Dear Doc Kate 2


Dear Doc Kate 2
As always, the lovely Dr Kate is in the house ready and waiting to answer all your medical concerns. This month she discusses the problem of over-produced prostaglandins and the dreaded period pain!

Dr Kate specialises in women's reproductive health and is a representative of MSIA - Marie Stopes International Australia. As the resident doctor at FEMAIL, she is here to advise and answer all your medical queries.

MSIA is part of the http://www.mariestopes.org.au Marie Stopes International partnership which works in 39 countries across Africa, Asia, the Middle East, Latin America and Europe. Collectively they are a movement advocating for reproductive rights and providing services that improve and save peoples lives, making a real difference. Marie Stopes in Australia, plays a pivotal role in facilitating this within the Asia Pacific region.

So if you have a question or a concern - go to:

Dear Doctor



Dear Dr Kate,

I have been in a stable relationship for several years and want to move away from using condoms as protection. I am 25 and I smoke. I am not interested in conceiving for at least 3-4 years and do not want to use the diaphragm or IUD. I have recently started taking the pill but am paranoid due to the fact that I smoke - are there any other better alternatives?

Thanks heaps,
Signed Curious


Dear Curious,

The main forms of contraception that are not permanent include condoms, diaphragms, IUD's, Pills - the combined or minipill, Injectables and Implants.

The choice of which one is right for you comes down to the one which is most safe, effective and convenient for you. The problem with smoking and taking the combined pill has really only been seen in women who are over 35 years. For women under this age the combined pill is an effective and safe contraceptive. There are other options to taking the combined (i.e. estrogen) pill - like taking the minipill (progesterone only) - but this is not as effective as the combined however, or injectables or implants that do not contain estrogen. You'll have to go through all the different options if you're not happy with what you have at the moment to see which one is going to be best for you.


Dear Dr Kate,

Since my first period, I have always had very irregular menstrual cycles when not on the pill. One cycle may last 29 days, and the next may last 60 or so days. If I don't get my period for 60 days then I bleed for about 3 weeks, although it is quite light. I know that periods can get lighter while on the pill, and since I started the pill nearly 8 years ago, they have been lighter. However, over the last year or so while still on the pill, they became very light and only lasting 3 days.

I am no longer taking the pill and my partner and I are looking at starting to try for a baby soon.

I would like to know if you think I may have trouble conceiving? I also have a niggling fear that I may be going through an early menopause as I have heard that light periods and long and irregular cycles are symptoms. I am 26.

Thanks,
Concerned.


Dear Concerned,

In order to conceive you basically need the right number of sperm, at the right place and time, to meet with an egg, and for patent tubes for the sperm and egg to meet. Usually women who are not taking contraceptives ovulate midway between their periods - which helps people know when to have sex when they are trying to conceive! Some women take a few months to begin ovulating again after stopping the pill and if you have irregular periods - it can be hard to know when you are ovulating.

You can find out if and when you are ovulating - by charting basal body temperature and cervical mucus (a good way to know your body better!) as well as by a simple blood test.

If you are not ovulating there are many causes as to why - one of the most common ones is Polycystic ovary syndrome. Menopause is extremely rare for women your age, most women go through menopause from age 46-51 years.


Dear Dr Kate,

I have recently moved to a new area and need to find a doctor. My husband and I would like to start trying to conceive around April. Before then I need to have a pre-natal check up. What is the best way to find a good Doctor in my area that will help me with pre-natal advice? Unfortunately I have no one that can recommend any Doctors in the Inner West, Glebe, Stanmore, Newtown area.

Signed Mum-to-be


Dear Mum-to-be,

I suggest that you call the doctors in your area and see if there are any who do obstetrics also. Many doctors have been specifically trained and have a Diploma in Obstetrics, and are experienced at providing care for women during pregnancy. You might have to "try" a couple and make sure you find one you and your partner like.

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