Frequently Asked Questions
Dr. Tran encourages two-way communication to ensure you have received the information which pertains specifically to you. There are many available hand-outs available on acog.com for patient education and resources.
Listing inundated information would defeat the purpose of hearing your concerns; thus, Dr. Tran welcomes your emails and phone calls. We have listed several useful Q&A’s below:
When do I start my oral contraceptive pill?
You can either start the oral contraceptive pill on the first day of your period or the Sunday following your period. Keep your pill time consistent every day.
When is the ideal time to insert an IUD?
An ideal time to insert an IUD is on 4-5th day of your period. This is to ensure that you are not pregnant at the time of insertion and that the cervix is slightly open, making insertion less painful. If you are currently using another method or lactating, you may have the insertion at any time.
If you do not have a predictable, regular menses, it is recommended to have two documented negative pregnancy tests, two weeks apart.
Dr. Tran may prescribe a pill to soften the cervix the night before the insertion. You may take pain medication at least 30 minutes before insertion.
What is HPV and how can I prevent it?
HPV is a common virus which infects 80 million people currently in the US. Most HPV infection resolves within 2 years but if it persists, it can cause cancer of the vulva, vagina, cervix, anus, throat and penis.
HPV causes over 30,000 cancers in both men and women yearly, but HPV vaccination can prevent most cancers from occurring. The recommended age to get HPV vaccine is 11-12 years old in boys and girls, up to 26 years old in women, and 21 years old in men.
There is no upper age limit in which the vaccine deems not beneficial. If you are older and interested in receiving the vaccine, please consult Dr. Tran.
What is a Colposcopy?
If you are infected with HPV or have an abnormal PAP, Dr. Tran may recommend this procedure. The procedure is simply looking at the cervix under a microscope to magnify the cervix and take biopsies.
There is no down time after the procedure but abstaining from intercourse for a few weeks is recommended. You may take pain medication prior to procedure.
What is Cryotherapy?
Cryotherapy is the delivery of cold liquid nitrogen to the cervix to eradicate a mild cervical HPV infection. It takes about 4 to 8 minutes. You can expect cramps for couple days and mucous discharge up to 4-6 weeks. Abstain from intercourse for 3 to 4 weeks.
What is EMB (endometrial biopsy)?
This is an in-office procedure which takes 10-20 seconds to obtain tissue from the uterus to rule out uterine cancer. You may take pain medication (such as Motrin) before the procedure to reduce pain. There is no down time and you can resume intercourse any time.
Does Dr. Tran offer VBAC (vaginal birth after cesarean section)?
Under appropriate conditions, Dr. Tran will offer VBAC to those interested. Please make sure to provide a medical record of your previous cesarean section (if you did not deliver by Dr. Tran).
When does Dr. Tran perform a repeat cesarean section?
The earliest date that Dr. Tran will perform a repeat cesarean section is 7 days before your confirmed due date. It can be performed earlier if you develop medical complications or go into labor early.
What tests do I need during pregnancy?
Although all screening tests are optional, Dr. Tran strongly recommends getting all screening tests during the time-sensitive windows.
These include sequential tests:
- First trimester blood test (10-12 weeks)
- NT (nuchal translucency) at 12-13 6/7 weeks
- Second trimester blood test (15-18 weeks)
- Fetal anatomy ultrasound (18-21 weeks).
- In addition, you will need an OB panel (blood test) in the early part of pregnancy, Glucola (24-28 weeks), GBS vaginal culture (35-37 weeks). More diagnostic tests will be discussed and offered if screening tests are abnormal.
How do I prepare for laparoscopy procedure?
For minor laparoscopy cases, you will not need to bowel-prep. Do not eat or drink after midnight before the procedure.
For major laparoscopy cases, you will be asked to do a bowel prep on the day before the procedure, which includes:
- Clear liquid diet (no alcohol), stop drinking 8 hours before procedure time.
- At noon, drink Magnesium Citrate (10oz).
- Do two enemas, one at 3 pm and one at 7 pm.
- Avoid all supplements, vitamins, herbs, aspirin, non-steroidal anti-inflammatory drugs and anti-coagulant drugs for 1 week before the procedure.
- You may take all other medications up to the day before the procedure. On the day of procedure, take your blood pressure medication with a sip of water, prior to coming to the hospital.
What is the recovery time and post-op care after a major laparoscopy procedure?
For the majority of cases, you will be discharged from the hospital the day after surgery.
At home, resume light ambulation, eat healthy food, avoid greasy, spicy food and alcohol and avoid intercourse until further instruction. Call Dr. Tran if you have a T>100.3, heavy bleeding, severe abdominal pain despite pain medications or wound infection. Make a follow up appointment for 2-weeks after the procedure.