During pregnancy as your uterus enlarged, your diaphragm rises by 4 cm and your lung capacity falls by 5%. Also, while in horizontal positoion the weight of your gravid uterus on your great vessels is responsible of a drop in pefusion. For all those reasons, elevate your head feels more confortable.
Pregnancy is also responsible of increasing your respiratory rate, starting after 20 weeks.
You don’t described any chest pain and it appears as if everything is trigerred by position. You have taken the appropriate measures but I would like to see you in consultation soon.

Normal pregnancy is not a contraindication to sexual intercourse. it is not unusual to experience a decreased in your sex drive during pregnancy due to fact that your body image, the fluctuation of your hormones. The best thing is to relax and take your time and find the posistion that is the most confortable for you. Embracing is the recommended position but being on top is not dangerous.

Hypoactive sexual desir disorder affects 40 % of women. The causes range from physical, hormonal to psychological. Every detail needs to be examined like why did you become abstinent, were you victim of an abuse?
There are many ways of to help you. I would like to continue this discussion in private and be able to ask you more question.
Feel free to contact my office.

Hot flashes may be a sign of menopause but also of other endocrine pathologies. You may be suffering from a thyroid disorder, it may be the result of medication that your are taking for example for the treatment of endometriosis. It may also be genetic; in the case of premature ovarian failure, it would be helpful to know at what age menopause occurs in your family, or if any other family menber suffers from the same pathology.
Sometimes, it is the result of a cancer treatment or a surgical intervention like a tubal ligation or even smoking.
At this point the next step is to consult a physician and diagnose your disease.

A balanced diet enriched in vitamine B6 biotine, castor oil and olive oil as well as scalp massages promote healthy hair growth.

The most important factors to consider when one wants a tubal reversal are:
1-The length of the tubal segment that has been removed
2-The type of tubal ligation performed (Pomeroy, Parkland method, clips)
3-The age of the patient
Typically we like the removed segment to be less than 2.5 cm and the remaining tube to be at least 3 cm. Most of these information can be obained form the operative report or if need be a diagnostic laparoscopy
I recommend hormonal testing (FSH, estriol) on all females undergoing tubal reversal because there is always a risk of premature menopause.
The chances of success with a greater than 3.5 cm remaining segment in the hands of a surgeon experienced in tubal reversal are around 60%.
For the other cases I recommend IVF

Pain during intercoursemay be due to a kyrielle of reasons.
It would have been helpful to know your age , if it is a new onset or you have always suffered from dyspareunia (painful intercourse).
The most common causes are vaginal dryness and vaginal atrophy.
During sexual arousal, there is an increased in the blood flow in your vagina that leads to increased secretion of vaginal fluid. The lack of lubrication results in pain. You can use water based lubricant or prolong the prelude!
Sometimes the dypareunia is due to vaginismus or involontary contraction of the female pelvic floor especially seen when the patient has been a victim of abuse.
It may also result from a bad laceration during delivery or episiotomy causing residual pain, a genital infection, menopause, breastfeeding..
Treatments are available for every condition, all you need is the appropriate diagnosis