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Dr. Silvio Aladjem Answers Your Questions

By Guest

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the-doctor-is-in-L-c4hpf4

The doctor is in!

This past December we announced that Imperfect Women would be 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 new feature and hope that you are able to benefit from it.

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Question from N. C:

My fiancé & I are trying to have a baby, around 2 years ago I had surgery because I had a large cyst on my left Fallopian tube. I just started to go to an obstetrician and they found 2 smaller cysts and a 14 cm cyst. I am worried that because these cysts are developing it will hurt my chances of getting pregnant. I am 26 yrs old plus-sized women with a family history of perfect pregnancies.

Dr. Aladjem:

Having repeated cysts in the tubes, is not very common. Do you know if  you have a condition known as “endometriosis”? This condition may be the cause of tubal cysts. Endometriosis in itself, may be the cause for not getting pregnant.  Tubal surgery may compromise your ability to conceive. I would suggest you see and seek the opinion of a Fertility specialist before doing anything else.

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Question from G. M.: 

Dear Dr. Aladjem, my daughter is pregnant after two miscarriages. She is 16 weeks pregnant and we recently found out that the prenatal DNA tests show only one x chromosome. She subsequently had an amnio and will have a high level US within the next two weeks. No results of the amnio. My daughter has told me that she will terminate the pregnancy if the dx is shown as Turners Syndrome. Can you please tell me if the amnio will show anything different than the blood test?  I cannot find information on the overall accuracy of the blood test. I am heart broken. I know that Turners is not a death sentence but I do not know how to convince her.  Can you please provide me with anything information I would be so grateful.  Thank you so much.

Dr. Aladjem:

Thank you for your question. As you by now know, women with Turner syndrome have only one X chromosome (X0) inst3ead of two (XX) . Because of that, such women have no ovarian function. Most are of shorter stature, and may have other associated abnormalities including heart defects

For more information I would suggest you check the following: National Human Genome . Research Institute ( http://www.genome.gov/19519119 )  the Turner Syndrome Society (http://www.turnersyndrome.org), .Medline (http://1.usa.gov/1j4BlFI)  and NIH – (http://turners.nichd.nih.gov).

A high level ultrasound should be able to determine what, if any, other abnormalities this baby may or may not have. The amniocentesis should determine the chromosomal configuration of the baby.

Turner syndrome is not a lethal malformation. Its severity will depend in part on associated abnormalities, if any. For example, a major cardiac abnormality may require heart surgery sometime after birth.  By the time the girl reaches puberty, she will need hormonal replacement, so that her feminine characteristic should be able to develop, like breasts, for example. She will need to be under the care of a pediatric endocrinologist. I am sure all such information will be given to your daughter by her physicians.

It would be important that the parents consult with a pediatric endocrinologist and I also would suggest a consult with a genetic counselor. These are difficult decisions and should be made only after having obtained in depth information from specialists dealing on a day to day basis with such problems. While the genetic basis is the same in all Turner Syndromes, not all patients that have Turner Syndrome are the same and one cannot establish an absolute universal pattern

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Question from S.P.:

Hi, I’m 4 days late 4 my period have taken pg test but coming up negative I’m going 2 be 40 in 2 weeks do u think I’m going through the change?:(

Dr. Aladjem:

You are probably too young to think menopause, although early menopause can happen. At your age pregnancy has to be considered first.  I suggest you seek the opinion of your obstetrician/gynecologist who can examine you.

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Do you have a question for Dr. Aladjem that you would like to see answered in our next “Ask Dr. Silvio Aladjem” feature? Please submit your questions below.

[contact-form-7 id=”54243″ title=”Ask Dr. Silvio Aladjem, obstetrician/gynecologist”]

 

 

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.

 

 

draladjem

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.

 

 

 

Related posts:

Kangaroo Care
Introducing "Ask Dr. Silvio Aladjem"
How's My Baby?
The Adoption Option
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Filed Under: Ask Dr. Silvio Aladjem, Bloggers Club, Lifestyle Tagged With: Dr. Silvio Aladjem, endometriosis, pregnancy, Turner syndrome

Comments

  1. Aisha Kristine Chong says

    January 23, 2014 at 8:15 am

    These are actually perfect for those having issues of wanting a baby – though I also believe it’s important to check in with the doctor but then again, research and getting advice like this is truly so helpful!

  2. mel says

    January 23, 2014 at 8:46 am

    Perfect for me as I am newly pregnant. Thanks!

  3. Robin (Masshole Mommy) says

    January 23, 2014 at 10:10 am

    This is a great series. I wish this had been around back when I was pregnant because I had MILLIONS of questions back when I was.

  4. Michele says

    January 23, 2014 at 10:11 am

    This doctor is correct–he can give you some general information but you really need to see doctors and/or specialists in person for severe or unusual questions.

  5. Lawna says

    January 23, 2014 at 11:09 am

    How helpful for pregnant mamas. I will send my sis in law this link because she is currently prego.

  6. Isabella Grey says

    January 23, 2014 at 11:51 am

    Good advice for women looking to get pregnant. It would be nice to see this expand beyond pregnancy though, and talk about some of the other things that can effect female health, like infections, what’s normal for your cycle, etc.

  7. becca says

    January 23, 2014 at 12:38 pm

    good advice for women wanting babies thank you

  8. Kristen from The Road to Domestication says

    January 23, 2014 at 1:13 pm

    Good information here, thank you! We’ve been trying for 5.5 months, and I’m thinking of every reason in the book why I’m not pregnant yet. Driving myself nuts LOL

  9. Nikki says

    January 23, 2014 at 1:56 pm

    Very interesting questions and answers. I recently started developing painful cysts. No endometriosis though. I’ll have to submit a question and see if the doc can answer it!

  10. Terry says

    January 23, 2014 at 2:49 pm

    When I was having babies.. there was no way to ask a Dr anything unless you were his patient. How great to be able to submit a question and get the answer quickly.

  11. Jen says

    January 23, 2014 at 2:58 pm

    Good questions!

  12. Rosie says

    January 23, 2014 at 3:00 pm

    This is great!!! I will spread the word.

  13. Pam says

    January 23, 2014 at 3:03 pm

    THis is a great series. When I had my daughter the obgyn always rushed in and out like he was doing me a favor.

  14. Veronica says

    January 23, 2014 at 6:34 pm

    My sister just found out she’s pregnant after trying for about 6 months. I will share this article with her

  15. Ana says

    January 23, 2014 at 8:01 pm

    Pregnancy can be so tough, with so much confusion out there. It’s great to have a column/series like this to turn to when in need and can’t get to a doctor.

  16. Theresa says

    January 23, 2014 at 8:50 pm

    What a great ? and A session. I think these are some great questions that many pregnant woman would like to have answers for. Sometimes it’s hard to get through to a real doctor, or just you have to make an appointment to ask a tiny little question. How nice to be able to come here and get a quick answer!

  17. Joanna Sormunen says

    January 23, 2014 at 9:03 pm

    What a great and informative post! I have friends with Turner’s syndrome and it definitely is no death sentence. They are both wonderful women and thriwing in their lives.

  18. Maria says

    January 24, 2014 at 4:26 am

    This is a great series!! Going to think of a few items to add. Thanks!!

  19. kay adeola says

    January 24, 2014 at 5:54 am

    This is great and very useful for ladies that need this,thanks for sharing.

  20. Chubskulit Rose says

    January 24, 2014 at 6:48 am

    I submitted a question for him and hopeful to get an answer. Itl’s not about pregnancy question but related. Thanks for sharing this.

  21. Tess says

    January 24, 2014 at 12:07 pm

    I dont plan on having anymore children, so I dont have any questions, but this is great to have for pregnant moms!

  22. Amanda Love says

    January 24, 2014 at 7:57 pm

    Great questions and even greater answers. I do have a question but it’s not pregnancy related. Maybe if the doctor took gyn questions only I’ll ask.

  23. teresa mccluskey says

    January 26, 2014 at 1:18 pm

    Really good answers and questions I will be sure to send my friends this way!

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