How to Have Healthy, Successful Relationships!

Have you ever found yourself falling for someone even though there were clear red flags?  Or have you been in a relationship that started out great, only to find yourself feeling lonely and insecure a couple months later?  Recognizing warning signs when it comes to relationships with partners, or even friends, is crucial to stave off unwanted drama and misery now and in the future.  It is essential to recognize the signs and make changes if necessary.


First, let’s talk about self-love.  That’s right.  You must love, respect, and honor yourself before you can have healthy relationships with others.  Sounds easy enough but learning to set and keep personal boundaries to preserve your love-of-self can often be challenging, especially if you like to please others.  Remember, you should never allow anyone to determine your value. Comparing yourself to others is a thief of joy.  Every human being has value.  Every human being has flaws. You are human so you will always be “enough” and deserving of genuine, honest, and loving relationships.


“Your flaws are perfect for the heart that’s meant to love you.” —Trent Shelton


What does real, honest love look like?  A Healthy Relationship is when both people:


  • Respect each other and each other’s boundaries
  • Communicate openly with each other and respect each other’s opinions
  • Are honest with each other
  • Are happy to spend time together or apart, alone or with others
  • Feel equal and make decisions together
  • Make mutual sexual decisions together


A healthy relationship is not only based on honesty but also trust, equality, and compromise.  You should accept nothing less from your relationships.


Unfortunately, people everywhere regularly experience a disconnect through isolation and unhealthy relationships, even though having healthy connections sets the stage for limitless growth and opportunity.  Science has proven that living connected includes community, family, school, work, finances, and health.  Living connected and loving and respecting yourself leads to setting clear boundaries, having essential communication skills, increased connections, financial awareness, and healthy relationships.


In comparison to a healthy relationship, an Unhealthy Relationship starts when one or both people:


  • Are disrespectful as in one or both is not considerate of boundaries or feelings
  • Do not communicate well and fight over problems
  • Do not trust each other or believe what the other is saying
  • Do not spend time with others and only socialize in the other’s community
  • Struggle for control feeling their choices are more important
  • Are dishonest and tell lies
  • Pressures the other for sexual activity and refuses to see how this is harmful


One in three young people will find themselves in an unhealthy or even an abusive relationship.  These relationships can negatively affect sexuality and identity. Preventing Teen Dating Violence | CDC They can increase the risk of physical injury, poor academics, eating disorders, drinking, drugs, negative body image, self-esteem, and in some cases suicide. If you feel you are in an unhealthy relationship with a partner or even a friend set boundaries for yourself and learn to stop before you both have regrets.


Unhealthy relationships can sometimes lead to more extreme behaviors and become abusive. Abusive Relationships start when one or both people:


  • Mistreats the other disrespecting feelings, thoughts, decisions, or physical safety
  • Communicates in a way that is harmful or insulting
  • Accuses the other of their harmful actions
  • Isolates the other and spend all their time together
  • Denies abusive actions are abusive by excusing or minimizing abusive behaviors
  • Forces sexual activity with an imbalance of power and control


Teen dating violence and abuse affects more than 1.5 million people a year and is not just physical.  Dating violence can include one or a combination of Preventing Teen Dating Violence | CDC:

Physical: pinching, hitting, shoving, kicking

Emotional: threatening or harming self-worth, shaming, or bullying

Sexual: forcing a partner to engage in a sex act when he or she does not or cannot consent


At Obria, we know that navigating the complexities of life and love can be challenging!  Our holistic approach to health care offers research-based support for all areas of your life, including a self-discovery and relationship program called Optimal Health Education.


Our certified Optimal Health educators can teach you skills to improve your self-confidence and relationships with family, friends, or a romantic partner.  The goal is for you to become your best self by learning how to form meaningful connections with others.  It is possible for you to have happy, healthy, and successful relationships in life.  We want to help you get there!


Not to mention, this self-discovery and relationship program is free for 10- to 19-year-olds!


Reach your potential!  Schedule your Optimal Health session at our Obria Santa Ana Clinic by calling 714-516-9045 or emailing    

Does Abortion Seem to be Your Only Option?

If so, then here’s the information you need…

Facing an unplanned pregnancy under any circumstance can be stressful, but it can be overwhelming when you add in financial, educational, relationship, and family pressures, it can be overwhelming. Feeling that your only option is abortion is understandable and may seem like a quick fix for a devastating problem. But before you make this choice be sure you have the medically correct information and know all your options—so that you can make an informed and healthy decision. In doing so, your future self will thank you!

The first thing that you need to know is that you are not alone. Many Obria staff members have dealt with the shock of an unplanned pregnancy and gut-wrenching decision about what to do. We have also talked to countless women like you and felt their stories. For this reason, it is our goal to give you the best medical information possible so that you can make an educated decision that is best for you.

Are you feeling desperate and wanting to talk to someone right now? We are here and ready to listen! Download our free app OBRIA DIRECT at Google Play or the Apple Store—and text or chat confidentially with one of our caring nurses today.


Want to know more?

If you are reading this, you most likely have taken an in-home pregnancy test, and it was positive. Your stomach probably sunk as you read the results. And you may now be wondering, “why is this happening to me?” If you are like many of our patients, you also rushed out to get more tests just to make sure!

We can help you make sure! At Obria our clinical pregnancy tests can take the stress out of human error. Our urine tests identify the pregnancy hormone human chorionic gonadotropin (hCG). Your hCH concentration increases each day during early in pregnancy. Ideally, you will want to make an appointment with us for a pregnancy test 6 weeks from the last day of your last menstrual period (LMP) or approximately 3 weeks after you may have conceived.

Surprisingly, a small number of women whose urine tests will not show positive, even though they are pregnant. If after a negative urine test you still feel you are experiencing pregnancy symptoms, then this may be the case for you. Our nurses can schedule a follow-up appointment for a blood test to confirm the pregnancy.

Once you have had a positive urine or blood pregnancy test, you will want to schedule an ultrasound appointment with us to validate the results and confirm the pregnancy. The ultrasound is a diagnostic tool that will determine if the pregnancy is viable, the fetus’s location, how far along you are, and if there is a heartbeat.

An ultrasound is always recommended for pregnancy and very important to have before an abortion to make sure that you have no other contraindications to your health or pregnancy.


Before any abortion procedure, make sure you get:

  • STI testing to treat any infection you may have.
  • An ultrasound to confirm how far along you are, verify the location of the fetus, and that there is a heartbeat.
  • Your blood type and Rh factor. If you are Rh-negative, you will need a RhoGAM injection to protect future pregnancies.
  • The nearest emergency room location and have a 24/7 emergency hotline available so you can call with questions.


Still have questions? We have answers…

“What actually is an Abortion?”

According to the Center for Disease Control (CDC), “a legal induced abortion is defined as an intervention performed by a licensed clinician (e.g., a physician, nurse-midwife, nurse practitioner, physician assistant) within the limits of state regulations that is intended to terminate a suspected or known ongoing intrauterine pregnancy and that does not result in a live birth.” In other words, an abortion is the ending of a pregnancy by removal or expulsion of an embryo or fetus.


“Is it possible that I could Miscarry?”

An abortion without intervention is known as a miscarriage or the spontaneous loss of a pregnancy before the 20th week. The Mayo Clinic has found that about 10 to 20% of known pregnancies end in miscarriage. But the actual number could be as high as 30% to 50% because many miscarriages occur early in pregnancy when a woman doesn’t realize she’s pregnant. Most miscarriages occur because the fetus isn’t developing normally.


“What is a Medical Abortion?”

There are two types of abortions, medical and surgical. A Medical Abortion can also known as the Abortion Pill: Mifepristone (Mifeprex, RU-486) and Misoprostol (Cytotec). It is important to note that Abortion Pill will terminate a pregnancy and is not Plan B or the morning-after pill. A Medical Abortion is comprised of two separate medications taken on different days. Mifepristone blocks the hormone progesterone, which is needed for a fetus to survive.

Misoprostol causes cramping and contractions of the uterus and expels the pregnancy.

Side Effects of Mifepristone:

Heavy bleeding

Nausea, vomiting



Back pain

Weakness or dizziness

Side Effects of Misoprostol: 

Nausea, vomiting


Cramping, bleeding, and blood clots

On average, bleeding lasts 9-16 days. If the side effects above, other than period like bleeding, last longer than the first 24 hours after taking misoprostol, seek immediate medical attention.

The FDA has approved a Medical Abortion/the Abortion Pill for up to 10 weeks (70 days) of pregnancy. Mifepristone is unsuccessful 8-10% of the time and may result in the need for a medical abortion. For safety reasons, the prescription for the Abortion Pill should never be purchased online or through an underground market. Other health risks need to consider before a Medical Abortion.

The Abortion Pill is not recommended if you have any of the following:

  • If it has been more than 70 days since your last menstrual period
  • A suspected ectopic pregnancy and/or a tumor that has developed in the uterus (a molar pregnancy)
  • An intrauterine device (IUD) in place (It must be removed before taking mifepristone)
  • Problems with your adrenal glands (the glands near your kidneys)
  • Been treated with certain steroid medications for an extended period of time
  • Bleeding problems or if you are taking anticoagulant (blood-thinning) drug products, certain heart, or blood vessel diseases; severe liver, adrenal gland, kidney or lung disease; or an uncontrolled seizure disorder
  • Had an allergic reaction to mifepristone, misoprostol, or similar drugs
  • Smoke more than 10 cigarettes a day

After taking the Abortion Pill, you may experience bleeding and cramping for two to four weeks. Pregnancy can occur again soon after a medical abortion, so if sexually active, you will want to use protection.

Risks associated with the Abortion Pill include:

  • Incomplete abortion – when fetal parts do not fully expelled after taking the abortion pill.
  • An allergic reaction to Mifepristone or Misoprostol.
  • Heavy period-like bleeding that can last up to 2 weeks after the procedure. However, if you soak 1 pad an hour for 2 hours or pass a clot the size of a golf ball, go to the emergency room immediately.
  • Infection – can be indicated by symptoms of severe abdominal pain, fever of 100.4 or higher, vomiting, abdominal swelling, rapid heart rate, increased vaginal discharge with a foul odor, pain, or swelling in the genital area.


“But what if I start taking the Abortion Pill and then regret my decision?”

If you have started taking the Abortion Pill and have feelings of remorse or are questioning your decision, it may not be too late. There is hope! We can provide a possible reversal process if it has been less than 72 hours since you took the first pill. Please visit or call our Abortion Pill Hotline immediately at (877) 588-0333 for help.


“How is a surgical abortion different than a medical abortion?”

After 10 weeks your pregnancy will need to be terminated through a Surgical Abortion. An STD test should be done before a Surgical Abortion to prevent the spread of infection or bacteria during the procedure. According to the American Pregnancy Association there are three types of surgical abortions Aspiration (D&C), Dilation and Evacuation (D&E), and Dilation and Extraction (D&E). Each procedure is dependent upon how far along you are in your pregnancy and is described below:

D&C (Dilation and Curettage) with Mechanical Vacuum Aspiration


  • You will be given a gown to wear and asked to remove all clothing.
  • An intravenous (IV) line maybe started to provide you with fluids before and after the procedure. Medication may be administered through the IV.
  • You will be positioned on the exam table in the same position used for a pelvic exam, with your feet on stirrups while lying on your back.
  • The provider will use a speculum to view inside your vagina
  • Your vagina and cervix will be cleaned with an antiseptic solution.
  • They may apply numbing medication to your cervix
  • A narrow flexible tube will be inserted into your uterus. Suction will be used from the other end of the tube to remove all the pregnancy tissue.


D&E (Dilation and Evacuation)


  • You will be given a gown to wear and asked to remove all clothing.
  • An intravenous (IV) line may be started to provide you with fluids and medications.
  • You will be positioned on the exam table in the same position used for a pelvic exam.
  • Your vagina and cervix will be cleaned with an antiseptic solution.
  • You will be given a pain medicine injection in the cervical area (paracervical block) along with a sedative. If the procedure is done in an operating room, you could receive a spinal anesthesia injection or your doctor may use general anesthesia, which makes you unconscious.
  • The provider will grasp the cervix with an instrument to hold the uterus in place.
  • The provider will dilate the cervical canal with probes of increasing size. An abortion after 12 weeks will need the cervix to be dilated more than required for a D&C. Some cramping is felt during the rest of the procedure.
  • A grasping instrument (forceps) will be passed into the uterus to grasp larger pieces of tissue. This is more likely in pregnancies of 16 weeks or more.
  • A curved instrument (curette) is used to gently scrape the lining of the uterus and remove tissue.
  • A hollow tube (cannula) will be passed into the uterus. The cannula is attached by tubing to a pump that provides a vacuum to remove any remaining tissue in the uterus.
  • You may be given medicine to reduce the amount of bleeding from the procedure.


D&E (Dilation and Extraction)

20-24 WEEKS

  • This procedure can take up to 3 days.
  • A device called a cervical (osmotic) dilator is often inserted in the cervix 24-48 hours before the procedure to help slowly open (dilate) the cervix. Local or oral Misoprostol (Cytotec) may be given to soften the cervix.
  • You will be given a gown to wear and asked to remove all clothing.
  • An intravenous (IV) line may be started to provide you with fluids before and after the procedure. Medication may be administered through the IV.
  • You will be positioned on the exam table in the same position used for a pelvic exam, with your feet on stirrups while lying on your back.
  • Prior to the procedure, the provider will insert a medication into the amniotic sac to cause fetal death. Fetal death is verified by ultrasound.
  • A numbing agent will be applied to the cervix.
  • Strong pain medications and sedatives are encouraged during this procedure, in addition to local anesthesia on the cervix. General anesthesia is not recommended for any abortion procedure.
  • After the cervix is opened, the provider removes the fetal legs with forceps and delivers the baby feet first until presentation of the head.
  • A suction catheter is inserted into the base of the skull to cause it to collapse so that the fetus can be removed.
  • The placenta is removed, and the uterus is suctioned to remove any remaining tissue.



“What are the risk factors of a Surgical Abortion?”

As with any surgery, there are also risk factors associated with Surgical Abortion. These risks are higher if the abortion is done in the second trimester, particularly after 16 weeks of pregnancy.


Risks associated with Surgical Abortions include:

  • Injury to the uterine lining or cervix.
  • A hole in the wall of the uterus (uterine perforation). This is rare. This most commonly happens during cervical dilation. In the second trimester, bleeding may be more likely, and a repair may be needed.
  • Bacteria can enter the uterus during the procedure and cause an infection. This is more likely if an untreated infection, such as a sexually transmitted infection (STI), is present before the procedure.
  • Moderate to severe bleeding (hemorrhage), which is sometimes caused by injury to the uterine lining or cervix.
  • Uterine rupture. In rare cases, a uterine incision scar tears open when a medicine is used to induce contractions.
  • Tissue remaining in the uterus (retained products of conception) which can cause cramping belly pain and bleeding recur within a week of the procedure.
  • Blood clots. If the uterus doesn’t contract to pass all the tissue, the cervical opening can become blocked. This prevents blood from leaving the uterus. The uterus becomes enlarged and tender, often with belly pain, cramping, and nausea.


“Will there be risks to future Pregnancies if you have an Abortion?”

Complications associated with an abortion, or having multiple abortions, may make it difficult to have children in the future. These risks increase with the age of the pregnancy.

  • Vaginal bleeding during early pregnancy
  • Preterm birth
  • Low birth weight
  • Placenta problems, such as retained placenta
  • An incompetent cervix poses risks for future pregnancies — particularly during the second trimester — including premature birth, pregnancy loss.
  • A weakened or damaged cervix can lead to the cervix’s potential to open prematurely (incompetent cervix) in a subsequent pregnancy. It is more likely to affect women who have had multiple surgical abortions.
  • Post-Abortion Stress can be manifested by guilt, anger, depression, prolonged grief, substance abuse, and trauma.
  • Possible spiritual effects- Depending on your beliefs and culture regarding abortion, having an abortion may affect more than just your body or mind. Having a trusted advisor, friend, or mentor to talk to regarding your spiritual health can help this experience.


“How long will it take me to Physically Recover from an Abortion?”

It is important to drink plenty of water after an abortion, at least 8 glasses a day.

Most women can return to normal activities in 1 to 2 days, but you will need to avoid strenuous exercise for about 1 week. You will also want to be sure to take your vitamins and eat regular meals with enough protein and iron. Make sure that you take the full course of antibiotics, as prescribed by your provider.

Avoid swimming and baths for 2 weeks and don’t lift anything over 15 pounds. Additionally, you will need to avoid sex, the use of tampons and douching for at least 1 week or until the bleeding stops completely. Be sure that you attend your 2 weeks follow-up appointment if one is given to you. This ensures that your cervix is closed, the abortion was complete, and there is no infection.


So, what are my other Options?

If you are pregnant, there are three options: Abortion, Parenting, and Adoption. Each will uniquely affect and change you. We can help you explore all these options and give you the support and resources you need to make an informed decision. Only you hold the key to what’s going on in your life–but it is important to gather this accurate information to be assured that you are making the best decision for you. Your future emotional well-being depends on you working through the shock of being pregnant and achieving acceptance of your current situation.  This is a loss of self…gift yourself time so that you can think rationally. We are waiting to help, educate, and guide you through the process.


Don’t hesitate, make your appointment today at our new conveniently located Santa Ana clinic. We promise you won’t be sorry. Call 800-771-5089 or visit

Download our free telehealth app Obria Direct at Google Play or the Apple Store now!

I think I may be pregnant! How do I know for sure?

Early signs of pregnancy can vary from one woman to another.  If  you have missed your period and are experiencing some unfamiliar symptoms it may be time to take a pregnancy test.  We can perform an accurate urine or blood pregnancy test for you, but if you suspect that you may be pregnant what are some of the other signs and symptoms to look for?

The American Pregnancy Association (APA) conducted a survey and found that among pregnant women the first 2 signs of pregnancy included; 29% missed period and 25% nausea.  Let’s discuss these two symptoms further:

Missed Period

Usually the first sign that a woman might be pregnant is that her period is late.   The average menstrual cycle is 28 days long, but can range anywhere from 21 to 25 days in adults and 21 to 45 days in young teens. If you have missed your period by about one week or more, this could be an indicator that you might be pregnant.  However, not every woman keeps an accurate account of her cycle, and some women have irregular cycles, so this symptom alone may not mean you are pregnant.


In the first trimester of pregnancy many women experience nausea, which may or may not be accompanied by vomiting.  Although this is often referred to as morning sickness it can happen at any time of the day.  The severity of nausea during pregnancy can vary from extreme to not at all.  The reasons for morning sickness are not clear, but it is thought to be caused by hormonal changes.


What are some other signs that I might be pregnant?

There are other symptoms of pregnancy that you may not be as familiar with or they are less obvious.  The first week of pregnancy is actually counted from the first day of your last menstrual period, so for the first couple weeks of your pregnancy you may not have any symptoms at all.  As the pregnancy progresses some other symptoms that you may experience are:

Cramping and Spotting

By 7 to 14 days after conception a fertilized egg is implanted to the uterine lining.  The implantation of the fertilized egg can cause cramping and spotting early in your pregnancy which could be mistaken for a menstrual period.  Approximately 1/3 of women will have some bleeding when implantation takes place.  If you are pregnant and spotting there usually is less bleeding, it is lighter in color and for a shorter amount of time.  Likewise, cramps may seem similar to those experienced during a menstrual period but are different and can continue even after your missed period.

Breast Changes

Do your breasts feel swollen or tender?  4 to 6 weeks into pregnancy you may develop swollen or tender breasts due to hormonal changes.  The American Pregnancy Association sites that for 17% of pregnant women this was their first sign of pregnancy.  If you are pregnant you may experience tingling, aching and swelling or enlargement of your breasts.  This is normal and will usually subside after your body adjusts to pregnancy.


Although headaches can be common for pregnant women, they should not be relied upon alone as a symptom. Because of hormonal changes headaches, as well as light-headedness or dizziness, may also be a sign of pregnancy.

Sensitively to Smell and Changes in Appetite

Many women report that they are particularly sensitive to smells during the early stage of pregnancy.  The sensitivity to smell can be a cause for nausea.  If you are pregnant you may also experience changes in appetite.  A food you once loved may now sound horrible to you, or you may crave something you wouldn’t normally eat.  During pregnancy your body is changing rapidly, your hormones are adapting to these new changes, and this can cause these symptoms.

 Frequent Urination

Are you using the restroom more frequently?  Frequent urination can begin before you even miss a period.  During pregnancy your body increases the amount of blood it pumps.  This causes the kidney to process more fluid than usual, which can make you feel like you have to use the restroom more frequently.

Constipation, Bloating and Indigestion

Are you having tummy issues?  The change in your hormone levels can cause pregnancy constipation and bloating.  If this is an issue for you make sure to stay hydrated.  Even if you never had it before, high levels of the hormone progesterone is likely to be the culprit for heartburn or indigestion.

Mood Swings and Fatigue

High levels of estrogen and progesterone may cause mood swings and fatigue.  These hormones support your pregnancy and help produce breast milk, but can also make you feel reactive and moody.  Additionally, your body is working hard to support a new life by pumping additional blood as early as week one of your pregnancy.  No wonder these hormonal and bodily changes can make you sleepier and moodier than usual!

Raise Body Temperature and Increased Heart Rate

Your basal body temperature increases during pregnancy, which may make you feel even warmer during exercise or in the heat.  Your heart also may begin to pump faster around 8 to 10 weeks which can sometimes cause palpitations or arrhythmias due to hormones.  This is usually normal, but if you have an underlying heart problem consult your doctor.

I am experiencing some of these symptoms…now what?

We know that experiencing unfamiliar symptoms, wondering if you are pregnant, and if you are pregnant what to do next can be anxiety producing, even in the best of situations—but YOU ARE NOT ALONE.  We are here to give you the support and care you need as you navigate what comes next.

Schedule a confidential and caring appointment by calling 800-771-5089 or online at  Obria    If you have a question you would like answered right away you can chat with or text a nurse by downloading our free app at Obria Direct. Find Obria Direct on the Apple Store or on Google Play. Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!


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Obria is Committed to Celebrating Differences and Eliminating Racial Inequality

At Obria we stand beside the Black community–making a public stance against the injustice and constant abuse of power and authority and to drive change and support the path to healing. We honor that our nation is built upon a melting pot of individuals, cultures, and color which makes our country unique and special.  But we also recognize that there are implicit biases in all areas of society.  For this reason, we are dedicated to addressing racism, and promoting equality in our clinics, in your community, and in the healthcare industry.  Our promise is to be your ally and to serve alongside you with dignity!

With a mission to never turn anyone away, Obria serves a wide diversity of patients and believes that each and every patient deserves to be treated, as well as heard.  We exist to serve the under-served and the voiceless in our communities—if you cannot afford to pay you will not be refused!  Our purpose is to provide you, and every individual we see, with judgment free, high-quality, comprehensive reproductive healthcare, and education.  A healthcare program that will not only help you and your community thrive but to also feel empowered.

Forty years ago Obria grew out of a small centralized mission to help women in need, and has now grown to include nearly 50 affiliates across our nation with expanded services for all.  It has always been our policy to be inclusive, but to also achieve concrete and positive outcomes for our society.  We believe now is the time to pause, reflect, and improve our best practices, and we are calling on all medical professionals and organizations to join us and take a stance on love, unity, and equality for all mankind.

We know that Obria’s continuing plan of action may not be enough to fill a void that has existed among many for generations.  But be assured that we are committed to working alongside you, with your community, and with other health organizations to not only keep patient care and confidentiality first, but also to make our nation a better place to live by taking measures that will help alleviate biases and racism from our society.


Would you like to know more about Obria and Optimal Health Coaching?  Now is the time to learn more about healthy relationships and mental health programming.  Visit our Obria website. call 800-771-5089, or Download “Obria Direct” to locate a nearby clinic, chat with a medical professional, and even schedule an appointment through the convenience of your phone.  It’s 100% confidential, no cost, and HIPAA-compliant.


Find Obria Direct on the Apple Store or on Google Play. Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!



I’m Pregnant! How do I determine my due date?

Knowing your due date is important for tracking your pregnancy’s progression and your baby’s growth.  Your medical provider can help determine your due date based on your last period date, conception date, or IVF transfer date.  If you would like to estimate your pregnancy’s due date before seeing your practitioner you can use a Pregnancy Calculator and enter one of your known dates listed above.

Another way to estimate your delivery date is to subtract three months from the first day of your last period and add seven days.  For example, if your last period started on May 5th, you’d count back three months to February 5th  and then add seven days, which means your due date would be February 12th.

What do these dates mean?

First Day of Your Last Menstrual Period (LMP) Date

Your LMP or first day of your last menstrual period is often the primary measure used to calculate a due date.  Usually you will deliver 280 days (40 weeks or about 10 months — also known as 10 lunar months) from the first day of your last period. However, if your periods are not regular or are not 28 days apart, your due date may be different from the “280-day rule.”

Conception Date

Even though your LMP can be used as marking the beginning of your pregnancy, you are not actually pregnant until you conceived (the date you got pregnant).  If you know the day or possible dates of conception this can be used to estimate your delivery date, and it is important to share this information with your medical professional.  Childbirth normally happens approximately 38 weeks after conception (approximately 2 weeks after your last LMP).

In Vitro Fertilization (IVF) Transfer Date

According to the Centers for Disease Control and Prevention (CDC) there are more than 250,000 assisted reproductive technology cycles performed in the United States each year.  If you have underground IVF and know your transfer date you can calculate your due date more precisely using this date.


Are you unsure of the first day of your last menstrual period or when you actually conceived?  Not to worry, an ultrasound can help your healthcare provider determine your due date accurately.  Plus an ultrasound early in your pregnancy can give your medical provider additional important information regarding your pregnancy and assure you that your pregnancy is viable.  A low-cost, high quality pregnancy test with an ultrasound can be scheduled with us now at

The World Health Organization (WHO) defines a normal pregnancy to term will deliver between 37 to 47 weeks.  The differences in a due date can be from serval factors including age, length of previous pregnancies, and weight of the mother at birth.  Keep in mind that only 4% of women deliver at 280 days and only 70% deliver within 10 days of their estimated due date, even when the date is estimated by ultrasound.

Your monthly cycle and Pregnancy…

Your monthly cycle is very intricate and is designed to prepare for, and potentially support, a healthy pregnancy each month.  In each menstrual cycle you have many different hormones working together to possibly accomplish a pregnancy, with the key players being follicle-stimulating hormone (FSH), estrogen, the luteinizing hormone (LH), and progesterone.  Through Fertility Awareness you can learn about the function of your reproductive system and know more about your cycle; including your last menstrual period, length of your cycle, or any irregularities in your cycle.  This awareness can help you to achieve (or prevent) pregnancy by helping you identify when you ovulate and your fertile window.


Would you like to know more about your reproductive system, your monthly cycle and fertility awareness?  We have qualified Fertility Education Medical Management (FEMM) professionals who can help you!

If you would like to schedule a pregnancy test with an ultrasound, are looking for prenatal care, or are interested in our FEMM Fertility Awareness program you can make a confidential appointment by calling 714-516-9045 or online at   Or if you have a question that you would like answered right away you can chat or text a nurse by downloading our free, confidential app at Obria Direct.  Find Obria Direct on the Apple Store or on Google Play. 


Book your appointment now for caring and comprehensive care!


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What do You do when You want to Socially Distance from the Only People You can Socially Distance with?

What do You do when You want to Socially Distance from the Only People You can Socially Distance with?

Too much togetherness can get on anyone’s nerves!  And some of us need more space than others.  Daily changes and unpredictability can add to the tension.  The next time you feel you need to set boundaries for alone time try this:


  • Make it clear that you would like alone time. That “Do Not Disturb’ sign has never been so relevant.  Don’t be afraid to let others know when and where you would like to be alone.


  • Let others know how important this alone time is for you. “I’ll be more fun once I have some time to myself.”  Give a time frame if you have one.


  • Communicate your need to be alone with others in a positive way. “I love being with you, but feel I need some space to be myself right now.”  Reassure them that it is about your needs, not about them.


  • Build alone time into your daily routine and identify it. “I’m going to run, walk, journal, create, listen to music, etc…and be by myself for now.” Explain different people have different ways of dealing with a crisis, and this is what you need to be healthy.


  • Take heart! Your feelings are normal…and it is good to acknowledge them.  This is temporary and what you learn about yourself, and how you relate to others in the process, will be valuable in your future.


If you would like to know more about yourself, how to have healthy-happy relationships, and better relate to others we have tools and resources to help.  Schedule a confidential and caring appointment by calling 800-771-5089 or online at


If you have a question you would like answered right away you can chat or text a nurse right now by downloading our free app at OBRIA DIRECT, which you can find by clicking here:

‎Obria Direct on the App Store (


Obria Direct – Apps on Google Play


Be smart, be safe, be kind.  You matter to us!

Chlamydia – Causes, Symptoms, and Cure in Santa Ana, CA

Chlamydia – Causes, Symptoms, and Cure in Santa Ana, CA

According to the Center for Disease Control (CDC)  Chlamydia is the most commonly reported Sexually Transmitted Disease (STD) in the United States. 

There were more than 1.7 million cases of Chlamydia reported last year—the most ever reported for a sexually transmitted disease.  In fact, 1 in 2 sexually active individuals will contact an STD by the age of 25.  If you are sexually active, it is important for you to know the facts and be safe.

Untreated, Chlamydia can cause serious and permanent damage to a woman’s reproductive organs leading to infertility, risks of ectopic pregnancy, pelvic inflammatory disease, liver inflammation or reactive arthritis.  Men can develop infections in the urethra and testicles.  Pregnant women who are not treated for Chlamydia can pass the infection on to their newborn baby.  Yes, the risks are high but can lessen with the more you know! At Obria Medical Clinics in Santa Ana, you may qualify for free or low-cost STD testing!


How is Chlamydia Contracted?

The only way to be sure you will not get Chlamydia is to not have vaginal, anal, or oral sex.  If you are sexually active, you can be infected with Chlamydia through a partner who has the disease.  This is true even if your partner does not ejaculate.  The correct use of latex condoms can help prevent the spread but is not a guarantee.  Chlamydia can also be contracted more than once, even if you have previously been treated.  However, your chances of being infected with Chlamydia can be greatly reduced by having a long-term monogamous relationship with one partner who has tested negative for STD’s.  The CDC recommends that if you have multiple partners you should be tested for Chlamydia once every year to check for infection and help prevent the spread.


What are the Symptoms of Chlamydia?

Chlamydia is often referred to as a silent disease.  About 90% of women and 70% of men will have no symptoms, but health problems can still develop later.   For those who have symptoms they may not appear until several weeks after having sex with an infected partner.  If you are a woman you should know that even if you do not have symptoms the disease can still damage your reproductive system.

Symptoms women may notice:

  • An abnormal vaginal discharge
  • A burning sensation when urinating

Symptoms men may notice:

  • A discharge from their penis
  • A burning sensation when urinating
  • Pain and swelling in one or both testicles

Both men and women can also get Chlamydia in the rectum by having anal sex with someone who is infected, or if the disease has spread from another infected site (such as the vagina).

Symptoms you could possibly notice:

  • Rectal pain
  • Discharge
  • Bleeding


But What if I am Pregnant?

If you are pregnant and suspect that you may have been in contact with a partner who could have been infected then you will want to be tested at your first prenatal exam.  Chlamydia can be passed on to your newborn during delivery and possibly cause an eye infection or pneumonia.  Treatment during pregnancy is the best way to prevent future problems.


How is Chlamydia Tested, Treated and Cured?

At Obria in Santa Ana, CA we do laboratory testing to diagnose Chlamydia through a urine sample, or possibly by a using a cotton swab in the vagina.  If you are positive for Chlamydia it is treatable through an antibiotic prescription that we can provide.   The antibiotic should cure your infection if it is taken properly.  Afterwards the infection and any symptoms you may have should subside.  Repeat infection can be common, so you will want to be retested again in 3 months.  You will also want to wait to have sex again until your partner has been tested and treated as well.  While the long-term effects of Chlamydia can be devastating, with the correct testing and (if needed)  follow up treatment, you can be on your way to being cured!

Don’t delay—make your free confidential and caring appointment today to be assured that you are healthy and disease free.  Visit our website at or call (800) 771-5089.

If you have a question you would like answered right away you can chat or text a nurse right now through our free telemedicine app.

Find Obria Direct on the Apple Store or on Google Play

Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!

Obria Medical Clinics – Santa Ana

2001 E. First St. Suite 209

Santa Ana, CA 92705

The DOs and DON’Ts of Re-Entering the Real World!

 The DOs and DON’Ts of Re-Entering the Real World!

in Orange, CA


Because it’s been a L-O-N-G time since being allowed to be around people. Here are a few hints to help.

DO Wear Big Girl/Boy Pants.  Those comfy, grungy sweats were good for lounging, and maybe even for Zooming, but sorry they’re not meant for public consumption.  And you may want to start weaning away now…to make sure the jeans you love still fit once released!

DON’T Forget to Put the Girls Away.  Some of us females may have preferred to let our top halves run free while social-distancing, but this is your reminder…don’t be socially-awkward.  It’s time to pull out those bras.  Or since “actively” enjoying the beach is now allowed, feel free to enjoy your bathing suit top instead.

DO Limit Physical Contact.  If your Love Language is “Physical Touch’ “then this is a tough one but remember not everyone feels that same during these still somewhat uncertain times.  For the sake of all involved, best to keep your hands (and hugs) to yourself for now…and be happy to have “Quality Time”.

DON’T Give the End Away.  You may have watched every episode of Tiger King (several times over), not to mention Ozark, but don’t assume your friends have seen them all…that is if you want to remain friends.  Check before roaring!

DO Wear a Mask.  True, they are terribly annoying, but unless you want to annoy everyone else this is the one way you can protect yourself as well as others…and be safe.  Look at it this way, wearing a mask is the insurance that will hopefully save you, as well as others, from future social isolation.

DON’T Forget to Smile.  Life is getting better, so even with your mask on don’t forget to don those pearly whites and smile away.  It will show in your eyes and make everyone around you happier.  It has been said that “smiling is like free therapy” …and we could all certainly use some more smiling about now.

DO Limit COVID Conversations.  Like every good reporter, know your audience.  While some like to debate and dissect every little detail of what they hear, for others, it just causes fear and panic.  If a friend isn’t engaging there is a reason why…so be a friend and keep it cool.

DON’T Forget to Practice Eye Contact.  Have those people you’ve been isolated with for 3 months been getting on your last nerve?  You’re not alone and normal but avoiding eye contact can be a symptom!  You may want to practice looking them directly in the eye now…to prepare your peepers for a new-normal world that awaits!

Last but not least…DO enjoy seeing more of your friends, and DON’T forget the special moments.  You are now a part of HISTORY!

If you would like to know more about how to have happy, healthy relationships?  Schedule a confidential appointment Click Here >>

Or if you have a question you would like answered with a few clicks you can chat or text a nurse right now by downloading our free app at OBRIA DIRECT, Find us at Obria Direct Download – Apple | Obria Direct Download – Android

Obria Medical Clinics of Southern California

1215 E. Chapman Ave.
Orange, CA 92866

Call or Download Obria Direct:  (714) 516-9045

Schedule An Appointment With Your Phone

Download “Obria Direct” to locate a nearby clinic, chat with a medical professional, and even schedule an appointment through the convenience of your phone. Plus, it’s 100% confidential, free, and HIPAA-compliant.


Book your appointment online now. It’s easy!






Orange is a city located in Orange County, California. It is approximately 3 miles north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920.

Telemedicine 92866, Social Distancing 92866, COVID-19 92866,  Zoom 92866


COVID-19 and Pregnancy Santa Ana, CA


The recent pandemic has frightened us all, but should you be even more worried if you are pregnant?

We currently do not know whether pregnant women have a greater chance of becoming ill from the coronavirus than the general public, but based on available information pregnant women seem to have the same risk as adults who are not pregnant.  While this information is hopeful, it is questionable whether pregnant women are more likely to have a more serious illness from the virus.  The Centers for Disease Control and Prevention (CDC) states that pregnant women experience changes in their bodies that may increase their risk of some infections—and that with all viruses, upper respiratory infections, and the flu, pregnant women have had a higher risk of developing severe illness.  Therefore, if you are pregnant it is very important to follow all COVID-19 guidelines and follow up with your physician if you feel sick.

What can you do to protect yourself from COVID-19 if you are pregnant?

Follow all federal, state and local government prevention guidelines including:

  • Cleaning and disinfecting frequently used surfaces often.
  • Avoiding people who are sick or have been exposed to the Coronavirus.
  • Washing your hands frequently for 20 seconds using soap and water or an alcohol-based hand sanitizer.

Can the Coronavirus be passed on to an unborn baby?

According to the CDC, transmission of the Coronavirus during pregnancy is from mother to child is unlikely.  The virus is not thought to be passed on from an infected mother to her baby in nasal swabs, amniotic fluid, cord blood or breast milk.  However, after birth a newborn is able to catch the virus.  A small number of babies have tested positive for the virus shortly after birth, but whether the virus was contacted before or after birth is not specifically known.

Be aware that hospitals and Labor and Delivery departments are taking every precaution to protect pregnant mothers and their babies from catching or spreading COVID-19.  Likewise, Obria is committed to keeping our patients updated as we learn more.

Do you have questions about your pregnancy?

You can talk or text with a nurse now you do not have to walk through this alone! We are here to help. Download our telemedicine app at OBRIA DIRECT Apple Download or Android Download. To schedule an appointment, proceed with a telehealth virtual visit or text with a live nurse.  For more information call us at  (714) 516-9045.

Obria Medical Clinics – SoCal

2001 E. First St, Suite 209

Santa Ana, CA 92705

(714) 516-9045