Ask Dr Ziainia!
Dr. Ziainia joined us this week to answer our questions regarding women's health. I will once again do my best to document our questions and answers.
-What do you recommend to find an OB/Gyn? For HMOs, look on the internet for a list of approved doctors. Its very important to ask friends and family for personal recommendations.
-What is the difference between Nurse Practitioner Medical Doctor? NP has a Masters in Nursing and takes two more years of training above nursing (total 6 years of education). A NP does not attend medical school. A NP Can prescribe some medications.
- What is a Medical Assistant? A medical assistant takes a 6 month or one year course - no college.
- What is a Physician Assistant? A PA attends college and an additional 2 years of training.
- What is the difference between a Mirena IUD an a Copper IUD? A copper IUD is a nonhormonal form of IUD and lasts 10 years. The IUD can be used in women that have not had children but it is a relative contraindication. It's better for women who have had children. Some have complained that the Mirena "pokes" their partner. It's the strings that people claim they feel or poke (most doctors don't believe this and think it may be psychological). The IUD should be used in monogamous relationship, because if you get an infection it can potentially damage the fallopian tubes.
- Is RU486 the same as the Morning After Pill? No. RU486 can be taken 49 days after first day of last menstrual cycle. Every doctor can not get it. You can get it from Planned Parenthood. Current laws make it difficult for Doctors to obtain for patients.
- When should I get a mammogram? At 40 years old. Remember to always do a self test. Some women get one at 35 to have a baseline. It is recommended at age 35 if breast cancer has affected a family member.
- What is the HPV vaccine? The vaccine covers 4 of types of the HPV virus (there are 100+ types). The vaccine can be obtained between ages 9 and 26 years. Remember to get a PAP smear once a year! Condoms do not protect against HPV, herpes, or crabs because they can occur around external areas.
- What about cord blood banking? The patient has to request it be taken. Cord blood can be donated if the patient requests it.
- When should I take prenatal vitamins? It is best to have the vitamins in your system three months before conception.
- What can be done to strengthen bladder muscles after giving birth to two babies? Kegel exercises - 100 per day for 5 seconds each time. Go to the bathroom every three hours.
Dr. Ziainia believes that accupuncture can help as a alternative treatment, in general. She attended a UCLA course designed for MDs.
Thank you Doctor Ziainia for your time and open conversation. We of course gabbed on for hours, until about 11:30 at night. We knew it was time to break up the party when husbands starting calling the cell phones. Our next gathering is October 9 and will be covering the November 4 election, specifically San Diego and California ballots. See you then!
-Jules
-What do you recommend to find an OB/Gyn? For HMOs, look on the internet for a list of approved doctors. Its very important to ask friends and family for personal recommendations.
-What is the difference between Nurse Practitioner Medical Doctor? NP has a Masters in Nursing and takes two more years of training above nursing (total 6 years of education). A NP does not attend medical school. A NP Can prescribe some medications.
- What is a Medical Assistant? A medical assistant takes a 6 month or one year course - no college.
- What is a Physician Assistant? A PA attends college and an additional 2 years of training.
- What is the difference between a Mirena IUD an a Copper IUD? A copper IUD is a nonhormonal form of IUD and lasts 10 years. The IUD can be used in women that have not had children but it is a relative contraindication. It's better for women who have had children. Some have complained that the Mirena "pokes" their partner. It's the strings that people claim they feel or poke (most doctors don't believe this and think it may be psychological). The IUD should be used in monogamous relationship, because if you get an infection it can potentially damage the fallopian tubes.
- Is RU486 the same as the Morning After Pill? No. RU486 can be taken 49 days after first day of last menstrual cycle. Every doctor can not get it. You can get it from Planned Parenthood. Current laws make it difficult for Doctors to obtain for patients.
- When should I get a mammogram? At 40 years old. Remember to always do a self test. Some women get one at 35 to have a baseline. It is recommended at age 35 if breast cancer has affected a family member.
- What is the HPV vaccine? The vaccine covers 4 of types of the HPV virus (there are 100+ types). The vaccine can be obtained between ages 9 and 26 years. Remember to get a PAP smear once a year! Condoms do not protect against HPV, herpes, or crabs because they can occur around external areas.
- What about cord blood banking? The patient has to request it be taken. Cord blood can be donated if the patient requests it.
- When should I take prenatal vitamins? It is best to have the vitamins in your system three months before conception.
- What can be done to strengthen bladder muscles after giving birth to two babies? Kegel exercises - 100 per day for 5 seconds each time. Go to the bathroom every three hours.
See a urologist to determine if you have stess incontinence, which is
damage to the urethrovesical junction, which can be repaired sugically with a
sling operation.
Dr. Ziainia believes that accupuncture can help as a alternative treatment, in general. She attended a UCLA course designed for MDs.
Thank you Doctor Ziainia for your time and open conversation. We of course gabbed on for hours, until about 11:30 at night. We knew it was time to break up the party when husbands starting calling the cell phones. Our next gathering is October 9 and will be covering the November 4 election, specifically San Diego and California ballots. See you then!
-Jules
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