In the second part of this video, Lesley Regan reviews some general pregnancy questions and answers.
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Emma Howard: Hello, well it's that time again, when we ask one of our many doctors to join us on the Baby Channel sofa to answer all your question that we've gratefully been receiving. With me today is Lesley Regan a consultant Gynecologist and obstetrician from St. Mary's Hospital in London. Thanks for coming in again. We've got many more questions for you. First of all a lady has written and saying that she is trying to have a baby, she obviously hopes she is pregnant, she is going to list her symptoms first now, she has -- her period was due 8 days previously, she is feeling sick, her breasts are sore and she says, she has period type pain, are these symptoms of pregnancy and would -- if they are, would I have them so early, she is asking. Lesley Regan: You say her periods are 8 days late. Emma Howard: Her periods -- oh no, actually her period is due in 8 days. So that is quite early and that makes very difficult. Lesley Regan: So, this makes it about 3 weeks from the last period on average and so about a week after - Emma Howard: The conception. Lesley Regan: Yes after the ovulation and fertilization. So, it's possible -- it's possible that yes that these are symptoms relating to the fact that the pregnancy started to implant because implantation on average takes place about 7 days after the ovulation roughly speaking. So yes if she is very-very sensitive to the changes of hormones, this may be that the nausea and the sore breasts have to do with the HCG hormone that the tiny embryo is producing, which makes the pregnancy test go positive and it's going to lead to these symptoms. The other problem there is that women who are trying to get pregnant and also have been you know - Emma Howard: They are looking for these things - Lesley Regan: They are looking for these symptoms and actually what you describe is also compatible with someone who is developing premenstrual tension symptom and is not pregnant at all and is going to have a period in 5 or 6 days time. Emma Howard: So, this just means, getting away from the fact -- you have to wait until your period is due really, you can do test a few days before. Lesley Regan: Well, no, it's quite still that, taking the average cycle, I mean say day 1 of the period is day 1 and then day 14 approximately you ovulate, you're going to implant about day 21 and by day 25 or day 26, if could go do one of those over the counter pregnancy tests, you'll probably get a positive or negative that's relatively reliable. Emma Howard: And so if she is feeling those symptoms, I mean she has got those symptoms, it would show up on the test then. Lesley Regan: And for women that come to my clinic worrying about this, either because they are trying to get pregnant or some are avoiding getting pregnant, I will say well why don't you get some of these predict tickets and you know when you have these symptoms, test. Emma Howard: And they are accurate, aren't they? Lesley Regan: They are, they are very good. Emma Howard: I mean you use them in the hospital, that's the same thing. Lesley Regan: Yeah, same thing. Emma Howard: Well that's a good advice, so yeah she is going to have to go off and test and hopefully, Lesley Regan: Hopefully you will. Emma Howard: Because that's what you want. So I am hoping that you would. You would get what you want, just wishing you best of luck. The next question I'm 7 weeks pregnant with my second baby and I'm feeling really sick but my main worry is the very smelly blood like discharge from my vagina, what is causing this? Lesley Regan: Well I think, if she is having any blood stain, any blood coming out of the vagina, whether it's mucusy or actually fresh blood, then you know a trip to the local hospital or to the doctor is needed because we do need to check that out. That could often be quite innocent. It can be because it passes a little erosion on the cervix, on the neck of womb which frequently bleeds after intercourse and that's an important po