In addition to our patient resources page, we've compiled the following list of questions we often hear at our OB/GYN practice here in West Bloomfield, MI. We hope you are able to find some answers through this page! For more information about our services, or for additional questions, please do not hesitate to contact our office today!

When is the best time to travel in pregnancy?
Usually in the second trimester or the middle of your pregnancy is the best time to travel. This is typically between 14 and 28 weeks.

How much weight should I gain in pregnancy?
The amount of weight you should gain depends on your body mass index before pregnancy. For women who are a normal weight, you should gain 25 to 35 pounds. For women who are underweight, you should gain more weight than someone who was a normal weight. For women who were overweight before pregnancy, they should gain less weight.

How much caffeine is safe in pregnancy?
Most experts recommend less than 200 milligrams of caffeine or one 12 oz. cup of coffee a day as a safe amount to ingest.

What types of exercise are safe in pregnancy?
There are many great exercises to do while pregnant including: swimming, walking and cycling. You may continue running if you were a runner before becoming pregnant. However, you may have to modify your routine.

What is a first trimester screen?
This screening is done between 11 weeks and 14 weeks of pregnancy to detect the risk of chromosomal problems such as Downs Syndrome. This includes a blood test and ultrasound. The blood tests measures two substances in the mother’s blood: Human chorionic gonadotropin (hCG) and Pregnancy-associated plasma protein-A (PAPP-A). The ultrsound measures nuchal translucency or the thickness at the back of the neck of the fetus.

What is an amniocentesis?
This test involved taking a small amount of cells and fluids from the sac surrounding the fetus and then testing it. This is usually done in the second trimester.

Should I get the flu shot while I am pregnant?
You may get a flu shot at any time during pregnancy. It is an effective and safe way to protect you and your baby from the serious complications of the flu.

Will the flu shot give me the flu?
No, the flu shot will not make you sick and give you the flu.

What is Pertussis or the whooping cough?
Whooping cough is a very contagious disease that can be life threatening in infants. Individuals with pertussis make a “whooping” sound when trying to breath and also suffer from severe coughing.

Should I get the T-dap vaccine while I'm pregnant?
Yes. Between 27 and 36 weeks of gestation, all pregnant women should receive a Tdap vaccine. This vaccine is safe and effective. Receiving it in the 3rd Trimester helps to pass on healthy immunity to your baby. Otherwise, the baby will not be vaccinated until they are two months of age.

Why do some people have their son circumcised while other do not?
For some parents, a circumcision is part of their religious practice. Others choose to have their son circumcised so he does not look different from his father. Also, there are hygienic reasons for doing a circumcision. A thick white discharge with dead cells called smegma can build up under the foreskin of those who are uncircumcised. This may lead to infection.

Some parents do not circumcise their sons because they are concerned about pain he may experience. Others are worried about risks involved with the surgery. Some believe it is a decision their son should make himself when he is older.

What are the risks and benefits of circumcision?
Benefits include less risk of urinary tract infections. It may also help prevent cancer of the penis. Other research shows that circumcision may decrease the risk of getting HIV from an infected female partner. It is also possible that circumcision decreases the risk of passing HIV along with other sexually transmitted diseases from an infected man to his partner.

Risks included with circumcision are bleeding, infection, and scarring. Also, too much of the foreskin may be removed or not enough foreskin is removed. An additional surgery is sometimes required to correct these issues.

What are the signs of a miscarriage?
Vaginal bleeding and passing blood clots are common symptoms of miscarriage. Cramping in the lower abdomen or lower back pain may occur.

When do you screen for gestational diabetes mellitus (GDM)?
Screening for GDM is usually is done between 24 weeks and 28 weeks of pregnancy. If you have risk factors, it may be done earlier.

Why do you screen for GDM?
We screen for GDM because having GDM increases the risk of having a very big baby and possibly a C-section. Also elevated blood pressure and preeclampsia are more common in women who have GDM.

Also, babies born to mothers with GDM can have trouble breathing, low blood sugar levels, and jaundice. With strict control of the blood sugar, the risk of these problems decreases.

What can I do to reduce my risk of getting a STI?
First, limit your number of sexual partners. It is important you know your partner and their sexual history. The more sexual partners you have, the higher your chances of getting an STI. Your partner’s sexual history is just as important as your own sexual history.

Always use condoms. Using a condom with each sexual encounter, whether vaginal, oral, or anal sex decreases your chances of infection.

Vaccinations are also available that will help prevent against hepatitis B and HPV. Get your immunizations.

What is PCOS?
PCOS is polycystic ovarian syndrome. Some common signs and symptoms of PCOS are irregular menstrual periods, infertility, obesity, excess hair growth, acne, oily skin, and ovarian cysts.

What are the treatments for PCOS?
A variety of treatments are available to treat PCOS to treat PCOS. Each patient received individualized treatment which takes into account their health problems, symptoms or desire for future pregnancy.

What are common symptoms of menopause?
The most common symptom of menopause are hot flushes. About 75% of menopausal women in the United States experience them. A hot flush is a feeling of heat that rushes to the face and upper body. You may begin sweating. A hot flush can last seconds to minutes or even longer. Hot flushes can cause trouble sleeping, which may be one of the biggest problems you face in menopause.

Vaginal dryness is another common symptom of menopause. This is due to a loss of estrogen. The vaginal lining can become thin and dry, which might cause pain with sexual intercourse. This can also make you more susceptible to an infection. You may experience itching or a burning sensation.

How can menopause affect my sex life?
Your sex drive may decrease due to lowering hormone levels. Some women state that they have less interest in sex. This decrease in hormones might affect your ability to have an orgasm or it may take longer to reach orgasm.

What is a bone mineral density (BMD) test? Who should have one?
Bone density is measured at the heel, spine, hip, hand, or wrist in a BMD test. A Dual-energy X-ray absorptiometry (DXA) of the hip and spine is the most accurate BMD test available.

All women 50 years or older should have a BMD test. Risk factors for osteoporosis include rheumatoid arthritis, smoking, alcoholism, a history of hip fracture in a parent, cortisone (steroid) use, or a body weight less than 127 pounds.

How is a DXA scan done?
A DXA scan takes about 3-10 minutes. You will lie down while a machine scans your body. You will be exposed to a small amount of radiation, which is less than the amount in a chest X-ray.