Patient's question:
The body temperature, 2 months had 12 days of high temperature (36.8-37 degrees), March and April had no high temperature, please ask the doctor what is the reason when all hormone levels are normal? 4, April 13th tested leukorrhea, pus cells had two plus signs, the doctor wanted to prescribe medicine for me, but I didn't use it because I didn't finish the medicine when taking out the IUD, it was Baofukang foam, I used it once and then...Doctor's answer:
1. Body Mass Index (BMI): BMI is calculated as weight (in kilograms) divided by the square of height (in meters). If BMI > 25, it is important to reduce weight to a normal range through diet and exercise, otherwise the risk of gestational hypertension, gestational diabetes, and miscarriage will significantly increase. Recommendation: Engage in aerobic exercise at least 5 days a week, with a duration of at least 40-60 minutes per session.2. Blood Pressure Monitoring: Blood pressure fluctuations typically follow a pattern of two peaks and one trough, with peak levels in the morning and between 4 PM and 6 PM. Focus on monitoring these two time periods. If blood pressure rises to >140/90 mmHg, it is necessary to visit the hospital for examination to identify and address issues promptly.
3. Blood Glucose and Lipid Levels: Postprandial blood glucose after 2 hours and hemoglobin A1c can be tested to assess glucose metabolism in the body, avoiding the risk of "diabetic mothers" or "diabetic babies." Lipid testing is also crucial, as elevated lipid levels can increase the likelihood of gestational thrombosis, which is particularly harmful for older mothers.
4. Thyroid Function: Many patients in recent outpatient visits have been diagnosed with hypothyroidism, subclinical hyperthyroidism, or Hashimoto's thyroiditis. It is essential to check thyroid function before pregnancy, as the development of the fetus cannot be sustained without the supply of maternal thyroid hormones.
5. Liver and Biliary Ultrasound: The examination can detect conditions such as fatty liver, and it is best to avoid pregnancy with fatty liver.