Dr. Maria Cristina B. Malijan Clinic

27/12/2025

Endometriosis symptoms primarily involve severe pelvic pain, especially during periods, heavy bleeding, and infertility, but also include fatigue, bloating, bowel/bladder issues (painful urination/defecation, constipation, diarrhea, blood in stool/urine), and pain during or after s*x, often worsening around menstruation and impacting daily life. Symptoms vary, with some experiencing mild or no issues, while others face debilitating pain, even if the extent of the condition seems small.

14/12/2025

Adenomyosis commonly presents with heavy, extended, and painful menstrual bleeding (dysmenorrhea), persistent pelvic discomfort, and a sensation of pressure or fullness in the lower abdomen. These symptoms may contribute to anemia, fatigue, or pain during in*******se (dyspareunia). However, some women remain entirely asymptomatic.

Consult with you OB GYNE

03/12/2025

Planning for pregnancy:

1. Talk to your healthcare provider

Before getting pregnant, talk to your healthcare provider about your health history and any medical conditions you currently have.

Take a list of talking points so you don't forget anything. Be sure to talk to your doctor about:

Any current medical conditions you have
All medicines you take, including prescriptions, over-the-counter medicines, supplements, and vitamins
Vaccinations
Lifestyle and behavior

2. Get 400 micrograms of folic acid daily

Folic acid is a B vitamin. Having enough folic acid in your body at least 3 months before and during pregnancy

3. Stop drinking alcohol, smoking, and using certain drugs

Drinking alcohol, smoking, and using certain drugs can cause problems during pregnancy, such as premature birth, birth defects, and infant death.

4. Avoid toxic substances and contaminants

Avoid harmful chemicals, environmental contaminants, and other toxic substances

5. Reach and maintain a heathy weight

People who are overweight or obese have a higher risk for many serious conditions, including complications during pregnancy. People who are underweight are also at risk for serious health problems.

6. Learn your family history

Collecting your family's health history can help you identify factors that might affect your baby or your ability to become pregnant.

7. Get mentally healthy

Mental health is how we think, feel, and act as we cope with life.

Lifted from CDC website.

08/11/2025

Uterine fibroids (myoma uteri) may cause symptoms such as heavy or extended menstrual bleeding, pelvic discomfort or pressure, increased frequency of urination, constipation, and pain during s*xual activity. However, many women—particularly those with small fibroids—may remain asymptomatic.

22/10/2025

Polycystic o***y syndrome (PCOS) is a prevalent hormonal condition affecting women during their reproductive years. It often leads to irregular menstrual cycles, elevated androgen levels—which may result in acne and excessive hair growth—and the formation of cysts on the ovaries. PCOS is a major contributor to infertility due to its impact on ovulation. Additionally, it is linked to several other health concerns, including insulin resistance, type 2 diabetes, obesity, and cardiovascular disease. Management of PCOS typically involves a multifaceted approach, combining lifestyle modifications, medical treatment, and targeted care for associated health issues.

19/10/2025

Endometriosis can present with a wide range of symptoms, which may vary in intensity and are often mistaken for other conditions. Common symptoms include:

• Pelvic pain
• Painful periods (dysmenorrhea)
• Pain during in*******se
• Pain with bowel movements or urination
• Heavy menstrual periods or bleeding between periods.
• Infertility

05/10/2025

Shingrix, the recombinant zoster vaccine, is advised for adults aged 50 and above, as well as immunocompromised individuals starting at age 19. Administered in two doses spaced 2 to 6 months apart, it offers robust protection against shingles and its associated complications. Notably, it demonstrates high efficacy in preventing postherpetic neuralgia (PHN)—the most frequent and debilitating consequence of shingles.

20/09/2025

The RSV vaccine provides protection against Respiratory Syncytial Virus, a prevalent respiratory infection. It is especially recommended for older adults and pregnant individuals to help safeguard their infants from the virus.

10/08/2025