expert type icon EXPERT

Ms. Mirela Cernaianu

OB-GYN (Obstetrician-Gynecologist)

Dr. Mirela Cernaianu is an obstetrician-gynecologist practicing in Westlake Village, California. Dr. Cernaianu specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Cernaianu can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Cernaianu can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
Ms. Mirela Cernaianu
  • Westlake Village, California
  • Universitatea de Medicina si Farmacie Carol Davila
  • Accepting new patients

How effective is the diaphragm as birth control?

Diaphragm works well in combination with spermicide gel, and if used correctly can be very effective. Many young women choose to avoid BCPs and use condoms. If not used correctly READ MORE
Diaphragm works well in combination with spermicide gel, and if used correctly can be very effective. Many young women choose to avoid BCPs and use condoms. If not used correctly it will not be effective - best to have an appt with your GYN doc for a fitting and education on how to use it.

When is an epidural used?

The epidural and is a patient choice. I prefer that labor is confirmed so ideally 4 cm the earliest to get an epidural, but when there are other signs like ruptured membranes I READ MORE
The epidural and is a patient choice. I prefer that labor is confirmed so ideally 4 cm the earliest to get an epidural, but when there are other signs like ruptured membranes I allow it even at 2-3 cm if the head is low, again if the patient requests it. Sometimes it is useful if the mother cannot relax and dilatation progressed slowly - the epidural can help. Many women prefer natural births and use IV medication like stadol or fentanyl as needed.

Can a radiologist detect the presence of cancer?

Please have her checked by a specialist or an OB/GYN - 10% of breast Cancers are not detected by mammograms.

How do you predict when to have sex if you have PCOD?

Please use a urine ovulation kit and she should start checking daily from day 10 from 1st day of pregnancy and if test positive have sex same day and next day for next chance. READ MORE
Please use a urine ovulation kit and she should start checking daily from day 10 from 1st day of pregnancy and if test positive have sex same day and next day for next chance. If not ovulation in 2-3 months of periods please see a doctor.
Good luck!

I believe I have vaginitis. What treatment can I get for it OTC?

Consider boric acid vaginal suppositories - you can use them daily when not on your period and you can buy them on amazon - use for 3-5 days until no issues and then you can use READ MORE
Consider boric acid vaginal suppositories - you can use them daily when not on your period and you can buy them on amazon - use for 3-5 days until no issues and then you can use as needed 1-2 times a week to prevent a recurrence.

Why am I experiencing pain during intercourse?

It depends on your age, but there could some serious issues that can cause pain that could be treated early to avoid consequences. Please make an appointment with your GYN doc. READ MORE
It depends on your age, but there could some serious issues that can cause pain that could be treated early to avoid consequences. Please make an appointment with your GYN doc. Lichen sclerosis, vulvodynia or other possible inflammatory conditions can cause pain with intercourse. Depends if pain is outside or inside there could be different reasons.

Is it safe to fly when you are 6 months pregnant?

Yes if you are cleared by your OB doc you should be safe to fly. Keep in mind airlines tend to get nervous and need a clearance letter, and some airlines do not let you fly if READ MORE
Yes if you are cleared by your OB doc you should be safe to fly. Keep in mind airlines tend to get nervous and need a clearance letter, and some airlines do not let you fly if over 28 weeks especially on very long flights due to the risk of labor.

The doctor has advised me to undergo pap smear test. Does it hurt?

The standard of care is to start pap smear at age 21 - please remind your doc about this - also we can now check STI tests in sexually active young women like you, under 21, by READ MORE
The standard of care is to start pap smear at age 21 - please remind your doc about this - also we can now check STI tests in sexually active young women like you, under 21, by testing the urine so there is no need for a pelvic exam.
The pelvic exam should not be painful, feels like pressure.
Best wishes.

I am 42 years old and I am expecting. Is there a chance that my baby would have down syndrome?

The majority of women that conceive naturally after age 40 have normal babies - Down syndrome is rare - you can do a simple blood test and you will find out whether or not you READ MORE
The majority of women that conceive naturally after age 40 have normal babies - Down syndrome is rare - you can do a simple blood test and you will find out whether or not you have a genetically normal baby after 11 weeks - talk to your OB about it. Have an easy and beautiful pregnancy!

What are the precautions you should take in case of placenta previa?

The placenta usually moves away from the opening of the uterus as the uterus grows and the pregnancy progresses- in the meantime avoid anything that can cause contractions as they READ MORE
The placenta usually moves away from the opening of the uterus as the uterus grows and the pregnancy progresses- in the meantime avoid anything that can cause contractions as they are the cause the bleeding happens.
Avoid intercourse and lifting heavy weights, bending repeatedly or becoming dehydrated as well as any serious exercise other than gentle waking.
Have hope! The majority of previas resolve by 24 weeks.

How can I prevent pregancy without using condoms or pills?

IUD - Paragard has no hormones and is very safe, please make appt with your GYN to discuss

Does I-pill affect the period cycle?

Yes, it can delay your period -please be careful since emergency contraception is only 95% effective, so continue testing for pregnancy if your period does not come. This pill READ MORE
Yes, it can delay your period -please be careful since emergency contraception is only 95% effective, so continue testing for pregnancy if your period does not come. This pill is not designed to be taken every time you have sex, especially if you are regularly active sexually - please be aware it could disturb your cycle and confuse your body if you use it regularly - 1-3 times a year or so is ok - please consider regular birth control which is safer if you need to use it more often then that.

What does a watery discharge mean?

I could be bacterial vaginosis - try boric acid vaginal suppositories from amazon. They are over the counter and they can help your vaginal health - if not better definitely see READ MORE
I could be bacterial vaginosis - try boric acid vaginal suppositories from amazon. They are over the counter and they can help your vaginal health - if not better definitely see your friendly GYN doc

How is chlamydia usually treated?

Feel free to take a probiotic to protect your gut health

How can I manage my mood swings during pregnancy?

Try 5 HTP, L theanine, or ashwagandha - all herbal supplements and safe in pregnancy - also avoid CARBS you might get swings in your sugar levels and when your sugar drops you READ MORE
Try 5 HTP, L theanine, or ashwagandha - all herbal supplements and safe in pregnancy - also avoid CARBS you might get swings in your sugar levels and when your sugar drops you get "hangry".....

My friend has taken abortion pills which is causing heavy bleeding. Does this mean she requires a D&C or is it normal?

The heavy bleeding with an abortion should last 1 day max, and then lighten up and last another few more days - anything else is abnormal - any severe hemorrhage that lasts over READ MORE
The heavy bleeding with an abortion should last 1 day max, and then lighten up and last another few more days - anything else is abnormal - any severe hemorrhage that lasts over a few hours should be evaluated in the ER.

Is severe itching in the vagina during pregnancy a sign of an infection?

it sounds like a yeast infection - you can try over the counter or call your OB

What other options do I have to prevent pregnancy?

An IUD would be very safe and has minimal side effects - it would also be easy to be removed in case you don't like it. There is an IUD that has no hormones called Paragard.

What are ways to deal with menopause?

The best, fastest and easiest way for your sister to get relief would be to get her hormone levels checked and discuss hormone replacement with her doctor if indicated. Please READ MORE
The best, fastest and easiest way for your sister to get relief would be to get her hormone levels checked and discuss hormone replacement with her doctor if indicated. Please have her make appt with her GYN or a doctor that specializes in HRT (hormone replacement therapy).

My daughter got her first period earlier than normal. Can this have an impact on her health?

Young girls get exposed early nowadays to different chemicals contained in various plastic containers - one of them is called BPA, a chemical that mimics the estrogen hormone - READ MORE
Young girls get exposed early nowadays to different chemicals contained in various plastic containers - one of them is called BPA, a chemical that mimics the estrogen hormone - I would have her hormone levels checked and look into limiting or completely eliminating all BPA containing water bottles, soft drinks, plastic containers. Also never microwave food in a plastic container, only glass.
There are some medical conditions that can lead to an early period - a doctor can easily rule them out.
Early periods can also happen if girls are overweight and sometimes they pose a significant psychological stress on the young girls, who have to fit in.