Dr. Dustin Costescu Profile picture
Thanks for being a part of this social media journey. This account is no longer active.
Feb 26, 2022 7 tweets 1 min read
Folks, it's time to leave. I want to thank each and every one of you for being a part of my social media journey. I have loved having a forum to elevate the sexual and reproductive health needs of the communities that shape us, and loved getting to know many of you in the metaverse.
Sep 2, 2021 13 tweets 2 min read
Tweetatorial:

As a family planning researcher and for no other reason, I have a moral duty to share what we know about Self-Managed Abortion. (SMA)... Self managed abortion SMA is not the same as self-inflicted abortion. SMA uses safe, evidence based regimens to restore menses or, if pregnancy is confirmed, end a pregnancy. These regimens are over 98% effective with less than 1% chance of admission and less risk than childbirth
Mar 30, 2021 5 tweets 1 min read
"Should I be worried about the AZ vaccine and clot risk if I'm pregnant or on the pill?"

The short answer is, no. (Mini-thread) As a reminder, estrogens increase clotting factors and decrease anti-clotting factors, leading to a small but important risk of leg clots (DVT) and lung clots (PE).

The risk from the pill is 1 in about 3300. These risks are higher in pregnancy (1 in 330) or postpartum (1 in 125)
Jul 4, 2020 8 tweets 2 min read
Dear prospective male OBGYNs:

Can we talk? I know that you know how awesome our specialty is. And it never get old - I swear, 3500 deliveries later, it never. Gets. Old.

And the surgery? And Quality of Life issues we address with our patients? *Chef's Kiss*
May 26, 2020 9 tweets 2 min read
BIRTH CONTROL IS GOOD FOR MOST BODIES . Thread . So, let's start with the obvious. All contraception is safer than the risks of pregnancy and childbirth. ALL OF THEM. Pregnancy and unplanned pregnancy cause millions of deaths worldwide.
Mar 18, 2020 12 tweets 2 min read
#Sex and #COVID19: Tips from a Sex Doctor (Thread) Feelings first: It's normal in times of crisis to have fluctuating levels of desire. Some people may have an elevated drive (especially for those who feel sex makes them feel loved), whereas others may have low drive due to stress. Both are normal responses.
Mar 14, 2020 14 tweets 2 min read
Extended use #contraception and #COVID - some friendly reminders: 1) We know from other examples that sexual activity is likely to increase during periods of isolation, especially youth who are left home unsupervised during school breaks. Talk to your kids about condoms and birth control.
Mar 12, 2020 14 tweets 3 min read
#COVID19 and Pregnancy isn't being discussed much, so here is what we know: At this time, there are a few cases of COVID-19 in pregnancy, but it does not appear that pregnant people are at elevated risk of getting the virus.