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Gynecological Considerations & Concerns

Gynecological Considerations & Concerns


There's more to your preconception health than simply eating right and exercising. You also have to consider your gynecological health before conception. You could have medical issues that you're completely unaware of, so before you start trying to get pregnant, schedule an appointment with your gynecologist or doctor for a checkup and testing.

Your doctor will give you a complete medical exam, including a Pap smear to check for cervical abnormalities or sexually transmitted diseases. Your physician will also do an internal examination with his fingers to feel the position and condition of your uterus. If he or she feels anything abnormal, or your medical history warrants it, your doctor may take a tissue sample or schedule an ultrasound. An ultrasound will show if there are blockages in the fallopian tubes or uterine cavity, which could prevent you from becoming pregnant.

Past surgeries or illness can cause scar tissue to build up in the pelvic cavity and fallopian tubes. If you do have scar tissue, your gynecologist will talk to you about your surgical options for removing it. In vitro fertilization, where fertilized embryos are implanted in your uterus, is another choice.

Endometriosis is a painful condition that causes tissue that is similar to the tissue in the uterus to form in other parts of the body, including the ovaries and fallopian tubes. Apart from pelvic discomfort, endometriosis can greatly affect a woman's ability to become pregnant. Scar tissue can build up in body cavities, and unfortunately 30-40% of women with this condition are infertile.

Part of your examination will also include your medical history. Your doctor will ask you questions about your menstrual cycle. If you have an irregular period, it could hinder your attempts to get pregnant, and your gynecologist can talk to you about the importance of tracking your ovulation. Your weight has a lot to do with your period if you are underweight, you may stop menstruating.

If you've ever had an sexually transmitted disease, you need to tell your gynecologist, as this can impact your fertility. Many STD's, if left untreated, can cause infertility, and even past infections can be passed on to your baby through birth. It's also a wise idea to get an HIV test before you conceive, to rule out the possibility that you have contracted the virus. Your physician will discuss other testing with you as well, to ensure that your reproductive organs are healthy for a future pregnancy.

 


 
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