Infertility/Fertility/atibiotic in pregnancy

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Question
QUESTION: hello dr ramirez;
       i am 37 yrs old.i had a miscaerriage last year .i am 12weeks pregnant.i had a laproscopy done in 2010 which reported that i had adhesions probably from appendectomy that i had 20yearsback.so my doctor has prescribed ROXITHROMYCIN 300MG {an oral macrolide antibiotic}for 7 days.sir i am very scared of taking this antibiotic  becoz of the adverse effect it may have on foetus as i am already 12 weeks pregnant.sir please advice if i need to take this medicine and is it safe if taken after 12weeks.

ANSWER: Hello Fatema from India,

I can't understand why your doctor has prescribed this medication, since it is for infections and not adhesions, but it is safe in pregnancy.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate



---------- FOLLOW-UP ----------

QUESTION: hello sir
    sir as i have told you i am 12weeks pregnant having adhesions probably from the appendectomy that i had 20 yrs back.can these adhesions affect my prenancy?is there any treatment i can take for these adhesion during pregnancy?

Answer
Hello Again,

Adhesions do not impact pregnancy and are not treated with antibiotics.  They will stretch with the pregnancy.  Adhesions are not a problem unless they cause pain or prevent pregnancy (as if they are blocking the tube or pelvis).  In your case, you are already pregnancy so I would recommend that you not give this any further thought.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate

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Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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