Dr. Ban Al-Karaghouli, MD

OB-GYN (Obstetrician-Gynecologist)

Flourish and Bloom With Dr.Ban Commerce MI, 48328 Show map

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About

Dr. Ban Al-Karaghouli is an obstetrician-gynecologist practicing in Commerce, MI. Dr. Al-Karaghouli specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Al-Karaghouli can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Al-Karaghouli can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.

Education and Training

October 6 University – College of Medicine / EGYPT Medical Degree 2002

University of Baghdad – College of Medicine / IRAQ 1999

Board Certification

American Board of Obstetrics and Gynecology

Certified Menopause Society Certified Practitioner

United States Medical Licensing Examination

Advanced Trauma Life Support

Advanced Cardiac Life Support

Basic Life Support

Provider Details

Female English, Arabic, French

Dr. Ban Al-Karaghouli, MD

Dr. Ban Al-Karaghouli, MD's Expert Contributions

My Latest Posts
My Answers

Intimacy and Menopause: Reclaiming Connection in a New Season of Life
Menopause is often framed as an ending, the final chapter of fertility, a hormonal shutdown, the signal that a woman is aging. But what if we reframed menopause not as a loss, but as a profound shift, a transition into a new, powerful phase of life and identity? For many women, one of the most...

Pregnancy Feasibility?
Hi there, thank you so much for sharing your experience in such detail. I hear your concern, and I want to provide you with a clear and reassuring explanation so you can feel at ease. Summary of What You've Told Me Your sexual encounter was dry sex with double layers of clothing and no vaginal penetration. Youve had 4 distinct menstrual periods since then. You've taken multiple negative urine pregnancy tests and a negative blood serum HCG test. This occurred 20 weeks ago. Let's Break It Down 1. Can you get pregnant from dry sex with clothing? No sperm cannot travel through clothing, even if some ejaculate leaked through the condom. With two layers your clothes and partners, and no direct genital contact, the risk of pregnancy is essentially zero. 2. Does having multiple periods after an encounter rule out pregnancy? Yes. True periods bleeding that lasts days and follows your typical cycle strongly indicate that you are not pregnant. It is extremely rare for someone to have normal monthly bleeding and be pregnant those cases usually involve spotting or conditions unrelated to true menstruation. 3. Are your tests reliable after 20 weeks? Absolutely. A blood test serum hCG is highly sensitive and would detect pregnancy within 1014 days after conception. Your negative blood test at 7 weeks postencounter April 17 combined with multiple negative home urine tests makes pregnancy effectively ruled out. So Why the Weight Gain and Abdominal Bloating? Weight changes and abdominal symptoms can result from many nonpregnancyrelated causes, especially if you're under stress or changing routines. Some possibilities Digestive issues constipation, gas, IBS Hormonal fluctuations Diet, exercise, or stress Body image changes or anxiety which can also create physical symptoms The brief leftsided pain you mentioned could be from ovulation, gas, or a strained muscle all common and usually not worrisome. Do You Need to Retest for Pregnancy? No. Based on Your timeline Type of sexual activity Multiple negative urine and blood tests Multiple regular periods You are not pregnant. There is no need to retest. Reassurance You're not alone in worrying especially with how much misinformation is shared online. But in your case, the evidence is clear, and you can move forward confidently without fear of pregnancy from this encounter. If the weight gain or abdominal symptoms persist, it may be helpful to Track your cycle and digestion Increase fiber and water intake Get basic labs or a physical exam with a provider if concerned But for pregnancy you can put this worry to rest. Please dont hesitate to reach out again if you want to talk more about anxiety, hormones, body changes, or anything else. You're doing the right thing by asking and taking care of your health. Warmly, Dr. AlKaraghouli. READ MORE
Is it safe to have a flu shot while pregnant?
Yes , it is absolutely safe and recommended to get a flu shot during pregnancy, including at 2 months (first trimester). Here is Why It's Safe and Important: The inactivated flu vaccine (the standard flu shot) is safe during any trimester of pregnancy. Getting vaccinated helps protect both you and your baby: Pregnant people are at higher risk for severe flu illness and complications like pneumonia. The antibodies you develop will also pass to your baby, helping protect them in their first few months of life when they can’t be vaccinated yet. Be sure to get the injectable flu shot, not the nasal spray (which is a live vaccine and not recommended during pregnancy). Common side effects are mild and may include arm soreness, fatigue, or low-grade fever, but serious side effects are extremely rare. Studies show that babies born to people who were vaccinated during pregnancy have lower rates of flu-related hospitalization in the first 6 months of life. I hope this was helpful! I fully support you getting the flu shot, and you're doing a great job protecting both your health and your baby’s. Please don’t hesitate to reach out if you have any more questions. READ MORE
birth control and iron supplements
Great question and it’s excellent that you’re being careful about how your medications and supplements interact. Here’s the short answer: Iron supplements do not reduce the effectiveness of birth control pills. You can safely take both together. Here's what you should know: Iron (including slow-release forms) is a mineral, not a hormone or enzyme inducer, so it doesn’t interfere with the hormones in birth control pills. The confusion online usually comes from people wondering about general absorption issues but this is more about when you take the pills, not about effectiveness. Helpful Tips: To improve iron absorption, take your supplement: With vitamin C (like orange juice) On an empty stomach, if your stomach tolerates it Avoid taking iron at the exact same time as your birth control if it causes nausea, but that’s more about comfort—not about drug interaction It’s totally fine to space them out (e.g., birth control in the morning, iron at night) Bottom Line: You’re good to go, your iron supplement won’t interfere with your birth control. If you start feeling any side effects (constipation, nausea), you can switch formulations or timing, but there’s no effect on protection. I hope this was helpful! Please don’t hesitate to reach out anytime. READ MORE
What vitamin supplements can I take during the third trimester?
Great question and it’s wonderful that you’re being proactive about your health in the third trimester. At this stage, your baby is growing rapidly, and your body’s nutrient needs shift slightly to support brain development, bone growth, and energy demands. Here’s a breakdown of what supplements are typically recommended in the third trimester, in addition to your daily prenatal vitamin: Core Supplements (Usually Included in a Good Prenatal Vitamin): Folic Acid (400–800 mcg/day) Still important in the third trimester to support red blood cell production and reduce risk of anemia. Iron (27–60 mg/day) Often increased in the third trimester to prevent or treat anemia. Many women need additional iron at this stage, especially if they’re fatigued or have low hemoglobin. Calcium (1000–1300 mg/day) Helps with fetal bone development and prevents your body from pulling calcium from your bones. Take calcium separately from iron, since they compete for absorption. Vitamin D3 (600–2000 IU/day) Supports calcium absorption and fetal bone and immune system development. Many women benefit from extra Vitamin D, especially if they have limited sun exposure. DHA (Omega-3 fatty acids) – 200–300 mg/day Important for baby’s brain and eye development. Not all prenatal vitamins include DHA, so check your label. If not included, a separate fish oil or algae-based supplement is often recommended. Optional or Situational Supplements Magnesium – for leg cramps or sleep support Vitamin B6 – can help with nausea or fatigue Probiotics – may support digestion and gut health, especially if you’re taking iron Fiber supplements (like psyllium or Benefiber) – if you’re struggling with constipation What to Avoid: High-dose Vitamin A (especially retinol form) Herbal supplements unless cleared by your OB (some are unsafe in pregnancy) Always choose third-party tested supplements and run any new products by your OB-GYN or midwife to ensure they fit your specific needs. I hope this information was helpful. I wish you the best. Please don’t hesitate to reach out anytime! READ MORE
What foods to avoid when breastfeeding?
Great question and congratulations on your breastfeeding journey! In general, you don’t need to follow a highly restrictive diet while nursing, but there are a few foods and substances to watch or limit because they can affect your baby through breast milk or impact your own comfort. Foods & Substances to Limit or Avoid While Breastfeeding: 1. Alcohol Occasional, moderate alcohol is okay with timing—wait at least 2–3 hours per drink before nursing. No need to “pump and dump” unless you're nursing sooner than that. If you feel sober, your milk is likely clear of alcohol. 2. Caffeine (Coffee, Tea, Soda, Chocolate) Safe in moderation—limit to ~300 mg/day (about 2–3 small cups of coffee). Too much can lead to fussiness or poor sleep in sensitive babies. 3. High-mercury fish Avoid fish like shark, swordfish, king mackerel, and tilefish. Opt for low-mercury options like salmon, sardines, cod, and shrimp—great for omega-3s! 4. Certain herbal supplements or teas Herbs like fenugreek, licorice root, and ginseng may affect milk supply or baby’s digestion. Always check with your provider before using herbal products. 5. Highly processed or spicy foods (only if baby reacts) Some babies are sensitive to spicy, gas-producing, or acidic foods (like cabbage, onions, tomatoes), but most are not. There's no need to avoid these preemptively only if you notice a pattern of fussiness or gas after certain meals. 6. Allergens (only in special cases) Dairy, soy, or eggs can rarely cause reactions (eczema, blood in stool, colic) in sensitive babies. Only consider an elimination diet under provider guidance if your baby has symptoms. What to Focus On Instead: Stay hydrated , drink to thirst, especially during and after nursing. Eat a balanced, nutrient-dense diet: protein, whole grains, healthy fats, fruits, and veggies. Consider continuing your prenatal vitamin or switching to a postnatal supplement while breastfeeding. Bottom Line: There’s no perfect “breastfeeding diet”, and most foods are safe unless your baby reacts to something. Enjoy a varied, healthy diet, keep an eye on baby’s cues, and don’t stress over occasional indulgences. I hope this was helpful. I wish you and your baby the best—please don’t hesitate to reach out anytime! READ MORE
Could I be pregnant?
Thanks for your honest question — it’s completely normal to feel anxious after any situation involving sperm contact, even if there was no penetration. Based on what you’ve described, here’s a clear breakdown: Can You Get Pregnant From Sperm on the Thigh or Clothing? No — pregnancy cannot occur from sperm on the outer thigh, bikini line, or clothing like shorts, especially if: There was no direct genital-to-genital contact There was no penetration The semen was on clothing, not inside the vagina Even if there was semen near the vaginal area, sperm cannot travel through clothing or from skin to the vagina in this scenario. What About the Period You Got Afterward? If you had a normal period, that’s the most reliable sign that you’re not pregnant Implantation bleeding, which some people confuse with a period, is usually: Light spotting (not a full flow) Lasts 1–2 days at most Occurs around 6–12 days after actual intercourse (not just contact) What About the Weird Dreams or Symptoms? Anxiety and stress (especially around fear of pregnancy) can trigger vivid dreams, changes in sleep, and even mild physical symptoms like nausea or fatigue These are not reliable indicators of pregnancy without actual risk or a missed period Bottom Line: From what you described — no penetration, sperm only on your shorts/thigh, period afterward — there is no realistic chance of pregnancy. You're doing the right thing by asking and being careful. If you're ever unsure or feeling anxious regularly after these types of encounters, it might be worth talking to a healthcare provider about birth control options or how to feel more in control during intimate situations. Would you like a simple guide on what does and doesn’t pose a pregnancy risk? READ MORE
What vitamins to avoid during the second trimester?
Great question — you're doing the right thing by double-checking what’s safe during pregnancy. In the second trimester, most standard prenatal vitamins are not only safe but recommended. However, there are certain vitamins and supplements that should be avoided or taken with caution to avoid excessive dosing or potential harm to you or your baby. Vitamins & Supplements to Avoid or Limit in the Second Trimester 1. Vitamin A (Retinol) – in high doses Why: High doses of preformed vitamin A (retinol, found in some acne treatments and liver supplements) can be teratogenic (cause birth defects). Safe form: Beta-carotene (the plant-based version) is safe; most prenatals use this. Limit: Avoid more than 10,000 IU (3,000 mcg RAE) of vitamin A daily from all sources. 2. Vitamin E (in large doses) Why: Some studies suggest high-dose vitamin E may be associated with increased risk of abdominal pain and premature rupture of membranes. Limit: Stick to what’s in your prenatal unless your provider specifically recommends more. 3. Herbal supplements or "natural" vitamins not studied in pregnancy Why: Many herbal products (like dong quai, black cohosh, ginseng, or vitex) can interfere with hormones or uterine function. Caution: Always ask your provider before starting any herbal or non-standard supplements. 4. High-dose Iron (unless prescribed) Why: Too much iron can cause constipation, nausea, and interfere with absorption of other nutrients. Note: Most prenatals have the right amount (27 mg); don’t add more unless you're anemic and your doctor recommends it. 5. Vitamin B6/B12 in megadoses Why: While B6 is often used for nausea, very high doses (>100 mg/day) can cause nerve problems. B12 is generally safe, but don’t exceed mega-doses without supervision. What You Should Be Taking in the Second Trimester: A high-quality prenatal vitamin with: Folate (L-methylfolate or folic acid) – 400–800 mcg Iron – ~27 mg Calcium + magnesium – for bone and muscle support Vitamin D3 – 1000–2000 IU daily DHA (omega-3) – 200–300 mg for fetal brain and eye development Choline – ideally 250–350 mg/day for neural development (may need separate supplement) READ MORE
Pregnancy
Thanks for being open and direct — let’s walk through this clearly and without judgment. You’re asking an important and understandable question. Can You Get Pregnant From What You Described? Technically, yes — there is a small chance of pregnancy, though it’s lower than with intercourse or ejaculation inside the vagina, but it’s not zero. Here’s why: Sperm can survive up to 5 days in the female reproductive tract if conditions are right (like during ovulation). If semen was transferred directly from your fingers into the vagina, motile sperm could still reach the cervix. If this happened 3 days before ovulation, that's within the fertile window — which increases the chance of pregnancy. What About the Pinkish Ovulation Discharge? Light pink or clear discharge with a pink tinge around ovulation is common and usually due to a brief drop in estrogen — not a sign of pregnancy or a problem. So it’s not necessarily a red flag, and could just mean your body’s doing what it should. What Should You Do Now? You can take a pregnancy test around 10–14 days after ovulation if your period doesn’t come as expected. If you’re not ready for pregnancy and don’t want to worry about “what if” situations, this could be a good time to talk about birth control options that feel right for you. Bottom Line: There is a small chance of pregnancy from what you described — but it’s not the most efficient way for sperm to reach the egg. If you’re ovulating and the semen was fresh, it’s possible. It’s completely fair to feel anxious — you’re not overreacting by asking. READ MORE
Are there any imaging procedures that are safe for me and my baby?
Yes — there are imaging procedures that are considered safe during pregnancy, especially when medically necessary. The key is choosing the right type of imaging for your condition and stage of pregnancy. Here’s a breakdown of what’s safe and when: Safe Imaging Procedures During Pregnancy: 1. Ultrasound (US) Safest and most commonly used imaging during pregnancy. No radiation — uses sound waves. Used to check baby’s growth, placenta, cervix, and sometimes maternal organs (kidneys, gallbladder, etc.) 2. MRI (Magnetic Resonance Imaging) Also very safe in pregnancy — no radiation. Especially helpful for evaluating soft tissues, spine, brain, abdomen, or pelvis in the mother. MRI without contrast (no gadolinium) is preferred unless absolutely necessary. Imaging That Uses Radiation (Use with Caution): X-rays Can be done safely if needed (especially extremities like arms or teeth). Shielding the abdomen is essential. Used only when the benefit outweighs the small risk. CT Scans Not the first choice, but may be used in urgent situations (like for appendicitis, trauma, or blood clots). Uses more radiation, so providers weigh risks carefully. CT of the chest or head exposes the baby to very little radiation. Important Tips: Always tell imaging staff you’re pregnant Your doctor will choose the lowest-risk method that still gives the info needed Don’t delay important imaging if it’s needed — the risk of missing a diagnosis is often higher than the imaging risk itself READ MORE

Areas of expertise and specialization

Intimacy CoachingCertified Menopause ProviderCertified Clinical Sexologist

Faculty Titles & Positions

Telemedicine Provider Maven 2018 - Present
Oral OB/GYN Board Examiner Exam PRO 2017 - Present
Hospitalist Huron Valley Sinai-Grace Hospital 2015 - Present
Attending Staff Hutzel Women’s Health Specialists 2012 - 2014
Observership SUNY Upstate Medical University / Syracuse 2007 - 2007
Observership University of Michigan / Ann Arbor 2007 - 2007
Observership in OB/GYN Department Hurley Medical Centre / Flint-MI 2007 - 2007
The Specialist Medical centre / Bahrain 2006 - 2007
Clinical clerkships as a Medical student Al-Salmanya Hospital /Bahrain 1999 - 2000

Awards

Awarded the prize for First Top Student in Obstetrics & Gynecology 2002
Awarded the prize for First Top Student in Surgery 2002
Awarded the prize for First Top Student in Community Medicine 2002
Awarded the prize for Second Highest Grade Point Average Overall 2002

Treatments

Pregnancy

Professional Memberships

International Society for the Study of Women's Sexual Health
North American Menopause Society
American College of Obstetricians and Gynecologists

Hobbies / Sports

Baking, Swimming, Gardening

Favorite professional publications

The Journal of The North American Menopause Society (NAMS)The Journal of Sexual Medicine (JSM)Sexual Medicine Reviews ISSWSH/ISSM"The Green Journal") ACOG