Pregnancy is the period from the formation of an embryo in a female womb till childbirth. It is also called gestation period, and it usually lasts for 40 weeks from the last menstrual period. The symptoms of pregnancy include missed periods, nausea, vomiting, implantation bleeding, and breast tenderness.

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What decides production of breast milk?

Query: Hello doctor, I am a 29-year-old female. I have a 9 years old daughter. After two months of my delivery, my one breast produced more milk than other. But now I am planning for second child. My query is whether there will be normal or same production of milk after second delivery?  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to This cannot be told. Breast milk production depends on many things like how much baby suck from it, how much development of breast tissue occurs under the hormonal influence during pregnancy, the nature of cell, how much these cells are sensitive to milk production s...  Read Full »

Will the presence of a myoma at 20 weeks of pregnancy affects the child's delivery?

Query: Hello doctor, My wife is 20 weeks pregnant, and we got an ultrasound done. The report shows a small myoma measuring 49x26 mm in the anterior wall of the uterus. Can you please see the attached report and evaluate her problem to me? What to do next? Are there any chances of complication during delive...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to I have seen the ultrasound report (attachment removed to protect patient identity). Myoma or fibroid are sometimes seen along with pregnancy. It is very tricky how myoma reacts with the pregnancy. The thing is that the chances of it increasing in size during pregnan...  Read Full »

Will there be any complications in the second pregnancy of a hepatitis-B-positive mother?

Query: Hi doctor, My wife has hepatitis B. She does not have any complications, but she always feels tired. She has already given birth once, and now she is pregnant again after two years. How many times can she get pregnant? Is there any risk involved in this pregnancy? Her doctor told that there is no ne...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to The best thing you can do is to check the viral load now. And according to the report, there will be a high or low risk of transfer. In the case of low risk, it is same as the first pregnancy. She can continue the pregnancy, but the baby should receive an immediate in...  Read Full »

I have pregnancy symptoms after taking birth control pills. Can I be pregnant?

Query: Hello doctor, I have been on Lo Loestrin Fe for four months. I have never missed the pills on any days. I started to develop pregnancy symptoms such as nausea, food aversion, breast tenderness, dizziness, crying and fatigue. I stopped taking the pill and took three pregnancy tests in the mor...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hi, Welcome to If three tests are negative and you are bleeding after the stoppage of the tablet, then you are not pregnant for sure. The bleeding may be more because you stopped the tablets in between. The symptoms that you are experiencing do not happen only in pregnancy. It c...  Read Full »

Does intake of Isotretinoin affect pregnancy in the future?

Query: Hi doctor,I am an unmarried woman. My plan is to get into marriage life after two years. Currently, I have been taking Isotretinoin for the past 20 days. I have heard that it may cause infertility in women. Does Isotretinoin cause future birth defect? Will it affect my future pregnancy?  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to Actually, it is known that Isotretinoin can cause severe birth defects in the baby if taken during pregnancy. So, you must not take it, if you are pregnant. And if you have taken, then some doctor will advice termination also in early pregnancy. But, ther...  Read Full »

I had sex after a week of taking abortion pills. Will it cause any infection?

Query: Hello doctor, I was six weeks pregnant, and on the ninth and tenth of this month, I had severe cramps and heavy bleeding. So, I consulted my doctor on the 11th, and she said that it was a miscarriage, and she gave me the first dose of the abortion pill. She gave the second dose on the 13th, which ...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to There is very less chance of pregnancy, but it is tough to say. Mostly, ovulation takes approximately 15 to 20 days to resume after abortion. But sometimes, it can resume early. As it is just six days after the last tablet, there is very less chance. But yes, be car...  Read Full »

What are the safe recommendations for bacterial vaginosis during early stage of pregnancy?

Query: Hi doctor, I am four weeks pregnant and I have BV (vaginosis) and some candida hyphae. My gynecologist prescribed me to apply internally Zidoval gel for five nights and then take two days break and apply Canesten soft gel pessary the following night. I already asked her if it is safe to take durin...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hi, Welcome to As such local application is somewhat safe and if you have diagnosed infection then it is always a query whether to take or not. If the infection is not much severe then you can wait for 12 weeks of pregnancy and then take the medicines. In early pregnancy there are ma...  Read Full »

What is the chance of pregnancy in a 34-year-old woman?

Query: Hello doctor, I am a 34-year-old married woman. I had physical intercourse on the day of my ovulation. After that, I am having cramps in my lower abdomen specifically pelvic area. Also, yesterday I had an indigestion problem and I am feeling sleepy for the entire day. My last ovulation date was fi...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to If you had unprotected intercourse around your ovulation period then there is 40 to 50 % chance of getting pregnant if everything is fine. Ovulation can be plus or minus and we have to calculate it retrograde after getting period. If you have a regular period then th...  Read Full »

Is cramping after intercourse a positive sign of pregnancy?

Query: Hello doctor, I am planning my second baby. We had unprotected sex. My last month periods were twelve days before that. Two days after the intercourse, I got cramps. I visited the doctor, and she said you are ovulating. Still, some cramps are there, and there is a white watery discharge. My periods...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to It is true that you should have some pain while you are ovulating. But ovulation pain mostly lasts for four to five hours only. If it is from seven to eight days, then it can be due to some other reason like acidity or stomach infection, which leads to some cramps. W...  Read Full »

I am pregnant and I am adviced to do a prenatest. What should I do?

Query: Hello doctor,I am a 33-year-old woman. I am pregnant with my first baby in my 12 weeks. I had an appointment with my doctor two days ago, and she did an ultrasound to me, and she told me that th NT measure of the back neck of my fetus is 2.3 mm. She asked me to do a blood test called prenatest to be...  Read Full »

Dr. Jimesh H. Mavani

Answer: Hello, Welcome to When NT (nuchal translucency) is towards higher value than a baby is more likely having a problem. Now there are two prenatal tests which can be done at 12 weeks. Most commonly done is a double marker test. Currently, both are screening test, and we come to know whet...  Read Full »

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