about. Endometriosis is one of the causes for women not getting pregnant, so the answer to your questions is that it may interfere with you getting pregnant. That is why it is so important for you to be evaluated
If indeed you have only this small cyst of 3 cm. (just over 1 inch) your chances of getting pregnant are relatively good. If your endometriosis is more advanced, it is very difficult to put a number on your chances. Most likely, the endometriosis would have to be treated first.
Question from G.T.: I’m 30 weeks pregnant and have had pelvic girdle pain for a while now. My hips pop/crack and are in pain every morning when I wake up. Is there any exercises that you could recommend to help?
Dr. Aladjem: Pelvic girdle pain in pregnancy is not uncommon. The hormonal environment of pregnancy and the resulting water retention, softens all ligaments, particularly those of the, in preparation for delivery, It’s a physiologic change and normal. What is not normal is what you refer as “pop/crack” and the fact that you wake up in the morning with the pain. The pain usually intensifies as the day progresses but is rarely present after a good night sleep.
I am concerned that there may be more than pregnancy changes here. I would suggest you see an orthopedic specialist and let them make sure that there are no other bone problems.
To answer your direct question, I can’t suggest any exercises at least until we know that there is no other problem beyond pregnancy.
Question from A.D.: Good day! I am 12 weeks pregnant and will be 13 weeks on Friday, but I don’t feel pregnant anymore. My boobs don’t hurt like they used to. I do feel a little quickening from time to time. Is everything ok with me & my little one???
Dr. Aladjem: Was your pregnancy confirmed by an ultrasound and/or pregnancy test? Or did your periods just stopped and you assumed that you were pregnant and had not seen a doctor yet?
In circumstances like that I can’t give an opinion since you need to be examined. Guessing is not good for anybody, and least of all for you.
I strongly suggest you see your obstetrician, have an ultrasound and clear the air of what is going on.
Question form S.: Hi. I have been trying to get pregnant but having had a hard time. How can I find out if I am fertile?
Dr. Aladjem: My best suggestion is to see an obstetrician who can explore your history and examine you. If he/she finds out that you have a problem, than I would suggest you see a fertility specialist. Also remember that 50% of women that can’t get pregnant, is because the husband or boyfriend may have a sperm problem (too little, not active, etc.) It’s not always the woman’s problem.
You can read more of Dr. Aladjem’s posts here.
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This column is for the purpose of education and information only. It is not medical advice and should never be used instead of your doctor’s or other health care professional’s advice. Please note that you will find the answer to your question identified by your initials only and confidentiality will be maintained.
Dr. Silvio Aladjem, an obstetrician/gynecologist and Maternal Fetal Medicine (high risk obstetrics) specialist, is Professor Emeritus in obstetrics and gynecology at Michigan State University, College of Human Medicine, in Lansing, MI. He is the author of “10,000 babies: my life in the delivery room” now available on Amazon, Barnes and Noble and other book stores. Dr. Aladjem is published extensively in Scientific Medical Journals and wrote several textbooks in the specialty.