After hove much time can a pregnancy be seen on an ultrasound?

After hove much time can a pregnancy be seen on an ultrasound?

Nives Šikanić Dugić

Nives Šikanić Dugić

primarius, MD, spec. gynaecologist, MSc

I wonder after how much time can a pregnancy be seen on an ultrasound?

After the absence of menstruation for 7 days (5 weeks of pregnancy), if the cycle is 28 days, the gestational sac can be seen on an ultrasound, and from the 7th week of pregnancy the embryo and heartbeat can be observed.

Which decision to make

Which decision to make

Dubravko Lepušić

Dubravko Lepušić

prof., PhD

Please help.

I am 17 years old and I got pregnant and now I do not know what to do. I am 8 weeks pregnant and I know I am too young to give birth and I have neither the strength nor the courage to have an abortion. If I do opt for abortion, what does it actually look like and what will a doctor do to me? Can I have an abortion without my mom finding out?

The decision on what to do with the pregnancy is made by you after talking to your boyfriend (but having in mind that your decision is important).

It is difficult to say whether you are too young or not to give birth, because only you know what kind of situation you are in, regarding your private life and school life. Here it is important to talk to a school doctor, gynaecologist, and psychologist with full confidence and with full discretion.

After the conversations and information you will receive from them, it will surely be easier for you to make the right decision.

As for pregnancy termination, i.e. the so-called abortion, every person over the age of 16 has the right to discretion and makes their own decision about it. Therefore, parental consent is not required. If full anaesthesia is given, then mom, dad or guardian will have to sign the anaesthesia sheet because you are a minor.

Abortion should not be a means of contraception and in that sense, when you solve your situation regardless of which decision you make in the end (childbirth or termination), be sure to contact our counselling centre and consult about contraception and protection against sexually transmitted diseases.

Pain during each intercourse

Pain during each intercourse

Nives Šikanić Dugić

Nives Šikanić Dugić

primarius, MD, spec. gynaecologist, MSc

Dear doctor, 

I had my first intercourse at the age of 16 and it was the first time for both me and my boyfriend. I was in pain, so we stopped and tried again in a week. That time we succeeded even though the pain was present, but since then every time the pain reappears. We “have” intercourse at least once a week and we do not use any protection even though we used it the first time. The gynaecologist advised us to use a lubricant during intercourse. Would that help? To note, foreplay lasts from 20 minutes to half an hour so that is not a problem.

Thank you very much! 

Sometimes it happens that pain during sexual intercourse is present even after a long time. One of the possible reasons is inflammation in the vagina, cervix, and as you mentioned that you were at the gynaecologist, a gynaecological examination, PAP test and possible swabs of the cervix were performed in order to rule out inflammation and prove the orderly structure of the genitals.

As you do not use any protection, the reason may be a subconscious fear of a possible pregnancy, thus, in order to remove this potential cause, start using safe protection measures. Lubricants can be used, but they are not contraceptives per se, so they do not protect against pregnancy or sexually transmitted infections.

Is it possible that I got pregnant?

Is it possible that I got pregnant?

Nives Šikanić Dugić

Nives Šikanić Dugić

primarius, MD, spec. gynaecologist, MSc

Greetings!

I had sex 5 days before I was supposed to get my period. I got it on the expected day and it was normal. I did not get it this month. I am 2 weeks late now.

Is it possible that I got pregnant?

Since had sexual intercourse last month and got regular and normal period after it – pregnancy is excluded.

If you have not had sexual intercourse this month, and your period is late, it is necessary to do an ultrasound examination to get an insight into the structure of the ovaries. If you have had sexual intercourse this month and your period is late, you should have an ultrasound to rule out pregnancy.

Can you get HPV without sexual intercourse?

Can you get HPV without sexual intercourse?

Nives Šikanić Dugić

Nives Šikanić Dugić

primarius, MD, spec. gynaecologist, MSc

Dear doctor,

I have a problem even though I am a virgin. At the gynaecological examination, a gynaecologist noticed changes in the vaginal mucosa that the gynaecologist suspects to be condyloma, i.e. suspicion of HPV virus infection by oral route, which becomes dangerous with high-risk types. I only practiced oral sex in which I satisfied my partner, I did not have any other type of sexual relations so no test can be performed, for example a PAP test. This is all accompanied by a discharge, and also swabs cannot be done because I am a virgin. The gynaecologist says that a yellow-green discharge is a normal occurrence, which has been going on for a long time and is sometimes brown. If it is some kind of infection, it can get complicated, and I have not received any therapy. I really do not understand. The gynaecologist just said not to worry because he doesn’t think there is cause for concern, but I am still scared, do you have any suggestion what to do?

Thank you for your reply.

 

Your gynaecologist suspects HPV infection due to suspect condyloma on genital mucosa, which means that he is not completely sure that it is a condyloma and that HPV infection has not been proven. However, just because you have not had sex and there has been no penetration, does not mean you cannot be infected with HPV. For the transmission of the virus, only skin-to-skin or mucosal contact is sufficient. I assume that your gynaecologist will monitor the changes in the genitals and introduce local therapy for condyloma, if necessary. As for the increased yellow-green discharge, a vaginal swab can be done without damaging the hymen, since you have not had sexual intercourse, and according to the results of the swab, therapy can be administered.

Transmission of sexually transmitted diseases

Transmission of sexually transmitted diseases

Dubravko Lepušić

Dubravko Lepušić

prof., PhD

Good afternoon,

I was wondering if the risk of transmitting sexually transmitted diseases is reduced if the partner does not ejaculate into the vagina or is the same likelihood of infection at any stage of intercourse, even if it lasted a minute without a condom? 

Thank you in advance.

 

Transmission is possible regardless of ejaculation and duration of sexual intercourse. Therefore, even for a minute, as you state. Furthermore, the transmission of sexually transmitted diseases can occur via the contact of skin-to-skin, mucous membrane to mucous membrane, without actual sexual intercourse.