Pregnancy Medication Concerns: Seeking Guidance for Safe Choices - Obstetrics and Gynecology

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Medications during pregnancy


Hello Doctor, I discovered yesterday that I am pregnant...
but I have some concerns that are troubling me, and I hope to seek your advice...

1.
Last April, I had a genital infection with warts.
Later, possibly due to the discharge, I found that my anal area was also infected in October.
I have already undergone electrosurgery for it.
The genital area has not recurred for four months, but I had another electrosurgery for the anal area in mid-December (only one very small wart).
I will go for a follow-up check in mid-January.
If there is unfortunately a recurrence, can I undergo electrosurgery again?
2.
My last menstrual period was on December 4.
Due to a cold in early January, I did not get my period on January 4, and the pregnancy test showed one line, which made me feel relieved to visit the clinic for cold medication.
Then I went abroad for a week...
However, my cold did not improve, and I bought cold medicine abroad...
Until I returned home and felt something was off, I took another pregnancy test and found it was positive >_<" Will taking the medication affect the baby?
3.
During my trip abroad, I walked a lot every day, and now I often feel some cramping in the lower part of my abdomen.
Is this normal? I will see a doctor as soon as possible in the next two days, but I am still very worried.
How should I explain my symptoms to the doctor? (The first point about my previous illness is really hard to bring up...
sigh! I hope you can provide some advice.
Thank you!!)

3ee, 30~39 year old female. Ask Date: 2015/01/13

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
Genital warts caused by this virus only affect the epidermis and nerves, and will not infect the fetus, so please rest assured.
If there is an unfortunate recurrence, discuss treatment options with your physician.

2.
Common cold medications typically do not have adverse effects on the fetus, so please feel at ease.

3.
Walking a lot may lead to uterine contractions, but usually, the fetus can tolerate it.
If pain or bleeding persists after resting, you should see a doctor.

Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/01/13

More Info


When it comes to medication use during pregnancy, it is crucial to prioritize both the health of the mother and the developing fetus. Your concerns regarding past infections, medication taken before realizing you were pregnant, and current symptoms are valid and deserve careful consideration.

1. Recurrence of Infections: If you have a history of genital warts (caused by the human papillomavirus, HPV) and have undergone treatment, it is essential to monitor for any signs of recurrence. If you experience any symptoms, such as unusual discharge or discomfort, it is advisable to consult your healthcare provider. In terms of treatment during pregnancy, procedures like electrosurgery may be considered, but they should be approached with caution. The decision to proceed with any treatment should be made in consultation with your obstetrician, who can weigh the risks and benefits based on your specific situation.

2. Medication Taken Before Pregnancy Confirmation: It is understandable to be concerned about the medications you took before knowing you were pregnant. Many medications can have varying effects during pregnancy, depending on the timing and dosage. If you took over-the-counter cold medications, it is essential to identify the active ingredients. Some common cold medications are classified as Category C (meaning risk cannot be ruled out) or Category B (meaning no evidence of risk in humans). You should inform your healthcare provider about all medications taken, including those purchased abroad, so they can assess any potential risks to your baby.

3. Abdominal Discomfort: Experiencing mild cramping or discomfort in the lower abdomen can be common in early pregnancy due to the body adjusting to the changes. However, if the pain is severe, persistent, or accompanied by other symptoms such as bleeding, it is crucial to seek medical attention promptly. When you visit your doctor, be open about all your symptoms, including your history of infections, the medications you took, and the discomfort you are experiencing. This information will help your healthcare provider assess your situation accurately and provide the best care.

In summary, it is essential to maintain open communication with your healthcare provider regarding your medical history, any medications taken, and current symptoms. They can provide tailored advice and reassurance based on your specific circumstances. Remember, early prenatal care is vital for monitoring both your health and the health of your baby. If you have any lingering concerns or questions, do not hesitate to reach out to your healthcare provider for guidance. Your health and the health of your baby are of utmost importance, and proactive management can help ensure a safe and healthy pregnancy.

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