#fetal medicine doctor

[specialist-in-lucknow]

Gynecological Laparoscopy in Lucknow

Gynecological Laparoscopy in Lucknow is a minimally invasive surgical technique used to diagnose and treat various conditions affecting the female reproductive organs. By utilizing small incisions and a laparoscope—a thin, flexible tube equipped with a camera—this approach allows for precise and effective treatment with reduced recovery time and minimal scarring. At our centre, we are dedicated to offering state-of-the-art laparoscopic procedures performed by highly skilled specialists in a comfortable and caring environment.

[coochiequeens]

In concluding their piece, Lahl and Fell said: 'The authors' suggestion that medical providers should deviate from the principle of 'do no harm' to follow paths where the evidence indicates harm is quite shocking.""This perspective, driven more by ideology, emotions, and personal desires than by evidence, conflicts with the foundations of evidence-based medicine.'

MSU sociology professor Dr. Carla Pfeffer is slammed over scientific journal article saying trans men should be allowed to take testosterone while pregnant, despite warnings hormones may trigger severe health issues in fetuses

Dr. Carla Pfeffer published a paper alongside five other academics concerning the use of testosterone therapy during transgender pregnancy 

The sociology professor and her cohorts have since been slammed by two nurses for disregarding the safety of a fetus 'in the name of trans inclusion'

Jennifer Lahl and Kallie Fell hit back at the study, deeming one portion of it 'quite frankly, insane'

By JOE HUTCHISON FOR DAILYMAIL.COM

PUBLISHED: 10:37 EDT, 20 October 2023

A professor has been slammed over a scientific journal in which she said trans man should be allowed to take testosterone while pregnant, despite warnings it could trigger severe health issues.

Dr. Carla Pfeffer, who is not a medical doctor, penned a new paper alongside five other academics titled 'Medical uncertainty and reproduction of the 'normal': Decision-making around testosterone therapy in transgender pregnancy.

Pfeffer, who is a sociology professor at Michigan State University, argues that pregnancy care is too focused on helping women have healthy babies, and that trans men might be fine to take testosterone while pregnant.

The authors , who are sociologists, have since been accused of choosing to disregard the safety of a developing fetus 'in the name of trans inclusion'.

In a scathing response to the paper, two nurses have criticized the article saying if abiding by their take 'would land us in a vacuum devoid of medical ethics'.

Dr Carla Pfeffer, pictured here, published a paper alongside five other academics concerning the use of testosterone therapy during transgender pregnancy

The sociology professor and her cohorts have since been slammed by two nurses for disregarding the safety of a fetus 'in the name of trans inclusion'

Authors Jennifer Lahl and Kallie Fell, who is the Executive Director at The Center for Bioethics and Culture, published a response to the paper titled: 'Is There a Doctor in the House?'

In it, they said: 'The authors argue that 'gendered' pregnancy care is too focused on helping women have healthy babies, and that it might be okay for transmen to continue taking testosterone during pregnancy despite the known health risks to the fetus and effects on its normal development. 

'This is, quite frankly, insane.'

In the paper, Pfeffer and her fellow colleagues had studied 70 international trans individuals and 22 health care providers who focus on trans people. 

Their paper says: 'We argue that in the context of lacking and uncertain medical evidence (HRT with testosterone during pregnancy and chest feeding) in a highly gendered treatment context (pregnancy and lactation care), both patients and providers tend to pursue precautionary, offspring-focused treatment approaches.'

In response, Lahl and Fell say the findings are flawed as only biologically fertile human females possess the attributes for pregnancy and childbirth. 

The two label this 'a simple biological reality', saying that pregnancy care isn't 'gendered' at all. 

According to the Mayo Clinic, testosterone may cause birth defects if a pregnant woman comes into contact with it. 

Lahl and Fell also added: 'The concerns raised by Pfeffer and colleagues focus on the modern treatment approach physicians take, which they deem excessively 'precautionary' and 'offspring-focused.' 

Kal Fell, front, and Jennifer Lahl, background, published a response to the paper titled: 'Is There a Doctor in the House?'

'Fortunately, caring for the child and the mother are neither mutually exclusive nor zero-sum. 

'In situations where a woman aspires to become pregnant and commits to motherhood, physicians can provide care that optimizes outcomes for both parties while minimizing potential harm. 

'If a woman chooses to continue a pregnancy, doesn't the developing fetus also have a right to the four principles of medical ethics?'

'In such cases, the physician is duty-bound to care for both the child and the mother.'

One health care provider also told researchers: 'I think if you choose to have a pregnancy and your female hormone levels would be already so high that testosterone probably wouldn't even mentally help.

'If you're producing breast milk and you couldn't be without testosterone for mental health, if you couldn't deal without testosterone, then you probably shouldn't be pregnant.'

In concluding their piece, Lahl and Fell said: 'The authors' suggestion that medical providers should deviate from the principle of 'do no harm' to follow paths where the evidence indicates harm is quite shocking. 

'This perspective, driven more by ideology, emotions, and personal desires than by evidence, conflicts with the foundations of evidence-based medicine.'

[fetusuae]

Maternal Fetal Medicine Doctor in Alain

Mother and Fetus Medical Group is the best option for expecting mothers who are looking for a reputable and experienced Maternal Fetal Medicine doctor in Al Ain. With a team of highly qualified and specialized doctors, the clinic provides comprehensive care for both mother and baby throughout all stages of pregnancy, from preconception to postpartum.

The Maternal Fetal Medicine doctor at Mother and Fetus Medical Group in Al Ain is an expert in the field of high-risk pregnancies, complicated obstetrics, and fetal medicine. They offer personalized care and treatment plans tailored to the unique needs of each patient, ensuring the best possible outcomes for both mother and baby.

Expecting mothers can trust the Maternal Fetal Medicine doctor at Mother and Fetus Medical Group in Al Ain to provide the highest quality of care, utilizing state-of-the-art technology and the latest medical advances. They are committed to providing a compassionate and supportive environment for their patients, with a focus on promoting the health and well-being of both mother and baby.

[hrpdfrisco]

Pregnancy Doctors Near me

When you’re expecting a child, you need experts on your team to help guide you every step of the way. At High Risk Pregnancy Doctors in Frisco, Texas, Maternal-Fetal Medicine specialist Violetta Lozovyy, MD, and her team provide high-quality care with a hands-on approach.

High-Risk Pregnancy Doctors practice is dedicated to the highly-accessible, patient-centered experience. The team understands that whether you are low risk, the low risk that can become a high risk, or have prior risks associated with a high risk pregnancy, you need expert care. As specialists in Maternal-Fetal Medicine, High Risk Pregnancy Doctors offer a wide range of services including extended hours for your flexibility to access the care you need.

Preparedness is essential when you’re expecting a child – make sure you have the best team behind you to help you succeed. Call High Risk Pregnancy Doctors to make an appointment or book one online today.

[nrkss]

Why You Need a Feto Expert in Siliguri for Advanced Prenatal Care?

Pregnancy is a beautiful journey and is filled with challenges that a mother needs to overcome. To ensure the best health during this period along with the health of your unborn child, you need to give extra care and attention. A lot of things will change like your diet, shifts in emotional and physical aspects, the addition of a whole lot of medication and supplements and so much more needs to be taken care of. The path is not easy however medical care and advice will help immensely in navigating the difficult path.

Feto experts are highly skilled specialists who help in providing the diagnosis of the complications of the child in the womb while providing the right treatment for them. They are trained experts who are trained to give the best treatment option based on your condition. They work closely with other medical experts after the birth of the child in case any complications arise.

Whether you are in low-risk pregnancy or high-risk pregnancy, you should consult a feto expert in Siliguri. Pregnancy needs special care and with expert presence, it reduces the risk of complications and ensures a healthy successful pregnancy. Let's discuss why you need a feto to exert for advanced prenatal care.

Early Detection of Fetal Abnormalities

Feto experts use advanced medical technology to detect potential birth defects, genetic disorders, and other abnormalities early in the pregnancy journey. This helps in planning the child's condition much better and timely intervening in situations that need to be solved for effective treatment. Without a feto expert, the parent doesn't realize the unborn child's condition and without treatment at the right time, it gets worse after birth.

Management of High-Risk Pregnancies

High-risk pregnancies are very dangerous and the mother's condition along with the child must be put in monitoring to avoid and treat any potential complications. Situations such as pregnancy after 35, health conditions, miscarriage history, genetic disorders in the family, and several other conditions can influence the high risk of pregnancies. Such situations need special attention from a feto expert as they are trained in managing high-risk pregnancies.

Counseling and Support

Feto experts utilize their expertise in treating unborn child conditions by giving a detailed explanation of the test result and letting you understand its implication on your pregnancy. You can consult a feto expert, the best high-risk pregnancy doctor in Siliguri, to get to understand the condition of the baby in your womb in detail. Other than counselling they make sure to give you emotional support and guidance through the pregnancy. This helps especially during high-risk pregnancy dealing with complex situations.

When You Should Consider a Feto Expert

You might be wondering when you should consider a feto expert. Here are a few conditions, which if you have, you should consider visiting a feto expert.

If you have a family history of genetic disorders, you should consult a feto expert.

In case you are trying to conceive after 35

If you have a history of miscarriage

Multiple pregnancies can increase the complication of complications especially carrying twins and more.

Conclusion

A pregnancy has to overcome several difficulties which might lead to a disruption in their growth. It is essential to consult a Feto expert in Siliguri who helps to monitor the growth of the child and helps in finding any complications that arise during the growth of the child in the womb. Especially during high-risk pregnancy, special attention and monitoring are needed for a successful birth.

[studymedic777]

Managing Stress During High-Risk Pregnancy: Five Essential Tips You Should Know

High-Risk Pregnancy: Five Essential Tips Are you a lady who is about to become a mother but is stressed out instead of happy? It is not uncommon for women to experience mental turmoil and significant levels of stress during a high-risk pregnancy. Do you ever wonder why you’re so stressed? Your anxiety and stress can be over anything, including your kid, your body, or anything else you can think of. Here, we’ll show you how to handle stress throughout pregnancy with these 5 strategies and tricks.

5 Steps to Manage Stress During High-Risk Pregnancy:

Focus on Meditation.

Meditation can be a great method for stress reduction. Taking deep breaths or simply sitting peacefully in a quiet location will allow your body and mind to relax. Meditation will help you gain better control over your thoughts if you practice it consistently.

Seek Support from Your Doctor

It is critical to seek advice from experts, especially in the case of a high-risk pregnancy. Obstetrics and gynecology professionals, perinatologists, or maternal-fetal medicine specialists with experience dealing with high-risk pregnancies can help. They can help you gain a better understanding of your issue by providing appropriate guidance and support. If you require additional assistance, don’t hesitate to seek therapy sessions and stress-reduction techniques from mental health professionals.

Prioritize Rest

Remember that your body is undergoing many new modifications. Make sure you get eight hours of sleep. Lack of sleep frequently leads to excessive levels of stress. It is usual for women to experience increased sleep troubles in the last trimester of pregnancy, therefore it is vital to recognize this and seek support if needed.

Move your body

Some activities not only relax your body but also help keep your mind calm. When we say movement, we don’t only mean workouts or exercises; a simple ten-minute walk can be more beneficial than you realize. Spend time outside and engage in activities you enjoy; your stress and worry will ultimately subside.

Get Started

Talk to trusted loved ones, relatives, or friends about how you’re feeling. It will undoubtedly help you open up and relieve some of your stress if you know a group of expectant women. Connecting with others who are experiencing similar things is frequently simpler.

Recall that experiencing stress during a high-risk pregnancy is rather common. You may better control your stress and concentrate on the wonderful experience of becoming a mother by putting these strategies into practice.

Would you like to pursue a career in high-risk pregnancy? Get in touch with us to find out.

[balajihospital]

Balaji Hospital | Nephrology Specialists for Kidney Diseases

Balaji Hospital's Nephrologist providing expert care for kidney health & diseases including diagnostic tests & advanced treatments like dialysis & transplantation

[izvmimi]

cw: senku accidentally makes an aphrodisiac and fem!reader helps him out... minors dni! smut but no penetration. american colony au.

Senku rarely makes mistakes, ever, but as Gen has so often pointed out, luck is very often not on the young man’s side - in fact, luck seems to avoid him as though punishing him for refusing to leave his life up to fate. 

Minutes after he’s taken the potion that had been designated by the village doctor as an analgesic, he realizes quickly he’s made a grave one. Sweat beads on his forehead as he breathes in, the very action of drawing in a breath serving to increase the deafening drumbeat in his ears. Thump, thump, thump. The heat clouding his mind right now as he tries to remember where exactly he went wrong, what could have possibly happened to have him in fetal position, tensed up everywhere but especially in the space in between his legs.

Top shelf, to the right. A small vial stopped up with a cork.

Cork. It shouldn’t be a cork, he remembers suddenly. She had said the bottle might be hard to twist open. He must have taken something else. What else could explain the fact that all the blood coursing through his body seems to have collected to one place only, giving him the hardest erection he’s ever had in his life?

The scientist can’t claim to never have thought about sex. After all, he’s young and healthy and as curious about his body as anyone else, even if he’s not so easily persuaded by the prospect of soft round breasts or plush thighs as others, and he prides himself in knowing the basic workings of everything including that particular type of recreation. 

Now it’s all he can think about as he shivers and flushes, blood gorged cock throbbing and desperate to be touched in any way, shape or form.

He’s initially thankful that he was struck by this affliction while hiding away in the lookout tower  in the middle of the night because of its privacy and the ability to rub one or ten out and hopefully turn into a logical human once again, but once he can hear the familiar soft pad of your footsteps approaching up the stairs, he’s repetitively cursing his rotten luck under his strangled breath. 

Scrambling from his position sat in the corner, back against the wall, he quickly finds his way onto a chair, but stumbles, and when your eyes fall onto him, he’s practically face down. 

“Senku?” 

Your voice is soft as usual, not completely sure it’s him in the dim light. Moonlight illuminates part of the wide room, and when he finally rolls over to a cross-legged position, doing his best to hide the embarrassing bump in his clothes, you look at him quizzically.

“Fancy meeting you here!” Senku exclaims. There’s an uncharacteristic upturn to his voice that is a cause for concern.

“You mean, in the tower you supposedly made for me?” you ask. Senku pales, but you’re already sliding down to sit cross-legged next to him. 

“Are you doing okay?” you ask. Leaning over to press a hand to his forehead, you frown at the dampness, while a shudder passes through Senku’s entire body the moment the back of your hand grazes him.

“I’m fine,” he says, coughing to cover up the strain in his voice. His body language is slightly turned away, and so is his face, because he can’t look at you, not like this. Desire pools in his chest heavily, so thick he can barely breathe, and your sweet voice is like water dripping onto an already overfilled cup.

“You don’t sound fine,” you muse. You think of yourself just weeks ago insisting on being left alone despite a raging pneumonia, and move in closer, a move that has him retreat like a trapped mouse. “Did you take the medicine for your headache like you were supposed to?”

Senku would roll his eyes if it weren’t for the fact that an accidental brush of your hand against his could make them roll into the back of his head.

“Your friend might be a quack,” he says, but then quickly adds in fairness, “...the truth is I think I might have picked up something I wasn’t supposed to.”

He laughs, and then feels his cock jump and scrambles to his feet to stand further away. You’re troubled by his anxiety and his refusal to look you in the eye and after a few more questions about his mental and physical state, you decide you’re tired of his dodging questions.

“Senku, what the hell is going on?”

“Nothing,” he lies. He’s thinking of a way to escape without you noticing, but you’ve moved now, and are standing right in front of him, far too close, and your upset look is simply too pretty, and he looks at you almost fearfully.

“I need to go,” he says, and tries to move past you, but you immediately block his path. 

“Senku.”

It only takes one look at the knit in your eyebrows to realize he’s not going to make out of this without the truth. He’s still flushing intermittently, and can feel the tip of his dick more exquisitely than any other part of his body. It takes him a moment to decide, but eventually he realizes he can approach this embarrassing predicament in the best way he can think of.

Logically.

“Whatever I took… I think might be having aphrodisiacal effects on me.”

You blink, bright eyes wide with every bat of your lashes, and he feels the genuine pull of yearning in his loins.

“Oh.”

Senku blushes, the warmth spreading throughout his whole body this time as you finally look down then quickly avert your gaze. In a flash, he wonders for the first time how much you know about sex. Are you a virgin? When was your first time? With who? Would you do it again? With him?

The last thought he immediately banishes from his mind, telling himself that it’s likely the effects of whatever potent concoction is clouding his rationale. Not now. If ever, not this way.

“I… I can help, you know,” you offer. Your voice is quiet, gentle and steady, the same way you speak when you talk to the animals when they misbehave, when you want to reassure without controlling. “Platonically, of course,” you quickly add.

Platonically. Of course. It’s just an urge, and you understand those animalistic urges pretty well, given your breadth of experience in the natural sciences. Just a want. It wouldn’t be a crime if…

You move in close, your hand hovering over his crotch but not touching him. You then look at him, asking with your pupils, and he can swear he can feel his dilate. He nods, and you let your fingers slip beneath the layers of fabric until they reach the slightly coarse grain of his pubes. Your lips part slightly as you move slowly; he’s holding his breath but the moment your finger grazes the skin of his firm shaft, he lets out a moan, covering his mouth immediately to shut himself up.

“It’s fine,” you reassure him. He’s embarrassed, suppressing pants, but you press forward, letting your fingers close around his shaft, one by one. Grip still awkward, Senku shifts, pulling down his pants further, and you pull your lower lip before your teeth briefly before you tug smoothly for the first time. He gasps, and you press your thumb on the tip, right at the orifice of his urethra.

“Have you ever done this before?” you ask, wondering if you should have asked earlier. The small talk is meant to make it more casual, less intimate, but he’s quick to shake his head and say no, breathily.

“Not by anyone who mattered.”

Your heart flutters and you move just a bit faster. Senku moans, throwing his head back, and you keep your pace.

“Is that enough? Are you feeling good?” You slip. You mean better. You’re not trying to pleasure him, you’re trying to help him. 

“Fuck, can you… more… can you-” he stops, then bites his lip. He’s breathing heavier now, the expansion of his chest much more noticeable. He glances at you for a moment, then quickly looks away. If he were to do what he wants to do, ask you for more, press his lips onto yours, would it be using you? Is he allowed to ask that of you? Is it just this… or something else?

Your hand has stopped but he’s whining now, bucking his hips into the base of your fist almost subconsciously. You grip tighter, then slide up and down his shaft again, pressing against the darkened tip more, now slippery with treacherous precum. It occurs to you for a moment that maybe, maybe just a bit more friction would help, and you take the initiative of spitting on your hand, then resuming and he moans, fingers pressed to the floor beside him tensing and tightening as he accepts your onslaught.

Straggled groans escaping his throat, his eyes close, and you watch his Adam's apple bob as he swallows spit and desire. He’s thirsty, needy, unsure if this is making it better or worse.

And just at that moment, you ask, “Are you feeling better, Senku?”

Oh, the way you say his name, he practically spills into your hand. 

“D-don’t talk…” he begs, and your face flinches with hurt, but you remember that you are only helping.

“Mm.”

Your hand keeps moving, and you watch his cock throb and twitch in its grasp. It’s a pretty thing, you let yourself consider for a moment, pretty like the rest of him, eager, greedy… it has been a while, you think, since you’ve been so intimate with someone.

Not intimate. That’s not what this is. You’re helping a friend.

Senku grits his teeth as you spit on your hand again and your moistened palm swirls around his cock. 

There’s no reason for you to be so good at touching him like this. He exhales.

“I’d be a real piece of shit if I asked you for more, wouldn’t I right now?” he finally asks. He’s looking at the ceiling now, trying to contain himself, but how can he when you’re touching him like this and he feels better than he’s ever felt in his life. He’s only mildly coherent at this point, perhaps he should count backwards, perhaps…

“Tell me what you want, Senku, I’ll do my best.”

He turns, and you look at him in just that moment, but you don’t let go of him. 

His hand goes to the back of your neck, pulling you closer and he stops quickly, inches apart. 

You’ve closed your eyes, and you’ve puckered your lips just so. Senku swallows hard, wondering how he could have ever stopped but he knows why.

“It’s not the drugs,” he’s able to eke out. Your eyes open, gentle as they look into his, your lips still parted. Your hand shifts, palm rested on the edge of his warm length. 

“It’s not the drugs,” you repeat.

“I’d feel like this anyway, in this moment,” Senku says. A moment passes. Your tongues passes over your dry lips.

“Do you mean it?” 

Senku doesn’t hesitate, before saying yes.

You press your lips to his first, letting him press his way in and explore, letting him bite your lip and suck, and pass his tongue against your teeth, letting him tip your neck backwards and deepen the kiss. You kiss, and you move your hands and your lips part, and you dip lower, to make him feel pleasure like he’s never seen.

[oddlittlestories]

Thinking about Cuddy.

House is a genius. I’ve written about how Wilson is equally talented.

But Cuddy is, too.

One of three(?) female deans of medicine in the country. One of the youngest. And every time the spotlight turns onto her, she does things no one else can do.

She has a kid by herself. Wilson points out that a man in her position would have a wife, two nannies AND two assistants. (She tries to hire an assistant and the job is so demanding they quit regularly.)

She consistently gets things for the hospital no one else can get and is the trump card only she can play. In 5 to 9, she gets (I think) 7%, which is far and away better than her opponent, her board, or anyone else but her thought she could get.

In season 1, iirc it’s implied SHE brings in Vogler, and she’s the only person who can stop him when he starts tearing the entire hospital apart to get at House.

In season 3, she ends the nonsense with Tritter.

She’s also the only person who can and will keep House on her team (no one will hire House or Foreman, other than her). And she’s the only person who can wrangle him, canonically (I disagree with canon, but Cameron does hand the reigns back to Cuddy with this exact statement). Moreover, she makes House an ASSET. In 5 to 9, she explains that PPTH is on the cutting edge, which includes their world famous ddx department.

And! Despite the fact that House routinely accuses her of being an administrator and not a doctor anymore, she still successfully treats patients from time to time. She helps ddx the babies in Maternity. She saves her patient’s baby in Fetal Position. In s5 Joy, she clocks that something is wrong with the mom when no one else does, and pushes until the diagnosis is made and saves both their lives. She figures out the diagnosis in Joy to the World at the same time as House, and is so kind and respectful to the folks caring for the baby, yet still makes sure she gives the baby what she needs.

I have to admit that I don’t remember s7-8 well enough to go through those, but it’s clear to everyone that Cuddy is a great doctor. Much like Wilson, she gets dismissed in part bc she gets too emotionally involved. And it’s also clear that no one really understands her work or how good she is at it. Everyone only sees their part, and she has to see all of it and make it all fit together, making sure everyone gets what they need. Her ability to flip between caring and hardass undermines her ability to seem tough, but it’s also necessary. If she couldn’t care, she wouldn’t take such good care of her people or patients. If she couldn’t toughen up, she’d let people walk all over her. It’s a unique style, and not without its pitfalls, but it’s all hers.

And like Wilson, she doesn’t get seen as a genius. In fact, she barely gets acknowledged as smart at all. A lot of her successes come from charisma and social intelligence. And those things often get dismissed in women, especially women who care as deeply and obviously as Cuddy does. The ability to juggle so many things gets dismissed as “basically being well-organized,” and also, no one really SEES what she does. It sometimes takes her a minute, but she reads people like THAT. She figures out and outwits that sociopathic drug dealer. She sees through most of House’s lies. She often settles with plaintiffs because of guilt, but she also often talks them out of suing the hospital in the first place.

Cuddy is just as good, and just as brilliant, at her job as House and Wilson. But she doesn’t get seen as a genius anymore than Wilson does.

[esmedelacroix]

𝕬 𝕽𝖊𝖆𝖑 𝕶𝖓𝖎𝖌𝖍𝖙 𝕴𝖘𝖓'𝖙 𝕬𝖋𝖗𝖆𝖎𝖉 𝖙𝖔 𝕲𝖊𝖙 𝕭𝖑𝖔𝖔𝖉 𝖔𝖓 𝕳𝖎𝖘 𝕾𝖜𝖔𝖗𝖉…

pairing: crown princess!reader x knight!miguel o'hara

cw: messy period sex, unprotected p in v, size kink, blood, dom!miguel o'hara, fingering, size kink, edging kinda, dacryphilia, slight degradation kink

a/n: hey lovies, this isn't my usual content but I have endometriosis and I hate it. But period sex always helps so here. This is set in sort of medival times. Hope you like it, a like, comment, or repost is always appreciated. Let me know what you think!

wc: 2.5k

꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷

"Ughhhh," "UGhhhH"

"Her Highness has started her menstrual cycle," Archibald, your retiring personal knight, explained to your new personal knight in training, Miguel.

"This is a common occurrence, nothing has ever helped her Highness," Archibald continued.

"Are the doctors not equipped with the medicine needed?" Miguel asked as he heard a high-pitched wail.

"They are but Her Highness has rather odd and abnormally painful symptoms. The doctors can't figure out a cure for it," he sighed.

Miguel bit the interior of his cheek in deep thought and during his break, he decided to go to the library. He sat at one of the desks with piles of biology and anatomy books.

He didn't know any way to make himself useful to you other than to try to study your condition and perhaps figure out a way to help you.

It was hard for him to find much of anything because scientists at the time paid little attention to studying women's bodies and the female reproductive system. It's quite disappointing because women are amazing. They can create life but all male scientists care about is themselves. "What a shame," Miguel muttered to himself as he opened up another textbook.

He didn't take the time to read the cover so he was flabbergasted when he began to read the contents of the book.

He was reading a study about the health benefits of an orgasm when in pain. There are specific chemicals released when both males and females experience an orgasm.

What if these same chemicals can combat menstrual pain, Miguel thought to himself. "Miguel it's time to return to your post," Archibald said as he entered the library.

"I'll be right there," Miguel said as he organized all of his books for later.

"You were studying?" Archibald asked as he led you down the halls.

"Yes, I wanted to see if there was anything I could do for Her Highness but I don't know much about menstrual pain," Miguel sighed.

Archibald hummed in response. "If you want to help the crown princess then you will take her lunch and medicine to her and attempt to get her to eat," she doesn't like to eat or do much anything other than squirm in her bed when she is experiencing menstrual pain.

"Okay," Miguel answered as he opened the doors to your room and brought your food and medicine to you on a tray. Archibald closed the door behind him and wished him luck.

Miguel was content to see that you were asleep and not suffering. You were curled up in a fetal position with a hot compress over your abdomen. Small tears were formed at the corners of your eyes. The pain had even made you cry in your sleep.

Miguel's heart sank seeing you in such a distressed manner. He softly shook your shoulder to wake you up. "Your Highness," he started softly seeing your eyes flutter open.

"It's time for your meal and medicine," he continued. You jolted awake as your eyes adjusted to the light then turned to look at him before feeling your face heat up.

"Who dares enter my room when I am so indecent?" you asked, pulling your sheets up because you were still in your nightgown.

"Where are my manners? I'm your new personal knight, Miguel O'Hara," he introduced with a bow.

You nodded in response, allowing yourself to calm down. You stretched out your arms and sat up against your headboard. Just as you did so, you winced in pain. "My lady, are you still feeling pain?" he asked.

"Yes, I should eat quickly so I can take that medicine," you groaned.

"Yes," Miguel said as he began to cut your food for you and held a forkful up to your lips. You were rather surprised by the gesture but you weren't opposed to it. Archibald never does this for me, you thought to yourself as you enjoyed your food.

There were moments when you had to take a break because of the pain but you finished your meal in record time. After finishing the medicine you were still in tears and extreme pain.

It was enough pain to make you wail. The rumors were true though, you were the most beautiful woman he had ever seen. Your voice was soothing even when you sobbed. When tears trickled down your cheeks they only added to your beauty.

Miguel hated to see such a beautiful woman in pain. Especially when there was nothing that he could do to alleviate it. Well, there was one thing he could do. He could suggest that you touch yourself. But weren't in the state to do even that. I could give her an orgasm, he thought to himself before shaking his head.

"No, that would be out of line," he muttered to himself quietly.

"What would be out of line?" you sniffled, turning to him.

"Um well, there was one remedy for your pain that I was researching. But it would be out of line if I helped you perform it," he explained.

"Please do it for me I'll do anything to stop feeling so much pain," you practically begged.

"I'm not sure if a lowly knight like myself should help you do this," he said, trying to convince you to let it go.

"Just tell me what it is, I'm sure I wouldn't mind you doing please just do this one thing for me, Miguel," she pleaded. Miguel was going to deny once more but once his name left your lips pounding like a beautiful song, he felt he couldn’t say no.

"Well, the remedy my lady, is to give you an orgasm," he admitted as his cheeks flushed.

Your own cheeks flushed when you realized that you were basically begging your personal guard to have intercourse with you. "Oh, that's most certainly not what I was expecting you to say," you said as he averted his eyes when you looked in his direction. You weighed the pros and cons of having sex with your new personal knight. You couldn’t even believe you were thinking of sex with a palace guard.

You put your hand to your chin as you thought about it for a good minute sizing him up out of the corner of your eye. He wasn't too bad looking. He was very big, you wondered if his penis was also big.

And his face, well it was magnificent. He looked like royalty in your eyes with that handsome face of his. You could see yourself having sex with him.

“Dismiss everyone on this floor of the palace, Miguel,” You commanded. Miguel shot you a confused look.

“I’m very loud in bed, chop chop Miguel,” you whispered as another wave of pain hit you. Miguel was surprised how your voice went from a sweet soft soft-spoken voice to one dripping in sin.

He got up and stepped out to the hallway relaying your command to Archibald who had everyone on the floor you were on gone in minutes.

“Now that we have some privacy, come here,” you demanded as you winced in pain.

Miguel walked up to you as you laid back holding onto the edge of his t-shirt bringing him down with you. Your faces are inches apart. Hot breaths fanning each other's lips. "Unsheathe your sword, Miguel," you whispered looking into his hungry eyes.

Miguel stripped himself still hovering over you. The second his name left your lips, it was as if you put him in a trance. He did everything he was asked to do. He then bunched up the hem of your nightgown slowly lifting it above your legs slowly. “May I?” he asked, trying to be as gentle as possible.

You propped yourself up on your elbows letting out an exasperated sigh, rolling your eyes. “You don’t have to be so formal, I need you, to fuck this royal pussy like I’m some common whore at a brothel, that’s an order Miguel” you spat as your face contorted in pain.

Miguel was surprised by your sudden dirty unladylike language. But that went straight to his hardening dick.

He took your nightgown off with a newfound sense of urgency. He was pleased to see that you were almost completely naked underneath, still sporting your menstrual underwear, nipples hardening at the feeling of the cold air hitting them.

He wasted no time pulling off your menstrual underwear and setting it aside. You spread your legs for him to get a better view of your pussy that was now throbbing with want.

Miguel ran his index from your bloody slit to your clit picking up the moisture of your blood and slick. Pressed on your aching bud with his thumb moving it in circular motions. A long moan erupted from your throat. Your hand gripped his wrist tightly as he pushed a finger into your aching hole still playing with your clit with another.

The muscles and veins in his arms flexed and pulsated as he worked your sopping-wet pussy. He added another one of his thick fingers stretching you in preparation for his fat cock. You only looked down for a second when he took his pants off and fear struck the pit of your stomach. He was so big you weren't sure if he'd even fit. That made your sick and twisted mind even thirstier. Wanting more and more of him.

Your hands gripped his arms until your knuckles practically turned white as you tried to suppress your moans as he slipped a third finger into your cunt that was coating his whole hand in your wetness and blood. "Don't conceal it, I wanna hear you, wanna make sure I'm making you feel good," he grunted into your ear as he began to rut against the bed. He lay in between your legs focused on fucking you with his fingers.

Your blood was dripping onto the sheets, but you didn't care, you felt too good. You moaned for him chanting a mantra of his name until his name and the stretch were all you could think about. "Miguel, inside, I want you inside please," you begged.

"Oh yeah? You want this cock in your pussy?" he taunted as a smirk graced his lips.

"Yesyesyesyesyes," was all you could moan out your mind going almost blank as your legs began to shake.

"Tell me how badly you want it, show me how badly you want it," he growled into your ear as he added a fourth finger and picked up the pace.

The pleasure almost completely took you over as fat tears formed at the corner of your eyes. "I need you, inside, Miguel please, need your cock," you moaned shamelessly moving your hips against his fingers matching his speed.

You grip the sheets with one hand, the other holding onto his, as your back arches. Blood and slick gushed out of your pussy as your orgasm approached you at lightning speed. Until it didn't, and you felt the pleasure died down completely. You let out a frustrated whine letting go of the sheets. "Miggy, why," you whined almost sobbing because of the stolen orgasm.

"You said you wanted me in you, you're going to have to work for it, my lady," he said as he lay on the bed and put you on top of him with ease. You straddled him looking down at him with tears in your eyes as he grinned at you.

"Miguel please, help me," you said as you positioned your slit in line with his bulbous tip that was dripping with precum.

"Uh uh uh, you gotta do that on your own," he cooed as he whipped a falling tear from your face.

"I will be your queen soon," you said sternly.

"But right now you're my whore, now get to work, this cock isn't going to ride itself," he spat as he slammed you down onto him practically impaling you on his dick.

You took a moment to adjust to his size. The stretch was amazing. You had never felt so full and he was hitting a sweet spot. You moved slowly, then faster, then much faster. You heard Miguel let out a moan almost sounding like a whimper.

He grips your hips tightly, surely making bruises as you milk him. His eyes rolled back as he tried his hardest not to explode right then and there because of how warm, wet, and tight your pussy felt.

Helpless moans of his name were spilling from your mouth as your blood spilled onto him staining his skin and your sheets. “That’s it, princess, just like that,” Miguel groaned.

Quickly you felt your orgasm approaching, the coil in your stomach about to snap. Your legs began to feel like jelly and you felt yourself stop moving. “I can’t, Mig, help,” you whined trying to keep moving.

“You’ve been a good girl, I’ll take care of ya’,” he said as she moved your hips with his hands that rested on them fucking himself up into you.

The Lewd sound of you chanting his name and wet skin slapping wet skin filled the room. As he picked up the pace your moans became more and more high-pitched. “You’re fuckin’ me s’ good Mig,” you moaned.

“Yeah? Tell me how good I’m doin’ you,” he grunted as fucked you harder too kissing your cervix as his dick started to twitch in you.

“S’ good, love this fat cock,” you whined as you clenched him hard as your legs shook violently.

“Cum with me baby,” he grunted as he pumped himself into you.

“Cumming, I’m gonna cum,” you whined as you creamed around his cock making a mess of him only being able to think of him and utter his name.

Miguel continued to fuck into you elongating your orgasm as he released his hot, thick, cum deep into your womb. You collapsed on top of him panting and trying to catch your breath.

You slowly slid out snuggling into his side. “Sorry, about the mess,” you started, gesturing to his half-soft member that was coated with your blood.

“Oh, no worries Your Highness, a real knight isn’t afraid to get blood on his sword,” he stated.

“I suppose that is true,” you replied, giggling a bit.

“So how is that menstrual pain?” Miguel asked as he caressed your bare back and planted small wet kisses into your neck.

“Honestly, I forgot I even had it, I guess it’s gone, I mean, you made me feel so good,” you sighed breathlessly.

Miguel slowly got up covering you with your bed sheets. “I’ll go ahead and run you a bath my lady,” he said as he prepared your towel, shampoo, and bath salts.

“Thank you, Miguel, I wouldn't be so opposed to you joining me,” you chirped.

“Oh, I do not wish to impose-“ he started before you cut him off.

“That’s an order, Miguel,” you whispered, with a small smirk playing on your lips. You were nowhere near done and neither was he.

"You little minx," he hummed as he disappeared into the bathroom.

. . .

꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷꒦꒷

[sweetestcaptainhughes]

Can you tell me what hurts? - John Marino

Word Count - 5.5 K

Summary - Always struggling with having a abnormal menstrual cycle, and doctors not seeming to care. It sort of became the norm for you to just not really know what's going on with your body. After meeting John, you were worried if he would get scared with how sick you really got so often and run. Or would he be the one to stick around and try to help you figure out what's wrong?

Warnings - mentions of shitty doctors, a mental breakdown, some minor fighting, mentions of blood but I feel like that's a given, PCOS diagnosis

Author's Note - Thank you for always supporting me. I literally wrote finished this segment today because well life. If you have read the other segments of the 'Let me love you' series then you will know that this one is written in a different style. PCOS is one of those things that affects many different parts of life and so this segment does have more time jumps then I normally write. I just really wanted to do a good job of presenting PCOS as a whole, and not only one part.

let me love you masterlist. main masterlist.

Not having a regular menstrual cycle wasn’t something new to you. Never once in your entire life have you ever had a regular period. Fighting with doctors off and on until you ran out of willpower to try to figure out what was wrong with you. Why were you on birth control since you were a freshman in high school? Why was it if you let your body get off the medication you wouldn’t have a period for an entire year? Why would the pain from your natural period put you in the fetal position on your coach? Why was it so hard to lose weight compared to others? Why did you grow body hair three times as fast as others? And why did no one else seem to give a fuck to run the proper tests? 

Fighting with doctors since you were fifteen you ran out of willpower to fight, what was the point. Both of you knew that you had PCOS but they were too scared to diagnose someone so young with it. They didn’t want to have to tell a 19 year old at the time that you might struggle to have kids one day. So you did what you were told, you took birth control and every year like clockwork when your body becomes used to the drug, and your period wouldn’t stop for a month you would change your medicine and start the endless cycle over again.

Meeting John in your mid-20’s, he had no idea that you struggled almost fighting your body every month. Even if you didn’t have your period you still had the side effects of birth control.  Whether in pain from the medicine or crying out of frustration that you were deemed to take a pill for the rest of your life and no one seemed to care to figure out what was actually wrong with you. John still doesn’t know that your body seems to hate you not being able to regulate your own period. Both of you have only been seeing each other for about 6 months. He knew you were on the pill, and you both have been tested and have been having unprotected sex. But he doesn’t know that about once a year your body becomes a crime scene constantly covered in blood, not being able to have a maxi pad on for more than 30 minutes at a time. Although your body doesn’t seem to have any routine, the one thing it has down is when your body becomes used to the brand of birth control you’re on. Every November, your period came and it didn’t stop until after labor day, sometimes the first week of October depending when it came. As each day passed your stomach started to hurt more and more not sure if it was cramps warning you of what’s coming, or your one anxiety in the fact you were about to enter a month of hell and possibly a few ER trips before you could get in to your gynecologist.  

Sadly it was the first as you went to the bathroom to find that your period had indeed started. Sighing to yourself you reached under your sink and grabbed out a maxi pad and put it on. After you’re done using the bathroom, you go to the kitchen and grab some Advil and take 3 hoping it does something to ease the pain you felt. Cursing to yourself as you remembered that you had a date planned with John tonight to go to the movies. No longer feeling like leaving your apartment you decide to call him to cancel, and of course he picks up on the first ring. 

“Hey baby I was just about to leave my place.” sounding rushed. 

“Yeah about that..” taking a deep breath, feeling terrible about canceling but knowing that if you forced yourself to do too much now no way would you be able to last your usual month of hell. 

Johnny softly asks “What’s wrong y/n/n” it’s clear in his voice that his own anxieties are rising and you officially feel like a piece of shit girlfriend for canceling so last minute and not being able to be one of those girls who can just push through having their period. 

Closing your eyes as tight as they go, and gripping your uterus with your free hand you sigh loudly on the phone. “Johnny.” barely above a whisper. “I don’t feel so good.” trying to get the message across that you feel like absolute shit without having to tell him that your period from hell has arrived. 

“Are you sick honey? Do you need me to pick something up from the pharmacy? Can you tell me what hurts? So I can get the right medicine baby.” It’s easy to hear the shuffling in the background, knowing that he is probably slipping on his shoes now to leave. 

“It’s not that kind of sick Johnny.” you shyly admit. “I’m just on my period.” you whisper as you hear Johnny no longer making any sounds on the phone. 

“Okay well, I am still coming over.” he decided.

“Johnny you don’t have-” 

“No, I planned to go to the movies with my girl, so the movies will just have to come to her place instead. Are you craving anything baby? I can stop at the grocery store, do you need anything? I read somewhere once that a heating pad helps. Do you have one?” firing off his questions in seconds, it was sweet but overwhelming a little having someone care so much. 

“I don’t have any cravings, get whatever you want and yes I have a heating pad, but it’s too far away and I’m being lazy.” you softly chuckle your confession. 

“I can instacart snacks I’ll come straight over.” Suddenly you hear the door to his car close. “And before you protest you are in pain Y/N and you won’t grab your own heating pad that will help you so I will.” He hangs up the phone before you can even open your mouth. John spends the night with you, showering you with love, he does make faces of discomfort when you make a face that you're in pain. But he doesn’t say anything, you told him you're fine, nothing out of the ordinary. Which it wasn’t for you when you got your period. John was so sweet and caring the entire night it really did make you like him even more than you already did. Maybe even fall a little more in love with him, even though it was too early in your relationship to say the “L” word. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Two weeks have gone by and your period hasn’t lighted up, if anything it has only gotten worse.  Thankfully Johnny has been very involved with hockey the past two weeks that when you are together, you're at least able to hide the frequent trips to the bathroom, or popping Advil like it’s candy. But tonight John asked to spend the night and as much as you missed your boyfriend you really didn’t wanna admit to him that you’ve been sleeping with a towel under you because you don’t want to ruin another pair of expensive sheets or worse get a stain on your mattress. When you tried to make excuses that you had an early morning tomorrow, he said he didn’t mind waking up with you. When you tried to say that your apartment was messy, he said it couldn’t be as bad as last week when he went to Luke’s apartment since Jack has been in Michigan recovering from shoulder surgery. When you said you didn’t have any food in the house, he asked when that’s stopped you both before from ordering in, and that he will wake up even earlier to go to your favorite bakery tomorrow. Honestly you couldn’t think of any more excuses so you reductively decided to let him come spend the night with you. 

As soon as you got home from work, you took a much needed shower and changed into some sweats. Deciding to attempt to clean your much neglected kitchen since you have been feeling like absolute shit. Starting with the dishes you loaded the dishwasher, and cleaned by hand all your pans. Wiping down all the counters, and doing a quick mop of the small kitchen floor you started to feel better. 

Just as you were dropping the water into the sink and putting the mop away, John buzzes to get into your building. Walking over and letting him up, you speak into the mic to let him know your door is open. Deciding that you're suddenly feeling lightheaded probably because your iron levels are starting to be affected. Trying to make it to the coach, you almost make it when John walks in locking the door behind him. 

“Hey I went ahead and picked up-” stopping mid-sentence when he notices you sitting on the coach hunched over in pain. “Baby what's wrong?” he asks, sliding his shoes off, slowly making his way over to you. 

Sitting up you put the best fake smile you can muster. You say “nothing just needed to stretch out my back is all.” Feeling terrible about lying but you also would have felt more uncomfortable telling John who you’ve only been seeing for six months about your menstrual problems. 

“Okay” although you know he doesn’t believe you, but you’re thankful he’s letting it go at the moment. 

You have never been more thankful that John said he was tired after practice and rather not leave the coziness of your apartment. Deciding on a movie, both of you were cuddled up together on the coach, you only have to pay attention trying to put some pressure on your uterus so it wouldn’t hurt so bad. Now John was only half paying attention because everytime you shifted to try and lessen your pain level, you subtly rubbed against his dick and now he was starting to have what was a semi into a fully hardened dick. Feeling another cramp coming you shifted your body again trying to ease the pain. But before you could, John's hands stopped your hips, his mouth going to the side of your cheekbone. “Baby if you don't stop moving I think my dick might get permanent damage.” he whines, as he leaves little open kisses down your face. 

“Oh sorry” you blush trying not to not to move your hips too much. 

“Or we could let it happen.” As he starts leaving little kisses starting at your temple and then going below your ear, his hand going under your hoodie, inching closer and closer to your waistband. 

“Johnny I can’t” squeezing your eyes shut as hard as they possibly can until you see stars because you really didn’t wanna have to tell him this now. 

“okay.” laying back down against the couch. John would never push you if you weren’t in the mood but you could tell by the tone of his voice that he was confused.

“I'm still on my period.” you shyly admit.

Sitting up more now as if his brain is doing the math, “wait didn’t you have your period like two weeks ago?” he questioned. 

“yeah.” Turning your back now to face him better. 

“Baby is it supposed to last that long?” he rhetorically asks. All you do is look down at your hands and he gives a knowing tone. “Baby, are you okay?” he asks gently, trying to hold you in the awkward way you're half laying down, half sitting down on the coach. 

“Yeah this just happens sometimes. I made an appointment with my doctor, okay.” you mumble, obviously wanting to drop the conversation and your thankful thank John lets both of you focus back on the movie. 

As the movie continues you couldn’t help squirming a little, as your back started arguing and your body suddenly felt even more fatigued probably from the low iron levels. Knowing that you should probably get some nuts or something from the kitchen. But all you can do is wince in pain, as it feels like someone is holding a sharp knife inside your stomach and every time you attempt to turn they twist the knife to cause more pain. 

“Baby?” You can hear John’s voice but you can’t process him speaking to you and breathing through the pain. Finally the pain subsides and you answer a very frantic looking John. 

“Yeah.” answering a little more weakly than you would have liked. 

“Can you tell me what hurts baby?” His brown eyes look so soft, full of care and also worry for you. His arms are going under your hoodie to attempt to deeply rub your stomach. His care made you want to cry because how can this boy be so caring. 

“Nothing, just my stomach. And I think my iron levels are low.” attempting to softly smile at your caring boyfriend but the worrisome look he’s giving you back, your smile must have looked more like you were in pain. 

“What do you need? Do you need to go to the hospital? Do you want me to grab your heating pad for the pain? You should probably be drinking more fluids love, can I get you some water?” generally asking.

“No, they aren’t gonna do anything. I have some painkillers in the kitchen and some nuts that should help with my iron levels. If you want my heating pad on my bed but you don’t have to, I can get up and grab it and the nuts.” As you go to get up, he gently places you back on the couch. 

“You must be really sick if you think I’m letting you leave this coach.” He says, leaving a kiss on your cheek and half climbing over you, half pushing you off of him. 

“What am I supposed to do when I need to go to the bathroom?” you yell to him as he disappears to go into the kitchen. 

“We will cross that bridge when we get to it.” He yells back in between the slamming of a ton of cabinets trying to find what he was looking for. 

A small chuckle leaves your lips at how demanding John is that you need to stay on the coach. “Johnny, we're gonna get to that point in a few minutes.” you tease him, although you are getting to that point where you need to change your pad. 

“Okay baby hold on.” He comes back with every single type of nut that you had in the cabinet; peanuts, mixed nuts, cashews, even peanut butter and a giant glass of ice water. Putting everything on your coffee table. 

He bent down so his eyes were on the same level as yours and he didn’t tower over you as you laid on your side on the coach. “Do you wanna go to the bathroom now or do you want me to go grab the heating pad and we can cuddle?” he softly asked, as his hand went to your hip and squeezed it while he waited for your answer. 

“Bathroom.” you whisper, slowly making your way to sitting up again.

“Okay will you please eat something first to help your lightheadedness, I don’t want you to pass out or something.” biting his lips is a nervous habit he picked up years ago back in his prep school years, a clear sign that he was having anxious thoughts due to your physical state. 

Now fully sitting up, you nodded your head no. “Johnny, I need to go to the bathroom.” your stern voice leaving no room for debate. John only let out a sigh as he turned around on the balls of his feet, now his back facing you. 

“Hop on baby.” he says he turns his head to try to make eye contact with you still at this odd angle. 

“What?” letting out a breath that could have passed for a giggle and a sigh mixed together. “I can walk Johnny.” 

“Baby please.” almost sounding like a whine. He continued softly “please let me take care of you.” he begged. 

“Okay.” Putting either leg on Johnny’s he stood up, walking you to the master bathroom. Softly he placed you on your feet when you got there. Quickly leaving so you could use the bathroom. Once you were done everything you needed to, you were leaving the bathroom, expecting to make it back to the living room where you expected John to be. 

But instead as you opened the bathroom door, you saw that John put all the nuts he got earlier, and your glass of water on a tray and it was now sitting on your bedside table on your side of the bed. He was currently turning on your heating pad for you, his back turned to you. 

Out of pure shock at how he was acting you gasped, it was enough for him to turn around in a second, practically leaping towards you asking “baby please can you tell me what hurts?” His arms closing around you pulling you towards him. 

“Nothing” you whispered. “Nothing at all. I just have never had someone care this much is all.” Holding onto him as tight as you could to attempt to share how grateful you were for your boyfriend. 

“Well get used to it.” he whispered in your ear, gently lifting you up and carrying you to the bed. “Please eat some nuts, and if you feel any worse I am taking you to the hospital.” 

“John, they aren’t going to do anything.” Not trying to pick a fight with him, but rather tell him what you already knew, even if your tone came out sounding a little condescending. 

“You don't do that Y/N.” he tried to counter argue but all you did was bring your hand to your face and pinch the skin on the bridge of your nose, trying to rub off the frustration that was starting to build up again. 

“Yes I do.” Slightly raising your voice, despite the fact that John was sitting right next to you on the edge of the bed. “This happens every single year okay. My body gets used to my birth control, I sometimes end up in the ER, occasionally for a blood transfusion an-” Johnny cuts you off before you can even finish the ‘and.’

“A WHAT?” His voice is much louder than it has been all night. “We are going to the ER, you are weak and lightheaded, and your period has been here for two weeks. What's that 14 days, you need medical attention.” 

A sigh leaves your lips as you explain to your very caring boyfriend again how they aren’t going to do anything. “Okay I only needed a transfusion once, and I usually don’t go to the ER till I hit 30 days okay. And it’s not like they give me medicine to stop it. I have to go to my doctor for that, but she’s booked up for a few weeks. It’ll be fine.” Trying to reach for him not sure if it’s to bring him comfort or yourself. “ Johnny, will you come lay with me?” Seeing his beautiful brown eyes soften. “Please” you beg, knowing you probably sound pathetic but you didn’t know if he was mad at you, thinking he could be because you said no to the hospital, still navigating the dynamics of your almost 7 month relationship. 

Nodding his head, he finally slips his shoes off not having time earlier he just realized due to worrying about you. He climbs over, turns on his side facing you and brings his hand to your cheek as you face him. 

“Hi” he whispers. “better y/n/n?” as he still lays over the covers. 

“I wish you could get closer.” you shyly admit. 

“What? Do you wanna lay on top of me baby all you had to do was ask.” Kissing you gently and pulling you on top of him. 

“No I can’t.” trying to get off of him.

“What do you want Y/N” sounding confused but also sighing, probably getting a little frustrated at the scatteredness of your mind tonight. 

“I wanna lay on top of you, but I-.” Taking a deep breath you deepen your face into his shoulder. As quiet as a mouse you spoke, “I’m scared of bleeding through my pad during the night. I don’t wanna get blood on you.” 

“It’s okay baby girl.” 

“No it’s not.” speaking at a normal tone. 

“Y/N. I am telling you that it’s okay, if you want we can use the towel I saw when I was turning your heating pad on.” 

“You saw that.” Almost sounding like you were close to tears, you face now in his neck, too scared to pull away because he would definitely see the embarrassment written all over your face. 

“Hey hey shh honey.” wrapping his arms around you, bringing you comfort for the first time since you exited your bathroom. “Please just let me love you for tonight.” he confessed as he attempted to kiss as if your face wasn't hiding. Shaking your head, yes that’s exactly what he did, turning off your heating pad. He spent the night whispering random little stories into your ear until you fell asleep, John not far behind you as the tiredness of the day lured him to sleep.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Finally today was the day of your doctor’s appointment with your gynecologist. Sadly, it had gotten to the point where you had to call out of work yesterday, because you felt so weak. It felt as if your body was rejecting you, the blood clots that were passing were huge and you felt sick to your stomach. Johnny has been staying at your place for the last week because “ I can’t leave you alone when you're like this Y/N.” So he just came home from morning skate to find you still curled in bed, half consciousness, craving sleep that just wasn’t coming. He practically shoved the phone in your hand to call out. Thankfully you had taken today off because of your appointment because there was no way you would have made it into work today. Slowly getting up to eat something and take a shower before you had to leave, surprised to open your bedroom door and hear the T.V in the living room softly playing along with what smelt like breakfast. Finally begrudgingly making your way into your kitchen you were shocked to see Johnny at the stove making breakfast. 

“Johnny, I thought you had practice.” as you softly pad your feet over to him wrapping your arms around his bare stomach, resting your head on the back of his shoulder blade. 

“I did but your appointment is today.” Speaking in a confident tone, like he didn’t need to be anywhere else. 

“okay..” Questioning your boyfriend's logic but before you could ask any questions he turns around and responds. 

“Listen you have been feeling like actual shit for weeks and I wanna support you by being there. Plus I don’t want you driving after yesterday.” Speaking in a comforting tone, it made you want to cry because you’ve never had someone care so much about why your menstrual cycle was so out of whack. 

“Okay.”

“Oh okay go sit down baby. I made you breakfast.” excited about his creation even though you couldn’t see it. “I woke up early today, to read about foods that are high in iron to help you before we find out what’s wrong. So I had eggs and then I had a spinach salad. And before you start, just eat some of the salad baby. I know you hate raw spinach but I made a dressing that’s supposed to be good and-” Finally looking over to you with your plate in his hand to see tears in your eyes. 

“Oh no babes.” Rushing over to where you were sitting on the bar, abandoning both plates of food in the kitchen. Carefully taking the pads of his thumbs to rub comforting circles on your cheeks and wipe any tears. “baby can you tell me what hurts?” The worry in his eyes so evident as he looked down at you. 

“Nothing.” you choke out, pulling John closer to you to almost standing between your legs as you sit in the breakfast bar chair. 

“Y/N/N I can’t fix ‘nothing.” softly chuckling, he whispered the next words so soft you barely heard him. “Why are you crying honey?” 

Finally removing yourself in the comfort of his chest, “ it’s just no one has ever cared like you before.” Looking up at him. 

“Well you better get used to it baby girl. Cause I’m gonna be here until you don’t want me anymore which I pray never happens.” Both of you share a soft smile, as he glances at your lips and gently leans in to share a gentle kiss.  

John stayed with you the entire day, even at the doctor's office holding your hand as the doctor was explaining how the ultrasound worked to see if you did have any cysts on your ovaries. The doctor was in the middle of asking him to step out so they could do the test, but you just tighten in his grip. “I am not leaving unless Y/N wants me to.” he states. 

“I want him to stay please.” your voice shaking from the level of anxiety you felt in the pit in your stomach. “Please Dr. Smith” your eyes pleading with the middle age white woman. 

“Okay Y/N. The tech will be in any minute okay.” softly speaking trying not to raise your anxiety any higher. John held your hand the entire internal ultrasound whispering in your ear how proud you were doing, even though it was definitely adding to the pain you felt. He held your hand the entire way home. He didn’t say a word, just kept rubbing his thumb over your hand. All you did was stare out the window, your mind replaying the words of your doctor. 

“Well as you know Y/N this could be a couple of different things, you could have PCOS - now what kind we would have to figure out. You could have some other type of hormonal disorder and I can recommend you to a hormonal doctor. But either way Y/N I am going to be honest, based on your previous scans and bloodwork it will be very hard for you to have children one day.” Her eyes went soft out of compassion but all you could think about was how compassionate could they be when you were probably the 100th woman she ever told this to. 

“What’s the percent?” you whisper, your eyes reducing to look at John. Your relationship many be new but you didn’t want anyone else but him and you knew he wanted children. 

“It’s hard to say, we will have to wait for new scans to come in.” Dr. Smith says, as she stadn to exit the room. 

Now in the car staring at the window you let the tears fall, you might have never known if you ever wanted kids before John. But once you met him, you knew you wanted to and the fact that something that you might not have even wanted until a few months ago may never be a possibility makes your silent tears turn into a sob as John parks the car in your apartment’s underground parking garage. He turns off his car, as he buckles his seatbelt and turns to you. But you refuse to look at him, you didn’t want comfort from the man whose dreams of becoming a father you might have just shattered. 

“Y/N.” you could hear John’s scared begging voice, but you still couldn’t bring yourself to turn to him. “Y/N please don’t shut me out.” he whispered, his voice strained with pain that was the final straw that broke you turning your head. John’s head was leaning against the headrest as he looked at you, his brown eyes even darker filled with emotion. After a few minutes of you refusing to speak to him, he asked you a simple question. “Baby do you trust me?” as he leaned closer to you, as if he was on the edge of his seat. Shaking your head, yes, it was as if your body moved in an instant. Struggling to see through your tears, all you could feel was John unbuckle your seatbelt and pull you over the middle console, pushing his seat back as far as it went. Somehow you fit in the small space that was left in his lap. Both of you lost track of time, but eventually you calmed down playing with the strings of John’s hoodie, as he put one of his hands under the back of your shirt drawing random shapes on your skin. 

“Hey Johnny?” Finally feeling like you can speak despite the rawness of your voice and the scratchiness of your throat. 

“Yeah baby?” he whispers, scared that if his voice goes above a whisper you will start pulling away from him like a few minutes ago. 

“Please don’t leave me.” Putting your face as deep as it goes in the crock of his neck. 

“What?” he breaths out. “Why would you even think that?” His hands suddenly squeeze you tighter, almost as if he started becoming scared that if his grip on you wasn’t tight you would slip through his fingers. 

“I can’t be a mom and you wanna be a dad.” Although the logic made perfect sense in your brain all John could do at your confession is scrunch his eyebrows together. 

“Again what?” His hand that was resting on your thigh moving you guided your face to look at him. 

“You really wanna have kids one day but you heard the doctor what if I can’t.” you admit your fear and all it does is give you more anxiety as you await an answer from John.

“Baby is that why you’re upset?” A big smile breaking out on his face, his toothless grin as you nod your head yes. “Baby I have always said I wanted KIDS with YOU. I didn’t even have kids on the radar until that family skate where I saw you with all my teammates kids’. I never even thought about and the idea of leaving you fuck no.” Both his heads going to hold your face. 

“And baby I am pretty sure I said I wanted to have kids one day with you. If we have trouble getting pregant we can do IVF okay. And if that doesn’t work we can adopt I don’t care if our children are biologically ours or not. I just wanna raise kids with you ONE DAY, not today.” John finishes his speech and all you can do is say okay and as you crash your lips in a kiss as a thank you to him. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

A Few Weeks later…..

John held your hand the entire time in the waiting room while your doctor read your results, he practically held you when you went back to the room for the results of your updated bloodwork and ultrasound. The nerves of what was the possible next step was getting to you, you couldn’t stop your leg from shaking. John gently put the palm of his hand on your knee as a gentle reminder that you aren’t alone in this. 

Eventually Dr.Smith walked in, she told you that it was very obvious through your ultrasound that you had PCOS and she found it odd that no one had diagnosed you up to this point. She did tell you that unfortunately there was no cure which you already knew. She spent the next 30 minutes in your room, not answering your questions but John’s. When she told John that a Mediterranean diet was best for women with PCOS he immediately went to Amazon. He lightly demanded that Dr.Smith tell him which cookbooks were the best and from that moment on you didn’t really cook. John always cooked for you or with you, he even changed to a mediterranean diet. Johnny would always make sure he had made plenty of meals that you could easily heat up, or dinners that he froze that you could eat when he was on long roadies. 

Johnny always took care of you, of your intense cycles, crazy mood swings, special diet, working out with you. Although he stopped when he realized you couldn’t stop undressing him with your eyes. Johnny was with you the entire way, you felt relief not only because you had a name for what was happening to you. But because you had a support system within John for the crazy rollercoaster that you were on due to having PCOS. 

Every single day, you find yourself being even more grateful for listening to Johnny all those weeks ago when he asked you if you would just “let me love you.”

[justinspoliticalcorner]

Kavitha Surana at ProPublica:

In her final hours, Amber Nicole Thurman suffered from a grave infection that her suburban Atlanta hospital was well-equipped to treat. She’d taken abortion pills and encountered a rare complication; she had not expelled all of the fetal tissue from her body. She showed up at Piedmont Henry Hospital in need of a routine procedure to clear it from her uterus, called a dilation and curettage, or D&C. But just that summer, her state had made performing the procedure a felony, with few exceptions. Any doctor who violated the new Georgia law could be prosecuted and face up to a decade in prison. Thurman waited in pain in a hospital bed, worried about what would happen to her 6-year-old son, as doctors monitored her infection spreading, her blood pressure sinking and her organs beginning to fail. It took 20 hours for doctors to finally operate. By then, it was too late.

The otherwise healthy 28-year-old medical assistant, who had her sights set on nursing school, should not have died, an official state committee recently concluded.

Tasked with examining pregnancy-related deaths to improve maternal health, the experts, including 10 doctors, deemed hers “preventable” and said the hospital’s delay in performing the critical procedure had a “large” impact on her fatal outcome. Their reviews of individual patient cases are not made public. But ProPublica obtained reports that confirm that at least two women have already died after they couldn’t access legal abortions and timely medical care in their state. There are almost certainly others. Committees like the one in Georgia, set up in each state, often operate with a two-year lag behind the cases they examine, meaning that experts are only now beginning to delve into deaths that took place after the Supreme Court overturned the federal right to abortion.

Thurman’s case marks the first time an abortion-related death, officially deemed “preventable,” is coming to public light. ProPublica will share the story of the second in the coming days. We are also exploring other deaths that have not yet been reviewed but appear to be connected to abortion bans. Doctors warned state legislators women would die if medical procedures sometimes needed to save lives became illegal. Though Republican lawmakers who voted for state bans on abortion say the laws have exceptions to protect the “life of the mother,” medical experts cautioned that the language is not rooted in science and ignores the fast-moving realities of medicine.

The most restrictive state laws, experts predicted, would pit doctors’ fears of prosecution against their patients’ health needs, requiring providers to make sure their patient was inarguably on the brink of death or facing “irreversible” harm when they intervened with procedures like a D&C. “They would feel the need to wait for a higher blood pressure, wait for a higher fever — really got to justify this one — bleed a little bit more,” Dr. Melissa Kottke, an OB-GYN at Emory, warned lawmakers in 2019 during one of the hearings over Georgia’s ban. Doctors and a nurse involved in Thurman’s care declined to explain their thinking and did not respond to questions from ProPublica. Communications staff from the hospital did not respond to multiple requests for comment. Georgia’s Department of Public Health, which oversees the state maternal mortality review committee, said it cannot comment on ProPublica’s reporting because the committee’s cases are confidential and protected by federal law.

The availability of D&Cs for both abortions and routine miscarriage care helped save lives after the 1973 Supreme Court ruling in Roe v. Wade, studies show, reducing the rate of maternal deaths for women of color by up to 40% the first year after abortion became legal. But since abortion was banned or restricted in 22 states over the past two years, women in serious danger have been turned away from emergency rooms and told that they needed to be in more peril before doctors could help. Some have been forced to continue high-risk pregnancies that threatened their lives. Those whose pregnancies weren’t even viable have been told they could return when they were “crashing.” Such stories have been at the center of the upcoming presidential election, during which the right to abortion is on the ballot in 10 states.

Thurman, who carried the full load of a single parent, loved being a mother. Every chance she got, she took her son to petting zoos, to pop-up museums and on planned trips, like one to a Florida beach. “The talks I have with my son are everything,” she posted on social media.

But when she learned she was pregnant with twins in the summer of 2022, she quickly decided she needed to preserve her newfound stability, her best friend, Ricaria Baker, told ProPublica. Thurman and her son had recently moved out of her family’s home and into a gated apartment complex with a pool, and she was planning to enroll in nursing school. The timing could not have been worse. On July 20, the day Georgia’s law banning abortion at six weeks went into effect, her pregnancy had just passed that mark, according to records her family shared with ProPublica. Thurman wanted a surgical abortion close to home and held out hope as advocates tried to get the ban paused in court, Baker said. But as her pregnancy progressed to its ninth week, she couldn’t wait any longer. She scheduled a D&C in North Carolina, where abortion at that stage was still legal, and on Aug. 13 woke up at 4 a.m. to make the journey with her best friend.

On their drive, they hit standstill traffic, Baker said. The clinic couldn’t hold Thurman’s spot longer than 15 minutes — it was inundated with women from other states where bans had taken effect. Instead, a clinic employee offered Thurman a two-pill abortion regimen approved by the U.S. Food and Drug Administration, mifepristone and misoprostol. Her pregnancy was well within the standard of care for that treatment. Getting to the clinic had required scheduling a day off from work, finding a babysitter, making up an excuse to borrow a relative’s car and walking through a crowd of anti-abortion protesters. Thurman didn’t want to reschedule, Baker said. At the clinic, Thurman sat through a counseling session in which she was told how to safely take the pills and instructed to go to the emergency room if complications developed. She signed a release saying she understood. She took the first pill there and insisted on driving home before any symptoms started, Baker said. She took the second pill the next day, as directed.

Deaths due to complications from abortion pills are extremely rare. Out of nearly 6 million women who’ve taken mifepristone in the U.S. since 2000, 32 deaths were reported to the FDA through 2022, regardless of whether the drug played a role. Of those, 11 patients developed sepsis. Most of the remaining cases involved intentional and accidental drug overdoses, suicide, homicide and ruptured ectopic pregnancies. Baker and Thurman spoke every day that week. At first, there was only cramping, which Thurman expected. But days after she took the second pill, the pain increased and blood was soaking through more than one pad per hour. If she had lived nearby, the clinic in North Carolina would have performed a D&C for free as soon as she followed up, the executive director told ProPublica. But Thurman was four hours away.

The consequences of draconian abortion bans are being felt, as at least two women in Georgia died over being denied emergency medical care.

[hrpdfrisco]

Obgyn Specialist in North Texas

When you’re expecting a child, you need experts on your team to help guide you every step of the way. At High Risk Pregnancy Doctors in Frisco, Texas, Maternal-Fetal Medicine specialist Violetta Lozovyy, MD, and her team provide high-quality care with a hands-on approach.

High-Risk Pregnancy Doctors practice is dedicated to the highly-accessible, patient-centered experience. The team understands that whether you are low risk, the low risk that can become a high risk, or have prior risks associated with a high risk pregnancy, you need expert care. As specialists in Maternal-Fetal Medicine, High Risk Pregnancy Doctors offer a wide range of services including extended hours for your flexibility to access the care you need.

Preparedness is essential when you’re expecting a child – make sure you have the best team behind you to help you succeed. Call High Risk Pregnancy Doctors to make an appointment or book one online today.

[nrkss]

Fetal Medicine Specialist in Siliguri: Comprehensive Guide to Maternal and Fetal Healthcare

Siliguri, a bustling city located at the foothills of the Himalayas, is not only known for its scenic beauty and commercial significance but is also rapidly emerging as a hub for advanced medical care in northeast India. Among the various medical specializations gaining prominence in the region, fetal medicine stands out for its importance in ensuring maternal and fetal well-being during pregnancy.

If you're seeking expert care during pregnancy, particularly when facing high-risk conditions, consulting a fetal medicine specialist in Siliguri can make a significant difference. This blog delves into the vital role of fetal medicine, the services provided by specialists, and why Siliguri is becoming a key destination for advanced maternal and fetal healthcare.

What is Fetal Medicine?

Fetal medicine, also known as perinatology or maternal-fetal medicine, is a branch of medicine that focuses on the health of the fetus and the mother during pregnancy. Fetal medicine specialists are obstetricians who undergo additional training to manage high-risk pregnancies, prenatal diagnosis, and fetal therapy. These specialists work to detect, monitor, and treat complications that may arise in the fetus or the mother, ensuring both receive the best possible care throughout pregnancy and during childbirth.

Fetal medicine is an interdisciplinary field, incorporating aspects of obstetrics, pediatrics, genetics, radiology, and surgery to offer comprehensive care. A fetal medicine specialist performs various diagnostic procedures and therapeutic interventions, often working in collaboration with other specialists like neonatologists, pediatric surgeons, and genetic counselors to provide holistic care.

The Role of a Fetal Medicine Specialist

Fetal medicine specialists manage a wide range of conditions that can affect both the mother and the fetus during pregnancy. Their primary role is to assess fetal health and detect any abnormalities early on to manage or treat them effectively. They are instrumental in improving outcomes in high-risk pregnancies and ensuring that both the mother and the fetus receive the appropriate medical attention.

Here are some key services offered by a fetal medicine specialist:

Prenatal Screening and Diagnosis

One of the most critical aspects of fetal medicine is prenatal screening and diagnosis. During pregnancy, fetal medicine specialists perform various tests to check for congenital anomalies, genetic disorders, and other potential complications. These tests include:

Ultrasound Scans: Detailed ultrasound imaging allows the specialist to examine the fetus's growth, development, and overall health. It can help detect structural abnormalities such as heart defects, spinal cord issues, or facial clefts.

Non-Invasive Prenatal Testing (NIPT): A blood test that analyzes fetal DNA circulating in the mother's blood to detect chromosomal abnormalities like Down syndrome, Edwards syndrome, and Patau syndrome.

Amniocentesis and Chorionic Villus Sampling (CVS): These are invasive procedures used to obtain samples of amniotic fluid or placental tissue to test for genetic conditions.

Management of High-Risk Pregnancies

Pregnancies that are considered high-risk due to conditions like maternal age, pre-existing medical issues (such as diabetes or hypertension), multiple pregnancies, or fetal abnormalities require close monitoring. A fetal medicine specialist can manage these pregnancies with advanced diagnostic tools and regular follow-ups to ensure the best possible outcome.

Fetal Therapy and Intervention

In certain cases, fetal therapy or intervention may be required to treat conditions affecting the fetus. Fetal medicine specialists are trained to perform procedures such as:

Fetoscopic Surgery: A minimally invasive procedure used to treat conditions like twin-to-twin transfusion syndrome (TTTS) or congenital diaphragmatic hernia.

Intrauterine Blood Transfusion: This is performed when a fetus has severe anemia, often due to Rh incompatibility between the mother and fetus.

Amnioreduction: A procedure to remove excess amniotic fluid in cases of polyhydramnios (too much amniotic fluid), which can reduce the risk of preterm labor and other complications.

Counseling and Support

Fetal medicine specialists provide counseling to expectant parents, helping them understand the nature of any diagnosed conditions, the risks involved, and the potential outcomes. They also offer guidance on treatment options and management plans, ensuring parents are well-informed and supported throughout their pregnancy journey.

Why Choose a Fetal Medicine Specialist in Siliguri?

Siliguri is witnessing a steady rise in advanced healthcare facilities, especially in fields like fetal medicine. Here's why you might consider seeking a fetal medicine specialist in Siliguri:

State-of-the-Art Medical Facilities

Several hospitals and clinics in Siliguri are equipped with the latest medical technologies for maternal and fetal care. These facilities offer cutting-edge diagnostic tools, such as 3D and 4D ultrasound imaging, fetal echocardiography, and genetic testing. The presence of neonatal intensive care units (NICUs) and advanced labor and delivery units ensures that both mother and baby receive the highest standard of care during and after pregnancy.

Experienced Specialists

Siliguri is home to several highly qualified and experienced fetal medicine specialists who have received training from premier medical institutes in India and abroad. These specialists have extensive experience in managing complex pregnancies and performing advanced fetal interventions, making them well-equipped to handle even the most challenging cases.

Comprehensive Maternal and Fetal Care

Fetal medicine specialists in Siliguri work in close collaboration with a range of healthcare professionals, including obstetricians, neonatologists, pediatric surgeons, and genetic counselors. This multidisciplinary approach ensures comprehensive care for both mother and baby, with specialists from various fields contributing to the management plan.

Personalized and Compassionate Care

Many fetal medicine centers in Siliguri prioritize personalized care, tailoring treatment plans to meet the specific needs of each patient. In addition to advanced medical treatments, these centers offer compassionate support and counseling, ensuring that expectant parents feel informed and supported throughout the pregnancy journey.

Cost-Effective Treatment

One of the advantages of seeking care in Siliguri is the relatively lower cost of medical treatments compared to metropolitan cities. Despite the availability of advanced medical technologies and expertise, patients can expect affordable care without compromising on quality.

Conditions Managed by Fetal Medicine Specialists in Siliguri

Fetal medicine specialists manage a wide range of conditions, ensuring both mother and baby receive appropriate care. Some of the common conditions they handle include:

Congenital Anomalies

These are structural or functional abnormalities that occur during fetal development. Early diagnosis through ultrasound and genetic testing can help in planning the appropriate course of treatment or intervention.

Intrauterine Growth Restriction (IUGR)

IUGR occurs when the fetus is not growing at the expected rate. A fetal medicine specialist will closely monitor the fetus's growth and take necessary steps to manage the condition.

Multiple Pregnancies

Carrying twins, triplets, or more can increase the risk of complications. Fetal medicine specialists in Siliguri offer specialized care for mothers expecting multiple babies, reducing the risk of preterm labor, TTTS, and other complications.

Preterm Labor

Preterm labor refers to labor that begins before the 37th week of pregnancy. Fetal medicine specialists work to prevent and manage preterm labor through medications, lifestyle adjustments, and other interventions.

Rh Incompatibility

When the mother's blood type is Rh-negative and the fetus's blood type is Rh-positive, Rh incompatibility can occur, leading to serious complications. Fetal medicine specialists closely monitor and manage this condition through appropriate treatments, such as intrauterine blood transfusions.

Gestational Diabetes and Hypertension

Pregnancy can sometimes lead to conditions like gestational diabetes or pregnancy-induced hypertension, which can pose risks to both the mother and the fetus. Fetal medicine specialists offer careful monitoring and management of these conditions to minimize risks.

How to Choose the Right Fetal Medicine Specialist in Siliguri

Choosing the right fetal medicine specialist is crucial for ensuring a healthy pregnancy and delivery. Here are some factors to consider when selecting a specialist in Siliguri:

Experience and Qualifications: Ensure the specialist has the necessary qualifications, including advanced training in fetal medicine, and has experience handling high-risk pregnancies.

Reputation and Reviews: Look for reviews or testimonials from other patients to gauge the specialist's reputation.

Hospital Facilities: Check if the hospital or clinic is well-equipped with modern diagnostic tools and NICU facilities.

Accessibility and Availability: It’s essential to choose a specialist who is easily accessible and available for regular follow-ups, especially in case of emergencies.

Conclusion

Fetal medicine is a crucial field in modern obstetrics, offering vital services to ensure the health and well-being of both mother and baby during pregnancy. For expectant parents in and around Siliguri, the availability of experienced fetal medicine specialists provides access to world-class care without the need to travel to larger cities. With a combination of advanced technology, expert knowledge, and personalized care, Siliguri is becoming a trusted destination for maternal and fetal healthcare.

If you're looking for a fetal medicine specialist in Siliguri, be sure to choose a professional who is experienced, compassionate, and equipped with the latest tools to ensure a safe and healthy pregnancy journey.

[transmutationisms]

what's your opinion on medications that require pregnancy testing? like accutane, I think they end your prescription if you get a positive pregnancy test, due to birth defects. i personally refused accutane for several reasons but the mandatory pregnancy testing was a big one

wow i literally just mentioned this to someone the other night lol. yeah it's pretty paternalistic. obviously fetal health complications should be taken seriously but it's very noticeable to me that the medical presumption here is that the automatic course of correct action is to prevent people access to their prescriptions, rather than, yknow, discussing options like abortion.

i know dorothy roberts ('killing the black body') and i think also jacqueline wolf ('cesarean section') have discussed the development of the concept of a 'maternal-fetal conflict'—ie, the notion that there's a conflict between the interests of a fetus and those of the actual pregnant person—and argued that american medicine's current tendency to prioritise the fetus has its roots in plantation medicine. the idea was that enslaved women were negligent, at best, or even outright infanticidal (as in, because they were trying to spare their children from being enslaved) and therefore white doctors and enslavers needed to treat the fetus as the patient, presuming its interests were of more economic relevance and overrode the actual human person. and this framing has been echoed since abolition, such as during the so-called 'crack epidemic' w/ state and medical discourses about black women specifically being unfit mothers who therefore needed to be legally regulated, separated from their children, &c. anyway i would guess that there are probably some echoes of this history in the decision to so tightly regulate pregnancy testing wrt accutane as well, plus ofc the legacy of the thalidomide scandal.

also, like, although risks obviously vary with different meds, it's not like isotretinoin is the only drug that can harm a fetus; many benzos and antibiotics do as well, for instance, and probably lots of other things that people are not routinely required to be pregnancy-tested for. so that also does make me wonder if part of what's going on is that accutane/isotretinoin is considered to be a 'cosmetic' (read: frivolous) intervention and therefore medical authorities have been more comfortable deciding to just yank people off it in case of pregnancy rather than, yknow, providing full information and advocating for patients to have full reproductive choice and such. this is rly just speculation though lol.