Questioni realize it would be ahrd to answer all of this
but please help me as much as you can >
i am 32 y.o. girl
have # of medical conditions:
asthma, NOS w/o status asmaticus 493.90
schizoaffective disorder nos 295.70
hypercholesteroleimia, pure 272.0
pituitary adenoma 253.8
diabetes mellitus II w/o comp not st uncntr 250.00
headache nos 784.0
gerd and ohter esopaheal reflux 530.81
alergic rhinitis cuase unspec 477.9
hyperolactenemia/galactorrhea 253.1
abodominal pain site unspec 789.00
dry skin 706.1
i take the following meds
prolixin decanoate 25 mg
klonopin 0.5 mg
topomax 200mg
geodon 80 mg
flovent rotadisk 250 mcg
betadine plus
proventil 90 mcg
am allergic to sulfur penicilins cephalosporins carbapenem aztreonam
sulfa
what difficulties would i face in coneiving
becoming pregnant
not miscarrying
having a healthy baby
how would my own health be affected
what could i expect healthwise if i contiues taking al these meds?
if i stip taking some of them?
this concerns my own health
but how would takin these meds affect the baby if i get pregnant?
are their substitues
what adjustments can i safely make if i wnat to conceive?
what other suggestions do u have for me?
how will keeping on taking these medicines and my diagonses affect my future health and fertility?
thank you vewry much
Followup To
Question -
at what stage of pregnancy can loss of limbs , and down's syndrome be, seen, or predicted?
what diagnostic test and at what stage fo pregancy (week etc) is this administered?
when it comes to an abortion reccommended becuase
the nurse ro doctor anticipates [roblems with the fetus or preganncy, is it standard or good practice to adopt a wait and c attitude:
and to wait till certain determiantive or diagnostic tests can be administered?
what would cause a physiciain to abandon this practice? sequ
where this would be counterintuitive (to wait and c)
if an abortion might ahve to be done
what are the medical sequellae,, if its done later rather than sooner?
what is the earliest time an abortion can be done?
does it vary by state?
the latest?
if a girl cant get off psychotropic meds totally such as depakote, is an abortion necessary?
if abortion is a possible necessity when should it be carried out? as oppsed to wiatin to know more?
(33y.o. female with no prior pregs)
at what stage (weeks) can a diagnostic test tell the risk the preg poses to the baby or mother?
how does being afflicted with pituitary adenoma influence all this?
Answer -
well, there are about 30 questions here... so I will answer a few...
chorionic villus sampling or amniocentesis done in the first trimester of pregnancy can detect a few things, like genetic abnormalities like Down's..... loss of limbs from whatever cause is detected by ultrasound and you can get an idea late in the first trimester... the later an abortion is (2nd trimester) the risk to the mom goes up a little, but it is still a very safe surgical procedure. When a mom is young, very few people do extreme genetic testing... moreso when you are older as the risk increases.... multiple drugs pose the risk of malformations to the child... you have to look at each one individually... most have the possibility but it is very rare, so abortion is rarely "recommended." The simple fact is, we can't do human studies of giving these meds to pregnant women due to ethical problems.. so we don't know exactly what they will or will not do.
Hope this helps....
AnswerI don't see the conditions being as much of a problem as the treatments for the conditions.... you are on several medications that raise the risk of problems with the pregnancy... the prolixin, geodon, etc. You aren't going to get a "percent chance of problems" with these meds, because it isn't known... if you are trying to conceive, it would be good to have your gyn talk with psychiatry and try to minimize any meds that are appropriate... but this is a very difficult question...
