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Home > Community > Health  
Health Desk

Ask your doctor

Dr.Smita Lulla  MBBS, M.D, .D.G.O. (Gold Medallist),
Consultant Obstetrician & gynecologist at Qurum Clinic, Muscat since 20 years. Have had advanced training in U.K. in Obstetric & Gynecological Ultrasonography & Infertility.
Click here to ask your questions

Questions and Answers

Question


will orgamed tablets help me in safe abortion as i am pregnant and cant continue with pre for 4 th months

Answer: NO.


Question


hi i started taking metformin just under to weeks ago and me and my husband want to start a family i've got a 6 year old son and he as got 2 kids all ready.i have'nt had a period since the 12th aug 2007 so idont know when my next period would be so i dont know when i would be ovalating and for the best time to have sex could you please give me some advice thank you

Answer: If you have not yet got a period, take duphaston tablets- one tablet twice a day for 5 days. Once you get a period, have an ultrasound done on day 12 of the period to determine whether you are ovulating or not. If not, you may require clomid to induce ovulation during the next cycle.


Question


ive have been trying to concieve for 13 months and had no joy,i have regular periods,what could be stopping me from getting pregnant.

Answer: Sorry to hear that you are not yet pregnant.How have you determined your ovulation? Have you checked your tubes ? What is your husband's semen report ? Let me know , so I can advice you further.


Question


my age is 33 years

my follicular size on 07/1/2008 is 12*12mm endothickness is 7mm what should be size at ovulation day
 

Answer: The follicle grows usually at 2 mm a day. When it reaches around 20 mm , the follicle would rupture.The endometrium should have reached 10 mm.There is no fixed day of ovulation, it would change from cycle to cycle. All the best !


Question


i am taking clome tablet could u please tell me what is it for

Answer: You have mentioned " clome " tablets. I presume you mean clomid tablets.Clomid is used to induce ovulation ( form " eggs ").


Question


hello, I m 33 year old, got married 2 and half years back,i weight 72 kgs,my weight is same from last 5-6 years,i have unprotected sex fromlast 1 and half years,i had irregular periods,i took medicine like 5 tablets and got my heavy periods,again after 12 days i got my heavy periods, i mean regular and normal periods, and next i got after 1 and half period, doctor, i had irregular periods wheni was 27 years old , i mean i use to get every month but sometimes dark brown and last fro 2 days only and it was less in amount, doctoy i have sex i want to know that after having sex some sperms comes out of vagina, my lower abdomal is becoming fat, basically my pants are tiet from that part, i go to gym, and very active person, i eat vege food only i m jain... i m concern that i want to become pregnant...i dont know, when we have sex i feel its is going inside...wanted to know how we will come to know that we are having proper sex.. my husband is 31 years old...he likes to mastrubrate. we have sex twice a week,

Answer: Do you have PCO ( polycystic ovaries ) ? This would give rise to irregular periods and anovulation. Have a scan done on day 12 of the period to determine whether you are ovulating. This would also determine your fertile period and you should have intercourse every alternate day for that one week when you could be fertile. PCO is associated with obesity also. You must see a dietician who can advice you regarding diet and exercise.Losing weight would help you conceive. Also, have you checked your tubes ? What is your husband's semen report ? Let me know , so I can advice you further.


Question


hello doctor, i am priya 25 yrs old. i got married 1 yr before and i have iregular period and we r trying for a bay.i am in us.my india doctor gave me duoluton L for 3 months and the last month she gave me fertyl 50 mg for 3-7 days.now i finished all the tablets now my period is 13 days late and home pregnancy test also negative.i dont know why i am not get positive and my period also not regular...plz doctor help me...

Answer: If you still have not got a period, repeat the urine test. If negative, take duphaston tablets- one tablet twice a day for 5 days to get a period. Then,take fertyl again and do a scan on day 12 to determine whether you are ovulating or not. Also, have you checked your tubes ? What is your husband's semen report ? Let me know , so I can advice you further.


Question


Can we have intercourse after my period even if my follicle is not developed to the normal size, when we have intercourse before the folicle is developed, is there is any problem in developing folicle. I have polycystic ovaries & Iam under treatment. My folicle does not develop without injection/Tablet. Pls suggest.
 

Answer: Your question is not very clear. However, you can have intercourse before your follicle is mature. It does not affect the ovulation. You should take the treatment for ovulation anyway.


Question


hellow..im a third year MBBS student of Khyber Medical College..i wanted to ask u that my fiance is having regular abdomen pain while she is having her menses..can u plz tel me a solution to stop it or decrease it..b-c she is very worried for this problem and want 2 get rid of it.. Thankyou..!
 

Answer: Pain during periods is normal. She can take brufen or cataflam to reduce the pain. However, have her scan done on day 5 of the period to rule out any fibroid or ovarian cyst which may give too much pain and may require further treatment.


Question


1. Iam 24 yrs old got married 1 1/2 year back I have no child till now. Iam under treatment for the past 1 yr for polysist ovaries. The size of the folicle does not develop the minimum size naturally, only after taking injection FHS,HMG & tablet Letroz. the size increases. Pls advice how to increase the folicle size naturally & the injections tablets that Iam taking is right one. Note: - My husbands semens counts is normal. 2. Pls suggest me how long & how many times a day should we have intercourse.

Answer: If the follicles do not grow naturally, there are no " home remedies " for that. Since you are ovulating with drugs, you should monitor your ovulation by scans. The fertile period would be when the follicle reaches 14 mm till it ruptures. During that time you should have intercourse once a day every alternate days. The cervix stores the mucus for 3 to 5 days , so intercourse everyday is not essential. All the best !


Question


Hello Dr. My Girlfriend thinks that she is pregnant. so she took three home pregnacy test kit and result was negative. later she had her mensuration already delayed by 1 week for 5 days.again she tested with one mor test kit and the result was again negative. but 2days before she vomited and she feels to vomit again and again. so ll u plz tell me is there any chances that she is pregnant? plz reply me as soon as possible. its very urgent.. cuz we are not yet married and also we are not planning for it atleast two years. so i need ur suggestion ..plz help me

Answer: Have a blood test done- beta hcg. If it is negative- below 5 , she is not pregnant. The vomiting can be due to other factors also. If the test is negative, let her take duphaston tablets- one tablet twice a day for 5 days to get a period.


Question


Hello doctor, i have been diagonised with pcos and has been asked to take glyciphage sr and blong f.since im trying to conceive my doctor asked me to take letoval from d3-d7.cn you please confirm me whether there are sucess stories of getting pregnant with letoval.

Answer: Letoval is actually an anti- cancer drug and has not been approved for ovulation induction and has been associated with an increased risk of abnormalities in the fetus. However, many gynecs have been using it with success. You should discuss the pros and cons with your gynec.


Question


i m trying to get pregnant from last 4 yrs.no contraceptive use. all my husband & my investigations are normal.hsg normal.biopsy normal,after 4 iui done no pregnacy occurs?in last cycle of my periods my doc has given me letoval after LH-surge postive she had done iui on 11 day of period then she put me on duphaston,proxynova,folic acid tab for 16 days n then preg.test on 17 day was negative.should i plan for ivf really tense wat to do?

Answer: Sorry to hear that you did not conceive. How many follicles did you form when doing the IUI? If only one per cycle, discuss with your doctor regarding superovulation- forming more than one egg by increasing the dose of drugs. This gives a higher success rate with IUI. However, close monitoring is essential to ensure that the ovaries do not get hyperstimulated. Also, there will be a higher risk of twins.Try for further 2 cycles in this way and if things do not work out, try IVF. All the best !


Question


Madam, I am a 31 year old women and around 4 years back I suffered from the ruptured ectopic pregnancy for which my right side tube was removed. My periods have been very regular but this month I have not got my period which was last on 1/12/07. I checked my pregnancy which came negetive and now I am taking sysron- n after consulting my doctor. I still have not got my period. I am very worried. Please suggest.
 

Answer: You would get a period around 4-8 days after stopping the tablets. Why did you take tablets? There are safer tablets like duphaston to induce a period and which would be safe even if you were pregnant. if you have not yet got a period, have a blood test done- beta hcg. If it is negative- below 5 ,you are not pregnant. If above 5 , have a scan done to ensure that the pregnancy is within the uterus. An intrauterine sac is usually seen by 5 weeks of gestation.


Question


i am daig. w/ pcos- for months i was on clomid, and had iui, in the last 2 months, so this month i had hsg...plus i am on metformin 2 mo. one day 1-5 50mg clomid. and pain in both ovaries, and today 13 days into cycle, i have light brown creamy discharge...did i realease an egg?? what's happening?

Answer: You must do a scan on day 10 of the period to determine your fertile period by checking then size of the follicle. The creamy discharge would not be very reliable. One does have some spotting when one ovulates, so you may have ovulated on day 13. All the best !


Question


Hi,i have PCOS been on treatment metformin+microgynon we are planning to do IVF but im alittle scared,do you think this could help me have my own baby?I conceived in 2006 but lost the baby at 3 months and have not been able to conceive up to now.ive actually put on so much weight,this is worrying me too,please advise me bse ive hormonal imbalance too.i desparately wish to have a baby of my own.Thank you,will be glad when i hear from you soon.

Answer: Sorry to hear about your miscarriage. First of all, you must see a dietician who can advice you regarding diet and exercise.Losing weight would help you conceive. Also, have you checked your tubes ? What is your husband's semen report ? Let me know the results. If your tubes are patent, you can try IUI rather than IVF. Also, check whether you are ovulating or not on ultrasound. All the best !


Question


I am 27 years old. Six weeks into my pregnancy my practitioner prescribed me Gynazole1 for a yeast infection. After reading the prescription information I became concerned that pregnant rats who were administered the medicine had decreased litter size. I called the office three times asking if the medicine was safe and they said it was safe. I took the medicine. At 11 week and 2 days into my pregnancy I had an ultrasound. The doctor said my baby never developed past six weeks gestation. I had a missed miscarriage. I know there is a possibility this medicine caused my miscarriage. I should find out if this medicine caused my miscarriage because if it does this could happen to someone else. What happened to me matters and should not be swept under the rug because it could happen to someone else. I have not had a D&C yet what should I do?

Answer: Sorry to hear about your miscarriage. I doubt that it was caused by the gynazole. Had you done a scan prior to using gynazole? Was the heart beat present then and was the size of the fetus corresponding to the gestational age? If not, there must have been a problem with the fetus already due to other factors like chromosomal abnormalities or insufficient hormones which caused the miscarriage.
Gynazole is a category C drug, which means the following :
" Pregnancy Category C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. "

You must have a D & C done. All the best for the future!


Question


i m 20 years old.my menstraution began on 16 dec then i had sex for the first time on 24 dec 07.....n den my next menstruation began on 6 jan...which were supposed to be around 16....ie around 10 days before....what does it signify.....n also even before but only once it occured dat i had my periods 10 days before but den cycle continued normally n touchwood never i faced any problem again except dis time...plz tel me wat does it signify..?
 

Answer: Frequent periods are common. Have an ultrasound done on day 5 of the period to ensure that you do not have an ovarian cyst. Also, check your thyroid hormones. An abnormal level maybe associated with frequent periods. Let me know the results, so I can advice you further.


Question


I am 27 years old and married for 1 year. I am having the problem of periods irregularity since puberty that’s why not getting pregnant. Sometimes, it exceeds 40-45 days and sometimes it comes around 15-20 days. Periods stay around 10 days. I have a backache problem. Also my scalp hair are falling, also having body/facial hairs. I went to a doctor who examined & advised that every thing is ok regarding uterus. her prescription is parlodel one daily for a month, folic acid twice a day for one month, prolifen capsule right after 2nd day of periods for five days and duphaston twice a day for whole month. I just took one dose of above medicine and was faint for at least 5-6 hours, so stopped the medication. Please advise what should I do?

Answer: You have not mentioned whether you have PCO ( polycystic ovaries ).This is associated with all your symptoms. What is your prolactin hormone level? Parlodel is for reducing the prolactin level. Since you had problems with that, there is an alternative medicine which I can advice , depending on your prolactin level. Also, are you ovulating ? This can be determined by doing a scan on day 11 of the cycle. Also, what is your testosterone level? Let me know the results, so I can advice you further.


Question


Hello doctor, Iam 30 yr, mother of a 3yr old child from saudi arabia.I have a irregular perioods detected with pcod.Iam wishing to coceive.Iam taking metaformit from last 6 months.Also i had taken clomid and did a oulation test on 12th day and follicle size was only 9mm.Should i continue clomid or shall i go for a laproscopy.Please suggest if there is any kind of danger or drawbacks associated with this surgery.waiting for ur reply,thankyou
 

Answer: You can increase the dose of clomid to 2 tablets a day for 5 days. Have a scan done on day 12 . If the follicle is still small, ask your doctor to prescribe certain injections like fostimon, puregon or gonal- f. Repeat the scan after 2 injections ( one every day ) and if the size of the follicle has increased, continue the injections till the follicle reaches 18- 20 mm. All the best !


Question


i am 32 year old man.my problam is both are breast inside have tomur more then 10 year. ones time i saw to doctor.he says do n;t not afride your age till not 40.i don;t have pain. i am waiting for fevarable reply. [thank to you]

Answer:
You should see a surgeon !


Question


Hi, Wish you a happy new year.My age is 31years. I am suppose to have periods on 26/27th dec.But it is getting delayed.Dr.advised me to take duphaston tablets for 3 days.After getting period Dr.advised me to take clomide 50 from day2 to day 6.we are planning to go for a second baby.my first daughter age is 4+.Is it the right time to plan for a second.please advice me.

Answer: It is the right time to plan for a second pregnancy. Have a scan done on day 12 of the period after taking the clomid to determine when would be your fertile period. All the best !


Question


hi, i have been having reccurent yeast infections. thought it was rubber so switched to lambskin and still i get a monthly yeast infection. about two years ago i was on the yasmin birth control pill but then stopped it after 6 months of use. i experience no discomfort during sex, however after sex my genitial area is covered in little white flaky sticky stuff ( not sure if its from condom lube or what?) i thought maybe the infections would be because of the lube so i switched to regular no lubed condoms and bought my own hypo allergenic lube and i am still getting the white stuff..do not have health insurance anymore can you please give me your own opinion. my own doctor would just treat the infection and leave me be. thank you

Answer: You probably have a fungal vaginal discharge. Use canesten 6 vaginal pessaries. If the problem persists, see a gynec.


Question


Dear Doctor, I am 26 1/2 yrs. I am 5'4'', 67 kg. I gaoned weight after marriage but managed to reduce 14kg.I initially had spotting probelm, but now my periods are regularized.I had the LH & TSH hormones test. LH (14+) was almost double as compared to FSH (7+).I have taken clomitab so my doctor is not recommending that now. I have started taking glucopahge, thrice a day. Last month, i had a vaccination for rubella and my doctor advised me not to get pregnant in the coming three months. Please tell me the chances of concieving? All my other reports are normal. Kindly help me. Thank you.

Answer: If it is already 3 months since the vaccination, you can conceive.Have a scan done on day 12 to determine whether you are ovulating or not. and to ensure that your ovaries are not getting unduly enlarged. if your husband's semen is normal and your tubes are patent, you should conceive soon. All the best !


Question


I was advised o use travocort cream because of the itching I feel on my vagina. I there any side effects is I use this more than 5 days?

Answer: Usually the problem should be solved in 5 days. If not, you need to be examined to determine whether there is any vaginal infection also which requires treatment.


Question


hello doctor iam 24 years old iam suffering from pcod,iam taking metformin 1500mg a day,iam also taking duphaston since one month ...i want to have a baby when can i exepect my pregnancy ..can i become pregnant i want a baby please help me.

Answer: Are you ovulating ? Have an ultrasound done on day 12 of the period to determine whether you are ovulating or not. If not, you may require clomid to induce ovulation during the next cycle. Also check your husband's semen and your tubes. All the best !


Question


I was married two years before and I am trying to conceive since then. Since I was not successsful, we went to a infertilty specialist few months ago. I had PCOS and so my FSH and LH levels were bad. So, I was put on contraceptives pills for harmone control for two months. Then when my FSH and LH levels were checked, it was under control. I was put on a natural cycle. The folicular study was made and the rapture of the egg also happened on the 19th day. But Still I did not conceive. When I husband underwent a Semen analysis, he had a low count(3 million). Further tests revealed that he has varicocele, which is cited as a reason for low count. Now, the doctor wants him to undergo surgery for varicocele and get his problem corrected first. So my questions are: 1. Is the varicocele surgery turn dangerous to life? Is it advisable to go for it? Is it guranteed that the surgery will result in increased sperm count? 2. Even after the surgery and the count increase, if I am not able to conceive, will I be taken

Answer: Let me know the results of your FSH and LH on day 2 of the cycle. Also, prior to doing surgery, check your husband's FSH level. If that is high, it indicates testicular failure and varicocele surgery would not help. Let me know the results, so I can advice you further.


Question


Good morning doctor, Am Anitha of 26 years, i already have 1.5 year boy baby, now am conceived for second time, duing my 47 th day scan report, doctor found SUBCHORIONIC HEMORRAGE in my utrus. and Advised to take SUSTEN 200 .but i read in ur website that taking susten creates a problem as follows with this medicine is that female baby may suffer from hirsutism (unwanted hair on face, chest etc). so can i continue this tablet or not. is it curable only by taking rest and without Susten 200. i know this problem for me is due to my care lessness, of walking 20 mins a day from offfice to home , and carrying my 10kg son almost a day.and doing most of my home works but after i came to know abt this SCH, following is my activities, coming to office in car, climbing abt 20 steps to reach my office seat and sitting and climbing 40 steps to have lunch, coming back and sitting, inbetween am not moving arround, and in evening i make dinner and feed my son with food by carrying him once or twice. and

Answer: Susten is fine. I usually give duphaston tablets.The problems due to these medicines that you have mentioned are rare. Is the baby's heart beat present ? You can reduce your work at home , if possible.


Question


maam i m kinal . i am married 6 months ago and i usually get delayed in my periods some times 4-5 days some times 2and half months also now i should be having my periods by 23 dec and still i m not getting it we some times use condoms and some times pills for controceptive measure and i consulted a gyno he pricribed me with abzole 400 mg but i m still not getting my periods and i have aslo tested with home preg test on 30 dec and 2 jan but its showing negative what should because of all this we r not able to make love coz of tension and i dont want kids now i need to work hard for now plz reply me soon this is my husband's email id reply me soon
 

Answer: Your question goes to the omanaccess website and is then sent to me . I send the answers to the website. So, it is not possible to answer any question immediately. However, if you still have not got a period, have a blood test done- beta hcg. Let me know the result. If you have got a period, it would be advisable to use the pill as it is a reliable contraceptive method, and it would prevent your " tension" every month !


Question


I am 32 and trying to conceive for the past 8 months. I have a regular periods of 28-29 days cycle. I had my periods on Dec 3rd and my doc gave me Siphene 50 mg 1 tablet for 5 days starting 5th day of cycle, im also taking B-Crip and folvite. I did a follicular study and ovulated on 17th day. But I got my periods on Jan 1st '08. My doc has asked me to take Siphene 50 mg 2 tablets this time and do the follicular study again. How long should I do this? My periods has been very regular and hence dont understand why ovulation is being induced. Also when we make love, the semen flows out and i donno whether that is common. Please help me.

Answer: Relax ! Since you are ovulating, you do not have to worry.It is natural for semen to flow out after intercourse. if you lie down for around 3-4 hours after intercourse, it allows the sperms to go into the cervix and then the rest of the semen will come out. Is the semen examination normal and are your tubes patent ? You could be having regular periods and still not be ovulating . Ultrasound monitoring is essential to determine your fertile period. All the best !


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