Dating obgyn


Genetic screening for Down syndrome (trisomy 21) and trisomy 18, the national standard in the United States, is rapidly evolving away from the AFP-Quad screen for Down syndrome, done typically in the second trimester at 16–18 weeks. The newer integrated screen (formerly called for First And Second Trimester Early Results) can be done at 10 plus weeks to 13 plus weeks with an ultrasound of the fetal neck (thicker nuchal skin correlates with higher risk of Down syndrome being present) and two chemicals (analytes) PAPP-A and βHCG (pregnancy hormone level itself). It gives an accurate risk profile very early. A second blood screen at 15 to 20 weeks refines the risk more accurately. The cost is higher than an "AFP-quad" screen due to the ultrasound and second blood test, but it is quoted to have a 93% pick up rate as opposed to 88% for the standard AFP/QS. This is an evolving standard of care in the United States.

How much prying do you have to do or do most women come in with their own specific questions?
A lot of women who come in with their own questions are very comfortable talking about sex. But if they don’t, the subject usually comes up when I’m interviewing them. At first they may be tentative, but the idea is to open communication
Do a lot of women come to you with problems about sex or intercourse?
It’s not a major concern with a lot of women, but some do have problems with sex, like discomfort, pain, or a lack of a sex drive. Sex drive is really hard to evaluate because there are lots of factors – sometimes, there might not be anything physical at play. If there are problems in the relationship itself, I refer them to a therapist. However, if a patient complains about experiencing pain during penetration, she may have a cyst or fibroid. One thing I get a lot of is questions about female Viagra. Unfortunately it doesn’t exist yet, but they are doing research.


Dating obgyn

Dating obgyn



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