Konya Gynecologist

In women with regular menstrual periods, findings such as menstrual delay, breast fullness, pain, nausea, vomiting, inclination to sleep, fatigue, frequent urination, and change in vaginal discharge are known as suspicious symptoms of pregnancy. If you have these findings, you may be pregnant. However, it should not be forgotten that these findings may also be present in healthy women. If you suspect pregnancy, it would be best to take a urine or blood pregnancy test.

There are two types of pregnancy tests: urine and blood. A blood pregnancy test becomes positive 10 days after suspected intercourse. An early pregnancy test performed on urine gives results up to 5-6 days before the expected menstrual period. But even if the early pregnancy test result is negative, this does not mean that you are not 100% pregnant. Repeating the test on the expected menstrual date will give 99% accurate results.

Vaginal examination during pregnancy may be performed to detect bleeding, infection, suspicious water breaking, and to take a smear. Vaginal ultrasound may be performed at younger weeks of pregnancy to see the baby sac or heartbeat or if there is a suspicion of ectopic pregnancy. Again, in the following weeks, vaginal ultrasound is preferred as cervical measurement is done most accurately.

Sexual intercourse during pregnancy is often safe and does not harm the baby. However, sexual intercourse is not recommended during pregnancy in the presence of bleeding, water breaking or infection, when the baby’s partner is down and there is a risk of premature birth. Having previously given birth prematurely or having multiple pregnancies also requires taking a break from sexual intercourse. It is normal to have a lack of sexual desire or vaginal dryness due to hormonal changes during pregnancy. In this case, it would be appropriate not to have intercourse as the pregnant woman may feel pain during sexual intercourse. Having an orgasm during intercourse may cause contractions in the uterine wall, and these contractions may initiate labor in the last weeks of pregnancy. For this reason, sexual intercourse is not recommended after the 32nd week. Especially in the first pregnancy, labor may not start spontaneously even though the day has passed. In this case, sexual intercourse can be performed to initiate labor.

The baby’s gender is determined at the earliest by fetal DNA test (NIPT test) in the 10th week of pregnancy. In ultrasound examination, the earliest age is 13-14. Although it can be determined theoretically in weeks, the gender of the baby is definitely determined in the ultrasound performed at the 16th week of pregnancy.

The gender of the baby can be determined before the embryos collected through in vitro fertilization are transferred to the mother’s womb using the preimplantation genetic diagnosis method. In Turkey, in vitro fertilization treatment for gender determination is prohibited except to prevent some genetic diseases that are transmitted through gender. Another method is to determine the gender of male and female sperm depending on how long they remain mobile in the body. Normally, sperm can survive in the body for five days. Since male sperm move faster than female sperm, the chances of having a boy may be higher in intercourse that takes place 12 hours before or on the day of ovulation. Since female sperm move more slowly, the probability of having a girl is higher in intercourse a few days before ovulation. In order to apply this method, ovulation determination must be made. Another method is gender determination based on nutrition. In this method, gender is determined by making the vaginal pH alkaline or acidic through nutrition. Foods rich in potassium and sodium (bananas, beans, chickpeas, lentils, apricots, pineapple, all kinds of meat, etc.) for those who want a boy, and foods rich in calcium and magnesium (milk and dairy products, eggs, potatoes, dough) for those who want a girl. It is based on the principle that it should be applied under the supervision of a doctor (e.g. foods, milk desserts, etc., unsalted foods). The nutrition regime is followed only by women, men are not included in the regime. This nutritional regimen should be followed for three months and then have intercourse on the determined intercourse date. However, for this method to be successful, the diet must be strictly followed and the list must not be deviated from. Women with heart, blood pressure, diabetes or kidney disease should never follow this nutrition regimen for gender determination. The Chinese calendar method is unreliable. After all the methods described above, it should not be forgotten that there is a perfect balance in nature and human intervention in this balance may lead to harmful results. Therefore, it would be best to wish for a “healthy” baby, regardless of gender.

Women who previously had migraine or headache during pregnancy may have these complaints increase during pregnancy. For this reason, it would be appropriate to apply simple methods such as staying in a quiet dark environment, smelling peppermint oil, and taking a shower, other than drug treatment. If these methods do not help, simple painkillers such as paracetamol can be used. Toothache is also common during pregnancy. In this case, paracetamol can be used. It is useful to consult your gynecologist about how often and in what dosage to use the medicine.

Having laser epilation without knowing that you are pregnant does not harm the baby. Because the laser beam only affects a few mm below the skin and cannot penetrate deeper. However, during pregnancy, the hair structure may change and small hairs may appear. These feathers will fall out after birth. The laser can further increase these small hairs with a rebound effect. Additionally, during pregnancy, darkening may occur in the armpit and genital area, and laser may increase this color darkening. For this reason, laser epilation is not recommended during pregnancy or breastfeeding as it will not be beneficial until the hormonal status returns to normal.

Organ development is completed rapidly in the first three months of pregnancy. For this reason, it is necessary to avoid environmental effects from harming the baby as much as possible during this period. Since the studies on hair dyeing during pregnancy are mostly on animals, there is no clear opinion. For this reason, if hair dyeing is to be done, it should be done after the 14th week of pregnancy, root dye should be avoided if possible, and if so, organic dyes with reduced ammonia should be preferred, and care should be taken to keep the dye at the root of the hair as little as possible. If pregnant women are going to dye their hair at home, they should ensure that the house is well ventilated and that gloves are worn while dyeing the hair.

During pregnancy, Turkish bath, sauna and steam room are places that are prone to infection as they are humid and hot environments. In addition, due to the intensely hot environment, the pregnant woman’s blood pressure may decrease and the body may become dehydrated. For this reason, the use of baths, saunas and steam rooms is not recommended during pregnancy.

Although the onset of labor is easy to understand for women who have given birth more than once, expectant mothers who are experiencing their first pregnancy may be concerned about understanding how labor begins. After the baby’s head is placed in the birth canal, it is understood that labor has started if the following three things happen; The first is the engagement, the second is the breaking of water, and the third is the start of regular contractions. Engagement is a mucus plug that blocks the cervix. Engagement is a painless, colorless or slightly bloody, jelly-like mucus-like texture. Amniotic fluid is colorless and odorless water. Water may come out little by little or in multiple amounts. The pains that initiate labor come regularly every 3-5 minutes and last for about 60 seconds. It does not go away with rest or changing position, and its frequency and severity gradually increases. If one or more of these three findings are present, it means that labor has begun.

Women who want to get pregnant should first note their menstrual cycle and try to be with their partners during ovulation times. For this, they can benefit from ovulation tests. They should be at their ideal weight and eat a Mediterranean type diet. It would be best to limit caffeine, alcohol and cigarette consumption and, if possible, avoid consuming them at all. Women can use daily folic acid, and men can use antioxidant vitamins such as zinc, selenium and vitamin E to improve sperm quality. One should try to live stress-free.

If pregnancy does not occur after 1 year of unprotected intercourse for people under the age of 35 and 6 months of unprotected intercourse for people over the age of 35, couples should definitely see a gynecologist.

Having a normal birth again after vaginal tightening surgery will weaken the effect of the surgery. Pregnancy itself, regardless of the type of birth, can cause vaginal enlargement due to the pressure of the baby’s head on the pelvic floor. For this reason, it would be best if the vaginal tightening operation is performed after completing the number of children.

Aesthetics of the inner lips is the aesthetics of the external genital organs. Hymen, or hymen, is included in the internal genital organs. For this reason, inner lip aesthetics (labioplasty) can be easily applied to single people.

Many women in our society do not have sufficient information about the location and structure of their sexual organs. Due to this lack of knowledge, sexual myths, that is, superstitions, are quite common among women. Some of these are: ‘My vagina is quite small and narrow, it is not suitable for the penis to enter’, ‘My hymen will burst on the first night’, ‘My body may break apart during sexual intercourse’, ‘It hurts a lot during sexual intercourse and I bleed a lot’, ‘During intercourse the penis is in the vagina. ‘It will be locked away’… Because of these superstitions, many women are afraid of their first relationship. Negative first relationship experiences that women hear from those around them also reinforce these fears. In addition, the fear of pregnancy also causes first night fear. Accurate information about female sexual organs can be obtained by receiving sexual education from a sexual therapist before the first intercourse. The first intercourse should be with a person she trusts in an environment where the woman feels safe, a hot shower should be taken before intercourse, the contraceptive method should be discussed in advance, and lubricant should be used during intercourse.

It is normal for there to be no bleeding during the first intercourse. Hymen, or hymen, is a very thin and flexible piece of mucosa. In cases where the man acts softly and avoids forceful movements and the woman gets wet enough through foreplay and feels ready, a slight opening of the hymen occurs. During this time, no pain or suffering is felt, and there is no bleeding. However, bleeding always occurs in sexual intercourse, where fear and contraction, not pleasure, are at the forefront, there is not enough wetting and the man has coercive movements.

Myomas may prevent pregnancy depending on their location and size. Myomas that are located on the inner wall of the uterus or that put pressure on the inner wall of the uterus from the outside, are located at the entrance of the uterus, or are located at the entrance of the tubes are an obstacle to pregnancy, regardless of their size.

The morning after pill should be taken as soon as possible after unprotected sexual intercourse. Although it is known that morning after pills prevent pregnancy for 72 hours after intercourse, this effect will be more effective the earlier the pill is taken. Having an IUD inserted within five days after intercourse will prevent pregnancy. An additional benefit is that the spiral has a long-term protective effect. Using birth control pills in high doses under the supervision of a doctor also prevents pregnancy.

The vagina has its own flora. If this flora balance is disrupted due to microbial or environmental factors such as bacteria, viruses, vaginal discharge occurs. Women may also have physiological, or natural, discharge due to hormonal changes related to the monthly menstrual cycle. This type of discharge is odorless, transparent, and may darken in the middle of the menstrual cycle or increase closer to menstruation. Discharge after menstruation may be caused by the pads used. Vaginal douche after intercourse, frequent use of antibiotics, wearing tight, non-breathable nylon underwear or tights, eating too much carbohydrate, using shared toilets, showers, Turkish baths, pools, presence of HPV, more than one sexual partner, unprotected sexual intercourse, stress, immunity Weakening of the vaginal system, loosening of the vagina, and diabetes may cause vaginal discharge that does not go away. It is not appropriate to use medication in the presence of vaginal discharge without a doctor’s examination, because if the cause of vaginal discharge (bacteria, virus, fungus, protozoa, environmental, etc.) is not treated, vaginal discharge will not be treated and may even get worse.