Joanna Marie N. Medina, MD, FPOGS

Joanna Marie N. Medina, MD, FPOGS This page is created due to COVID-19 pandemic. I am a doctor specializing in Obstetrics & Gynecology as a private practitioner in Quezon City since 2009

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06/10/2025



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Ito ang RSV (Respiratory Syncytial Virus) vaccine.Ang bakunang ito ay isa sa 5-6 na bakuna na ibinibigay sa mga buntis....
05/10/2025

Ito ang RSV (Respiratory Syncytial Virus) vaccine.

Ang bakunang ito ay isa sa 5-6 na bakuna na ibinibigay sa mga buntis.

Ang RSV ay isang virus na maaaring magdulot ng sakit na bronchiolitis at pneumonia sa mga sanggol na wala pang isang taon.

Ibinibigay ito sa mga buntis na nasa 32-36 weeks AOG.

In my clinics, I usually give this at 34 weeks AOG.

Ayon sa mga pag-aaral, maipapasa na ng ina sa sanggol ang immunity laban sa RSV, dalawang linggo pagkatapos ng bakuna.

Ang RSV vaccine ay ibinibigay din sa mga senior citizens.

"Prevention is better than cure" as the cliche goes.

Ask your OB-GYN about RSV vaccine for pregnant moms, today.





Check out this video from this search, chest retractions baby with rsv https://share.google/0EgWiVSCEaVzOc40J

Congratulations, Rachelle and Philip! &rpt
03/10/2025

Congratulations, Rachelle and Philip!

&rpt

Congratulations to the new parents, Marian and Aeron!
30/09/2025

Congratulations to the new parents, Marian and Aeron!



Congratulations to the new parents!
30/09/2025

Congratulations to the new parents!



Congratulations to your new bundle of joy, Jai and Jonathan!
16/09/2025

Congratulations to your new bundle of joy, Jai and Jonathan!

Naks nmn... 🥰Tenkyu!
11/09/2025

Naks nmn... 🥰

Tenkyu!

This is an ENDOMETRIOMA. Ang endometrioma ay isang benign na bukol sa o***y.Ito ay tinatawag ding "CHOCOLATE CYST" dahil...
11/09/2025

This is an ENDOMETRIOMA.

Ang endometrioma ay isang benign na bukol sa o***y.

Ito ay tinatawag ding "CHOCOLATE CYST" dahil ito ay naglalaman ng fluid na kulay tsokolate.

Ito ay karaniwang komplikasyon sa mga pasyenteng may ENDOMETRIOSIS.

In this case, the patient came in with severe, generalized abdominal pain.

On laparotomy, she has endometrioma on the right and an endometriotic cyst on the left o***y. Both were ruptured.

Kapag nakakakita ako sa clinic ng mga bukol na mukhang endometrioma sa mga pasyenteng may endometriosis, hanggat maaari, ayoko silang operahan sapagkat masyadong masalimuot, mahirap, madikit, ang mga may ganitong kaso.

Ang Endometriosis ay ginagamot, hanggang mag menopause, minsan habang buhay, para maiwasan ang mga komplikasyon tulad nito.

Meron siyang gamot. Ang mahalaga lang ay kumunsulta sa iyong OB-GYN upang maiwasan na ito ay mag karon ng komplikasyon.

Subalit kung nagkaron na ng komplikasyon tulad nito, wala nang ibang maaaring gawin kundi ang mag-opera.

Ikaw ba ay nakakaranas ng
• severe dysmenorrhea ?
• pain during or after s*x ?
• hirap magbuntis ?

Ito ay ilan lamang sa mga sintomas ng may endometriosis.

Kumunsulta sa iyong OB-GYN ngayon.






🙏🙏🙏

This baby was born from a 33 year-old mom of two.Maganda rin ang kuwento ng pagbubuntis ng pasyente kong ito.Let me shar...
09/09/2025

This baby was born from a 33 year-old mom of two.

Maganda rin ang kuwento ng pagbubuntis ng pasyente kong ito.

Let me share it with you.

She first consulted my clinic for a second opinion on an ovarian mass incidentally seen during her first trimester ultrasound.

She was on her 10th week gestation then.

Ovarian New Growth (ONG) in pregnancy with a dimension bigger than 6 cms is usually removed electively because of the risk of complications like rupture or torsion.

Ideally, its removal is scheduled after 12 weeks gestation to minimize the chance of abortion, and before 18 weeks gestation kasi relatively malaki na ang matres at sanggol sa loob by then, masikip nang mag-opera and the chance of abortion or pre-term labor and delivery also increases.

Maaari itong gawin ng open, the traditional way, o through keyhole surgery (laparoscopy), ung tusok tusok lang.

Mas mabilis ang recovery ng laparoscopy pero ito ay mas mahal na procedure kumpara sa open o laparotomy.

So we did a laparotomy followed by Left Salpingo-oophorectomy on her 13-14th week gestation.

Tinanggal namin ang kanyang left o***y na may laking 8 x 7 x 5 cms and fallopian tube. Ang bukol ay lumabas na isang Dermoid cyst sa histopath. It's a benign ovarian tumor.

She and her baby went home well after the procedure.

Her prenatal check-up was uneventful.

Nang dumating ang kanyang due date however, hindi siya nakaramdam ng true labor.

Mukhang nakalimutan na niya kung pano mag labor dahil 7 years ago na ang susundan nito. 😅

We requested a BPS/biometry. Ultrasound para makita kung ayos pa ang kondisyon ni baby.

Sa ultrasound, nakita na kokonti na lamang ang tubig sa loob, with an amniotic fluid index (AFI) of less than 5 cm.

Ito ay tinatawag na Oligohydramnios.

Meron pang cord coil daw sa leeg ni baby.

Sabko sa kanya, baka hindi kakayanin ni baby ang mag labor, hindi dahil may cord coil, kundi dahil kokonti na ang tubig sa loob... ideally, a cesarean section should be done.

She was hesitant to consent for a C-section, so we made another plan.

Plan: she will be induced for labor and undergo limited trial of labor and hopefully deliver vaginally barring complications - NRFS. Any slight sign that the baby is having a non-reassuring fetal status, an emergency C-section will be done.

She had been taking evening primrose oil for 10 days, so her cervix was well primed.

She was admitted with the following IE: cervix soft, anterior,
2 cms dilated, 50% effaced, intact BOW, cephalic, station -3.
Bishop score: 6.

We have a moderate chance of success in induction of labor.

She was also experiencing mild irregular uterine contractions.

After a reassuring fetal status on labor admission test, we started oxytocin drip to achieve adequate and sustained uterine contractions.

To cut the story short, she delivered a healthy baby girl via normal spontaneous vaginal delivery, after almost 12 hours of labor.

Yay! 🎉👏💖

Thank God for a successful and uneventful delivery. 🙏

Thank you to my patients for giving me their trust. 🙏

Thank you to the DR team on-duty last night! 🙏






The calm before the storm... 😅Difficult tap, groufie muna with my 1st assist and scrub nurse.
09/09/2025

The calm before the storm... 😅

Difficult tap, groufie muna with my 1st assist and scrub nurse.



This baby was delivered from a 36 year-old first-time mom. Let me share her labor journey.On her 40-41st week gestation ...
09/09/2025

This baby was delivered from a 36 year-old first-time mom.

Let me share her labor journey.

On her 40-41st week gestation and weekly follow-up in the clinic, she said sumasakit na raw ang kanyang tiyan, pero tolerable pa rin naman ang sakit.

Upon internal examination, she was already at 5 cms cervical dilatation.

Whoa! Ang taas ng tolerance mo sa pain, J***.

That's half-way from delivery.

Bet she wasn't able to sleep the whole night. My inbox has updates on her labor hanggang madaling araw from the previous night. 😅

She was admitted and I told her that she should deliver vaginally after 6 hours if she's going to deliver vaginally. Ayun ay kung hindi maliit ang kanyang sipit-sipitan (Cepalo-pelvic disproportion o CPD). And barring all other complications like kapag nahirapan si baby (Non-reassurring fetal status or NRFS), o di kaya ay biglang tumaas ang kanyang blood pressure (uncontrolled hypertension), etc.

Four hours after admission, however, bumagal ang kanyang labor. Hindi kasi sapat ang hilab, so we started her on oxytocin drip, giving her sustained moderate to strong uterine contractions every 2-3 minutes.

After almost 10 hours from admission, she finally delivered vaginally to a live baby boy weighing 3.24 kgs (7.14 lbs).

Congratulations, again!



This IUD was removed in the clinic yesterday.She's my patient since she was pregnant with her first baby way back 2014-2...
20/08/2025

This IUD was removed in the clinic yesterday.

She's my patient since she was pregnant with her first baby way back 2014-2015.

She delivered vaginally in 2015, and 2 months after delivery, she consulted for a family planning method.

I remember what she wanted then:
a contraceptive method that is
- effective right away
- no pills (because she might forget taking one)
- will provide good spacing for kids
- OK for a breastfeeding mom.

I offered her condoms and IUD.

She opted for an IUD.

Fast forward to this year, she realized she still wants a second child.

Her IUD expires in September 2025.

She is now in her late 30s...

Ok, IUD removed, multivitamins prescribed, let's pray for baby #2

🙏🙏🙏

planning

Address

Commonwealth Avenue
Quezon City

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Monday 6am - 6pm
Tuesday 6am - 6pm
Wednesday 6am - 6pm
Thursday 6am - 6pm
Friday 6am - 6pm
Saturday 6am - 6pm
Sunday 6am - 6pm

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