Dr. Carolyn Moyers, DO

Hello, thank you for your question. This is a complete misconception. Sex should not be painful in your first sexual encounter. Should not result in bleeding. Hymen is a thin piece of tissue located at the opening of the vagina. Hymens come in different shapes. there are certain types that would result in tearing or inability for penetration and require surgery.. However, a normal hymen allows for menstrual flow, secretions and penetration. This is an absolute myth.

Majority of the time, fibroids are benign but they can cause pelvic pressure, pain and heavy bleeding.

As soon as your epidural wears off and you are able to walk without assistance, you can begin walking the halls. Within a few hours, you will be on your feet.

Within a few hours.

Depends on size, position and symptoms. Options may include Medical treatment, Uterine artery embolization, Transcervical fibroid ablation, Myomectomy, and Hysterectomy.

Most commercial airlines allow pregnant women to fly up to 36 weeks of gestation. Some restrict pregnant women from international flights earlier in gestation and some require documentation of gestational age. For specific airline requirements, women should check with the individual carrier.

Depends on the type of ovarian cyst. Birth control pills help to suppress ovulation and can be a great tool for managing ovarian cysts. If large, complex or ovarian torsion, you will need surgery.

Typically ovarian cyst surgery is minimally invasive and relatively safe. However, risks of any surgery are bleeding, infection and injury to surrounding organs.

Only if symptomatic - heavy vaginal bleeding or pressure from the fibroids.

Usually ovarian cyst surgery is done by minimally invasive approach, laparoscopy. The recovery is usually 2-3 weeks. Alternating NSAID and narcotic may be needed for two weeks for incision pain may be necessary.

No. The blood supply to the uterus is massive during pregnancy. Fibroids are not removed at time of delivery because of the increased risk of large (dangerous) blood loss.

Impossible to give specific medical advice on this platform. In general, without specific fetal or maternal indication for cesarean delivery, a trial of labor is reasonable.

Usually, YES!

There are different types of ovarian cysts, most of which are painless and harmless (benign). Usually, ovarian cysts don’t cause symptoms.

You likely won’t know you have one unless your doctor finds one during a routine pelvic exam or ultrasound.

Rarely, ovarian cysts can cause complications - rupture, torsion or even cancerous growth (more common in postmenopausal years).

Ovarian cysts are common growths that develop on or inside your ovaries. There are several types of cysts. The most common kinds are harmless, don’t cause symptoms and eventually go away without treatment.

Rarely, cysts can cause complications that require your doctors attention.

If treatment is necessary options include:
1. Functional ovarian cyst often go away without treatment - watchful waiting.
2. Medication such as combined hormonal contraception (aka, birth control pill) can stop ovulation and future cyst formation.
3. Ovarian cyst surgery: If a cyst is causing symptoms and getting bigger, you may need surgery to remove it. The type of surgery depends on the size of the cyst and how it appears on the ultrasound. The different procedures used include:
Minimally invasive - Laparoscopy: The ovarian cyst can be removed through tiny incisions (ovarian cystectomy). Sometimes the ovary will need to be removed.
Open abdominal - Laparotomy: Your doctor may perform this procedure if the cyst is very large or if there are other concerns.

Whenever you like. Assuming you return to regular ovulatory cycles, you should be able to achieve pregnancy.

Typically an ovarian cyst can be removed laparoscopically (Minimally invasive) with a quick recovery.

Depending on what type of surgery you are having done this can vary. Removal of the fibroids by laparoscopy (myomectomy) can take two to four hours, based on the number of fibroids and their size.

Depending on type of surgery, this can vary. Typically for a laparoscopic myomectomy, you can go home the same day or spend a night in the hospital, depending on how you feel after the procedure. Overall recovery is about two to four weeks.