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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

Latest questions and answers

PCO (Polycystic ovaries)

Question


Dear Doctor, I am 27 yrs old and got married two years back and was diagnosed of PCOS.During this time one session of IUI,clomid etc were tried.Later my Dr advised me to have laproscopic ovarian puncture.I was on Tab.Deviry till the morning of surgery.On the second day after surgery I got my periods lasting for 10 days.Again after a week there is some brown spotting followed by normal bleeding.Dr has advised me to take Novelon for 21 days starting from today(2nd day).She said on the 2nd day of next period she would give me Clomid. I would like to know your suggestion regarding the same.My husbands semen is normal.

Answer: The novelon will take care of the irregular bleeding you have had. Have a scan done on day 12 of the period after taking clomid to check when you are ovulating. It will also determine that your ovaries are not getting unduly enlarged. Also have your tubes checked.


Question


I am 28 years old. I suffering from irregular periods. I got married 3 years back. at that time i was studying. I got pregnency at that time. I dont want it and i went for MTP. since last fours years i am sufering ontinuous bleeding once in a year. My douctr found it as PCOD. I used some medicines for 3 months and i my period got regular. 1.5 year back i went for MTP. since feb 2007 iam having irregular periods. I have thyroid problem also. last week i went to gync ... she gave me orgamed and sysfol(folic acid).. I am very much worrying about my pregnency.. i donot about my problem when i went for MTP.. my doc also didnot say anything about my problem.. now i am suffering a lot whether iam get pregnency or not. i am alos geeting some unwanted hair on my face... since 4 months.. in sep i got my period corrctly , oct spotting, nov correct 5 days ,, again dec spoting.. can u suggest me any medicines .. I am staying in INDIa.. Hyderabad.

Answer:  PCO ( Polycystic ovaries) which is associated with irregular periods, excessive hair growth and infrequent ovulation. Since you wish to conceive , have an ultrasound done on day 12 of the period to check whether you are ovulating or not. If not, you may need clomid tablets. Again, have an ultrasound done on day 12 to determine which will be your fertile period. Also, have your tubes checked to ensure that they have not got blocked after the MTP. You have not mentioned what you are taking for your thyroid problem.


Question


I am 31 years.My husband's sperm count is normal after medication.I had PCOS and had undergone laparoscopy and my ovaries were also drilled.I am on metphormin as well as this is my third month of having clomid.I have been prescribed clomid from day 5-9.What are my chances of conception

Answer:Check when you are ovulating by doing a scan on day 12 of the cycle.Continue the metformin also. if you do not conceive within 2-3 months, try IUI ( intra- uterine insemination ).


Question


I was diagnosed in 2005 with pcos, and im currently taking my second month of clomid. i am on day 16 of my cycle and my follicle is 33mm, i just want to know if this is safe? what the consquenses are? and at what stage it should be when it ruptures

Answer: The follicle should rupture once it is 20 mm. In the next cycle , have a scan done on day 14 of the cycle. If the follicle is 20 mm, you would require an injection to rupture the follicle. Check with your doctor regarding that. All the best !


Question


urgent pls get back too me as soon as you can!!!!!!! hi doctor! im a filipina 29 years of age. i have one child prior from that id become pregnant but the result was a blighted ovum. i still don't have menstruation as of now my last menstrual period was december 6, 2007. i am very confused because i'll having a medical for my cruise ship employment this january 18, 2008. i had a pregnancy test last jan. 9, 2008 the result is negative and then i took a cortal 500mg. i drink 5 pcs. first then 2 pcs & the last is three within the same day. then i undergo a transvaginal ultrasound last jan. 10, 2008 the result was a bilateral polycystic ovaries & i have a normal size retroverted uterus my question is: 1. is urine home pregnacy kit test is accurate? 2. is thinking so much can affect my cycle? 3. what can i do to have a menstration? 4. whats happening in my cycle? 5. is beta-hcg much more accurate than the transvaginal ultrasound? 6. what will happen to my bilateral polycystic ovaries? pls get back to

Answer: First of all RELAX ! Stress would affect your cycle. Beta hcg blood test is the most sensitive for pregnancy detection and would be positive first around 12 days after conception. Urine test for pregnancy will be positive 15- 16 days after conception and an ultrasound will only show a sac at 5 weeks of pregnancy ( i.e 3 weeks after conception )


Question


hey there, i was just wondering if you could tell me exactly what a doctor will do to you to find out if you have polycystic ovaries? ive got all the symtoms, excessive hair on face and body, obese and i find it very hard to lose weight, irregular periods but the problem with me is im way too shy to go to the doctor and have a smear! i just cant, ive been trying to talk myself into it for so long now and its just not going to happen! secretely ive been waiting for the 'home' smear test to come out but it hasnt appeared yet but now im getting really worried! i also get shooting pains in my stomach (low down so i assume thats where my ovaries are! ) i have very painful periods to the point where i end up lying on the floor and i near enough live on nuerofen plus! if you could give me the step by step guide as to what they will do i would really appreciate it! can they find out if you have it by blood tests? i dont want them to make me uncover cause im too overweight and hairy (sounds horrible i know!) thanks

Answer: First of all, you will need to be treated and an accurate diagnosis will be required to be made. If you are shy, ask your doctor to do an abdominal ultrasound to determine the condition of your uterus and tubes.If you have fibroids in the uterus or polycystic ovaries, that would be determined by that. However, if you have a " thick " abdomen , a vaginal ultrasound will be preferred. You can have blood tests done on day 2 of the cysle- FSH, LH and Testosterone. Start a strict diet and excercise plan to reduce weight. It is difficult and a " never- ending task" , but it will help. Let me know the results, so I can advcie you further.


Question


hello dr, i would like to ask u about using duphaston as a treaent for my plycysts ovaries. i used too take diane 35 for 4 months, then i stopted it m i suffer from irrigular preriod , i wanna get pregnant and i do not know whether duphaston is benificial or not in my case. plz answer me dr
 

Answer: Have an ultrasound done to determine whether you are ovulating or not. If you are not, you would require clomid tablets. Duphaston cannot help you ovulate. It would only help you regularise your periods ..


Question


since my 17th age I am having Periods problem, now I am at age of 24. i have checked two or three doctors regarding this first they have told i am having 'Hormone' problem and gave danie-35 tablet then it became normal sine last year again i faced same problem. last month i went and i have checked one doctor where i am stying now she said i am having Polycystic ovaries Please advise me about my Pregnancy.

Answer: Polycystic ovaries are present in 10- 20 % of women and is associated with irregular periods. If you are planning to conceive now, have an ultrasound done on day 12 of the period and check whether you are ovulating or not. If not, you may need some medication to help you conceive. If you do not wish for a pregnancy now, you can take tablets to regularise your periods like diane or duphaston for 5 days of the cycle to induce a period whenever it is delayed. The advantage of taking duphaston is that you only need to take the tablets for 5 days instead of 21 days like diane, which can increase your weight with long term use.


Question


Hello doctor, I am 23 year old.Since puberty i didnt get my periods without medicines,for past 11 year. I was under several types of medication (includes allopathy, homeopathy, siddha, ayurvedic), but nothing fetched me result. I am having harmonial imbalance (my testosteron , insulin are on the higher end and there is a fluctuation in my prolactin). I am also having bilateral polisystic overies. Because of these when ever i try to reduce my weight it rebounds fast. Now i am suffering from obesity also. I am not married. Right now i am under allopathy treatment. I dont have thyroid also. I am taking nacfil and duoluton L. My endometrium layer is also ver thin. I am very afraid about my future. can you suggest what kind of treatment i can undergo to find a solution for my problems. Also can get married after 2 year since my parents are willing me to get married. Please tell me what i need to do also if you can please suggest me some good doctors. I am in Chennai city,(Tamil Nadu) India.

Answer: Polycystic ovaries are associated with irregular periods. Have your serum FSH & LH tested on day 2 of the period. Whenever your prolactin is high, you would need medication for that. If your FSH is normal, you would be able to conceive. Anyway, have an ultrasound done on day 12 of the period and check whether you are ovulating or not. If you are, you would be able to conceive in the future. Dr Geetha Arjun is a good doctor in Chennai and I am sure she would be able to help you.


Question


hi i've been diagnosed 4 pcod for 4 months now and am taking metformin 1gm also i've taken diane 35 in my last cycle which i have to discontinue due to severe nausea now my doctor has prescribed cabgolin 0.5mg but i've come to know that it reduces prolactin level and as per my reports my prolactin level is within normal range(20.10)so is it ok for me to take this medicine and how will it help in PCOD?

Answer:If your prolactin level is normal, you do not need cagolin. However, repeat your prolactin and if it is high or borderline , you would need cabgolin.


B) INFERTILITY

Question


I got married on Aug 13 2006. I am trying to get pregnancy since 6 months, on 25th oct i went to Dr. bcoz of delayed period of 1 week she suggested me to take Modus 10mg. for 10days after that i got my regular periods on 16th. As i told her that i want to get pregnency she suggested me to take siphene 100mg for 5 days and on 12th days she suggested me Follicular test and the test was normal. She told me to take susten 100mg for 10 days. From 20th day i had verginal infection Dr gave me Incid-c tablets and surfaz ointment and i got my period on 16th. Again she satrted my course with Latoval 2.5for five days and susten 100mg from 10th day to 20th day. As every thing was normal and i am under consultation, i could not understand what was making me away from pregnency. please suggest me something.

Answer: There are many other reasons why one does not conceive even though one is ovulating.
Check whether your husband's semen is normal and whethwer your tubes are normal.A problem in any of these can prevent conception. If both these are normal, and you do not conceive in 3 months, try IUI ( intra uterine insemination )
 


Question


Hello Doctor, My name is mamatha, last 5 yrs onwards I am trying for children. Doctor are said that about my health everything is ok, but no result. My periods and ovulation is normal, last year doctor suggested me for IUI, but in 6times IUI it is not success. After that 2 IVF cycles are also completed, here also 2 cycles are failed. Formation of embryos is good. Here doctor said problem is embryo fixation. At this situation doctor says everything ok. Now he suggested taking 3 months course. Here courses details are: GLYCOMET-250 daily 2 times. ETS 200mg 2 time (from 15th day to 10 days). Progynova 2 mg daily 2 (from 5th day to 20th day). Please give me your valuable suggestion is it proper way to follow this long period course. Thanks & Regards

Answer: Sorry to hear that you have not been able to conceive. You can try. If your tubes are patent and there are no pelvic adhesions, you can try IUI again. If not try IVF . Your problem is probably that the fetus does not get implanted. What is your endometrial thickness at the time of IVF? All the best !


Question


Doctor I have got a cyst removed last year. Now i am trying bad for pregnancy. Doctor has given me Glyciphade to remove weight as i am still holding a small chocklate cyst. Please let me know the uses of this medicine. i am 32 years with 69 kg wt. Is this medicine taken for any other reasons also ? I have hypo thyroidism.

Answer: You maybe having PCO ( polycystic ovaries) and that is why glyciphage has been given. Weight reduction helps women with PCO to ovulate , which they otherwise may not be doing every month. It does not affect the size of the cyst. Are you taking any medication for hypothyroidism ? Have a scan done on day 12 of the period to determine whether you are ovulating or not. All the best !


Question


Hi Dr. I have been delayed for 2 months, I was diagnosed with PCOS, then my doctor gave me Provera for 10 days to take and metformin for 1 month. I just want to ask if it's not advisable and good if me and my partner have contact while i am taking those medicines? What will be the implications if we do sexual intercourse? Also, We are already planning to have our 1st baby and is it possible within the next 2 - 3 months that after taking provera and continous metformin i can be pregnant? Waiting for your answer. Thank You So much!

Answer: I prefer to give duphaston instead of provera , when one is planning to conceive , as it is a safer drug. Metformin is fine when you are planning to conceive. Anyway, once you get a period, have a scan done on day 12 of the period to check whether you are ovulating or not. If not, you may need clomid tablets to induce ovulation. All the best !


Question


 I was on Clomid 50mg.The ultra sound showed nearly 5 eggs. I was given a HCG shot on December 15th 2007 and IUI was done on December 17th. I took a pregnancy test after 14 days after IUI, and it turned out negative. And i also took a blood test, and it was negative. Till today January 16th almost 30 days after IUI, my cycle is not started. We are confused of what is happening. Any one should happen.Either positive pregnancy or my cycle should start. What is happening?

Answer: If you have not got a period , take duphaston tablets- one tablet twice a day for 5 days. Stress can also delay a period, so rleax. Also, have a a scan done to rule out an ovarian cyst which could cause an irregular period.


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: If you are ovulating, you do not need to increase the dose of clomid. The increased dose may have been given to try and increase the number of eggs, to increase the chances of conception. The semen consists of sperms and other fluids. After intercourse, the sperms go into the uterus and the rest of the fluids come out- so that is normal. Have you checked your husband's semen and your fallopian tubes ?


Question


I'm Tlynn 34 y.o.from Kuwait....just got married 9 months ago and wanted to conceive. My problem is before i get married my period was regular (MC 28 days) before the ceremony I took promolot tablet to stop the bleeding because I dont want to get my period on my wedding day..2 days after the wedding I stopped taking primolot tab. and the problem starts my MC become 30 for 3 months then 32 for 2 month then 34 to present, I don't know whats going on..I read a lot of info. on net and even took blood test, Hcg, U/S all seems normal, I read lots of article regarding womens problems. Then I heard and read on net regarding Clomid, without any Ob/gynae advised I took clomid CD3-7 for 2 cycles now..and planning to stop next cycle as I too kinda scared of the side effect....is there anything I can do to conceive normally without taking any meds? pls. help...thank you!

Answer: You have not mentioned whether your scan revealed that you have PCO. In any case, never take clomid without ultrasound monitoring , as sometimes the ovaries can get enlarged and cause problems. Ultrasound would also help you determine your most fertile period. have a scan done on day 3 of the period and if there is no enlargement of the ovaries, you can take clomid. then have a scan done on day 12 of the cycle to determine the size of the follicle. Also, what is your husband's semen report? Let me know these details, so I can advice you further.


Question


hi,i've been diagnosed wih endometriosis,bilateral hydrosalpinxwith contained spill,1mm intramural fibroid.i've been married for 4 yrs still not conceived.had taken zoladex inj for4 months, then underwent 2 ivf's.1st one preg test was negativ,2nd one there was no fetal node till 9th week.they said both times there might have been chromosomal defect in embryo. now i can feel my endo metriosis has increased considerably, but dr. gave me only ovral _l and is going to do ivf next month. plz tell me whether i should do this treatment, or treat endometriosis 1

Answer:Sorry to hear about your endometriosis. Ovral would help to reduce the endometriosis slightly. You should try IVF during the next cycle. Endometriosis is a recurrent condition, so it would not help much to wait till it is reduced. Since you have bilateral hydrosalpinx, you would require IVF. All the best !


Question


I have LH as 9.98. Previously it was 12 to 13. My husband spermcount is also less. Fluctuating. once it will be 2million. some other time, it will be 40 million. once it is 70 milion. What can I do?

Answer: You have to mention the day of the cycle the LH was done and the normal range in your lab. What is the FSH value on day 2 of the cycle. Are your fallopian tubes patent? Has your husband been given any medication ? You can try IUI( Intra uterine insemination ) .


Question


we have been trying naturally for a baby for the past 1yr.this month my ob gave clomid 50mg for 5days.i took it from 2nd day of my periods,i have also been taking duphaston from 16th to 25th day.nw am on my 23rd day.bt often am getting severe abdominal cramp.only my nipples are sensitive.i dont have any other simptom of preg.am wondering wether am pregnant or is this cramp indicate my periods?

Answer: Have an ultrasound done on day 12 of the period to determine your most fertile period. This will also ensure that your ovaries are not getting unduly enlarged due to the clomid.Progesterone hormone is formed after ovulation and duphaston can both give breast tenderness, so that is nothing to worry about. Also, the breast pain or cramps would occur even if you are pregnant. Do a urine test on day 31 of the period to check whether you are pregnant. All the best !


Question


hello doctor....i got married 2yrs ago.iam 25yrs now.just 2months before we planned to try to conceive,but without luck. when i met my gynec she told me to take ovofar tablet without examinig me and my husband.is it really safe to take the tablet even if iam fertile.it will not cause any problem later because i have lump in my breast which is fibro.if i stop ovofar after a month still i have same changes of conceiving naturally.please help me.

Answer: You must have an ultrasound done on day 12 of the cycle. This will reveal whether you have fibroids and polycystic ovaries. It will also show the size of the follicle and thus, determine your most fertile period. Ovofar is safe. Even if you stop ovofar, have an ultrasound done to determine that you are ovulating spontaneously and your fertile period. Check your husband's semen also. All the best !


Question


I m now 34 years old,i got married when i was 31 years old, i had regular periods before like 4 days cycle and perfect 30 days cycle.. i had irregular when i was 28 years old , i use to get 2 days periods like very dark thick flow.and my weight alos increased, then again it started regular floe for 1 - 2years.. after marrige i had lots irregularity...like no periods for 3 months also.. i consulted doctor 3 months back she gave me tablet for 5 days and in one week i got my periods and again after 12 days i got my periods for 3 days..perfect flow..after that i got after 45 days, doctor i did ultrasound all ok.. doctor checked size of my ovaries all right..doctor felt it..she told all ok..and i did paps test which was all ok.. now i feel i should take folic acid and metamorphin..and try i want to be pregnant..pls help me.. ple help me

Answer: Was a vaginal ultrasound done? Sometimes, polycystic ovaries may be difficult to determine on an abdominal ultrasound. Also, have your thyroid and prolactin hormones checked. You must have a vaginal ultrasound done on day 12 of the cycle. This will reveal whether you have fibroids and polycystic ovaries. It will also show the size of the follicle and thus, determine your most fertile period. If you are not ovulating, you would require other tablets like clomid in the next cycle. You can start folic acid, but not metformin without knowing whether you have PCO( polycystic ovaries ) or not.


Question


Its one yr one month i got married, but still not pregnant!!! My periods are irregular prior to my marriage. yesterday consultated doc and he has prescribed me SIPHENE. I wanna know hw safe is the intake of siphene for me and is it true that undergoing pregnancy treatment increases the chances of twins.Pls reply, m bit tense

Answer:Siphene is safe. However, have an ultrasound done on day 12 of the period to determine whether you are ovulating or not. This will also determine whether you have more than one follicle. If yes, you can avoid a pregnancy during that cycle to avoid twins. If , however, you have only one follicle, you can go ahead. Also, what is your husband's semen report and are your tubes patent ? All the best !


C) PREGNANCY

Question

Hi Dr, Hi am 5 weeks pregnant and had my 1st baby 2 years ago at 34 weeks...i was advised to take duvadilan retard in this pregnancy...what is the purpose of this medication and when should i begin to take it? thank you

Answer: Duvadilan would help prevent uterine contractions . Since I do not know the reason for your premature delivery , I am unable to advice you regarding when you should start the medication. Check with your doctor regarding that.

Question


I am 31 ys old woman with5 yearsoll child.ihave pcos &using meprate.igot pregnant whole using this medicine. will it effect my baby.how will i know everything is ok. should i terminate the pregnancy.pl reply

Answer: Meprate can cause toxicity to the fetus and malformation of organs, particularly genital abnormalities. It can also lead to virilisation of female baby (unwanted hair etc.).it is difficult to predict which baby can be affected. Since the risk is not unacceptably high, you both can discuss with your doctor regarding the risks and decide whether you are willing to take the risk.If you do continue the pregnancy, do periodic, frequent ultrasound and other tests to make sure that the fetus is normal.


Question


Iam 28yrs, married for 3yrs. after 1yr of marriage i had an abortion reason was missed miscarriage. then for 2 yrs i did not conceive. now again i had abortion with same reason. doc has done routine all tests and found all normal .i have very accurate regular periods. my doc has suggested me to take fertyl medicine for 5 days, there were no tests conducted for my husband. can i take them. do they have any side effects.

Answer:Sorry to hear about your miscarriages. You have not mentioned at how many weeks did the miscarriages occur. Also, was there a heart beat initially and then no heart beat ? Let me know all these and the results of the tests done. Taking clomid is fine , as long as monitoring is done on ultrasound.


Question


Hello Doctor,I had my last menstrual period on dec 5th 07,and i have tested hcg test using pregcolor card test at home twice,one on jan 8th and another on jan 10th 2008.It shows 2 lines one at end C(baby pink) and another end T(purple color).so i just want to confirm whether the result is positive or not.plz help me

Answer: I am not familiar with this test , as we use another test in our clinic. Check with the pharmacist. Also, if you still have not got a period and the test was negative , do a blood test - beta hcg. This will confirm whether you are pregnant or not.


Question


my wife aged 37 years is pregnant. (lmp 15-09-2007) she is diabetic. before conceiving she was dependent on metformin 500mg. (dose: one tablet each before breakfast and dinner) till completion of three months she was continuing the same medicine on doctors advise and till the time her blood sugar level was fasting-104 and pp-146. now on doctors advise she has started inj. mistard insuline with 10 units before breakfast and 05 units before dinner. with this her blood sugar level has increased and are fasting-178 and pp-235. i am worried to see the present level of blood sugar and request your good advise to complete her pregnancy period without interruption and also to become father of a healthy baby. (a) other substitute with which sugar level can be controlled? (b) whether metformin can be continued during the full pregnancy period? (c) if inj. mistard insuline is ok to keep the blood sugar level within the normal limit then the required level of dose to be continued to bring sugar level. thankyou ~

Answer: Insulin is the best treatment for diabetes during pregnancy. The rise in sugar levels is because the sugar levels increase as pregnancy advances. You need to consult a good endocrinologist who can monitor her blood sugar levels and decide when the dose should be increased or the type and frequency of insulin changed. Insulin has to be continued till delivery. Metformin is not advisable now.


D) OTHERS

Question


I've been diagnosed of a cervical polyp about 6mm big. I'm 38 yrs old & got married just about 2 months back. I am already taking some homeopathic treatment for the past 3 months. I just wished to know if I'm going have some complications in conceiving. Should I go for the intercourse or try to avoid it? I tried it about 3 times; although 1st time it was quite painful during penetration, the next 2 times it was quite OK. Moreover, I don't have any in-between the periods spotting problem usually observed in case of similar patients, and my cycles are also regular. I just want to avoid surgery until I have at least one child. Please advise.

Answer: The polyp is quite a large size. If it does not reduce with homeopathic treatment, you must remove it surgically. It is a minor surgery and you should not have any problems. Removing it would when you are pregnant, as otherwise you might have bleeding during pregnancy.


Question


I had my period on 11/4/07, I went to the doctor, and they did a urine test and a blood test and they both came back negative. I was having all the pregnancy symptoms: Occasional nauseau, leaking sore breat, fatigue, cravings. Then I got my period on 12/18/07 for 3 days (normally my period is 5 days - no more, no less). Is it possible that I could be pregnant? My occasions of nausea have gotten worst. I am sensitive to smells. I've had a real bad headache for 2 days straight. Please let me know. Thank You. Also, Doctor tried to say I could have PCOS, But this was over the phone, without an examination or anything. Just because of the pregnancy symptoms and negative urine and blood test.

Answer: You could be pregnant and be bleeding. A urine test for pregnancy would confirm the diagnosis. If you still have nausea and are not pregnant, you could take an antacid like Maalox and take care of your diet .


Question


Hi, I am 43 years old and had a miscarriage in September, I then had a D & C. I have not had a period since then. I have experienced low pelvic pain, am now am producing breast milk, weight gain, etc. but home pregnancy test is negative. Could you tell me what could be happening? Could this have anything to do with menopause caused by the miscarriage?

Answer:Your prolactin hormone maybe high, as you are producing milk. Check the level, and take appropriate treatment. A high prolactin can give rise to irregular periods. Once your prolactin is normal, you would get regular periods. You are considered to be menopausal only if you have not had a period for one year. In the meantime, you can take duphaston tablets- one tablet twice a day for 5 days to get a period.


Question


I am turning 30. Got married one year ago. Three months ago tests shows that i am suffering from hypotyroid. After taking levothyrox (dosage adjusted after another blood test), my blood tests shows that I am back to normal BUT I have missed my periods since 2 months now - a thing that never occured. My doc told me that it has nothing to do with the hypothyroid treatment. Went to the gynecologist, primolut was prescribed. Can you please tell me more about the effcets of that medicine. Thanking you in advance

Answer: f your thyroid levels are normal, you have a greater chance of normal periods. So, this has nothing to do with the medication. However, stress and other factors like an ovarian cyst can cause a delayed period. Have an ultrasound done to rule out a cyst.


Question


Hi im 22 years old. I am currently deployed to Iraq. I have had intercourse since I have been stationed out here. For awhile I had little red bumps around my vagina and they burned when I showered and when I would take a pee. They eventually went away on there own. However, recently when me and my fiance have intercourse, it seems as if his cum burns my vagina. Is this a STD?

Answer:I do not know which medication would be available in Iraq. Use travocort or momenta ointment twice a day for 5 days. if the problem persists see a doctor. A blood test would reveal whether this is any form of STD.


Question


Hello,i'm 32 yrs. of age.i have been having mostly delayed periods since my periods started at the age of 12.once in lifetime,at age 16, my periods were coming after every 10 days and the doctor told me to take iron tablets.this early period problem got treated then.but throughout till i got pregnant after marraige i had been having delayed periods,sometimes after 35 days,sometimes40 and sometimes after 45 days.after marraige i never used any precaution and got pregnant after more than one year.i got myself aborted.i again got pregnant after a few months and again got myself aborted.i'm divorced now.its been more than 3 yrs since i got my second abortion done.presently i'm having regular periods after taking homeopathic medicine but my periods are scanty.earlier they used to last for 2 days and now just one day.pls let me know why am i having this problem,is it a thing to worry and how can it be treated?

Answer: Have an ultrasound done to determine whether you have PCO or any ovarian cyst which is causing the irregular periods. If that is normal, have your thyroid hormones checked.,as an abnormality in these can cause irregular periods. Let me know the results, so I can advice you further.


Question


hi doc,i have undergone caesarian operation last december 19gb,2007 my question is, how long will it be the healing of my wound.i am hypertensive too and i am taking apresoline 25mg 3x a day..would 3 weeks be enough for me to travel by plane that takes 1 HOUR and 45 minutes? 1 hour and 15 minutes by land.would there be no possibility of affecting my wound though i am wearing a binder?thank you...

Answer: We usually do not advice travel till 6 weeks after the LSCS as that is the time taken for adequate healing


Question


hi dr, i am 27 yrs old, n have a baby boy 1yr old, since 3 months im not having periods, yet im not pregnant as i did the pregnancy test in the laboratory,, my dr advised me for duphaston 10mg tab taken twice till 7days, i took one dose n got my periods the next day, actually my dr has gone on vacations n n i dont have anyone else here to guide me, now should i stop my tablets immediately or do the respective 7day course of this medicine as prescribed by my dr, plz advise soon. thanking you.

Answer: Your question goes to the omanaccess website and are then sent to me. I answer the question and send it to the website .Also, due to the large number of questions received, it is not possible to answer any question immediately. Anyway, for future reference, you should stop the duphaston if you get a period.


Question


I got my period again after 25 days which is not normal for me. I had unprotected sex Saturday 12/29 and I smelled fishy 12/30. The smell was still their 12/31 and much stronger. I douched 12/31 and I still smell it today 1/1. What is wrong with me?

Answer: Semen can at times give a strong smell. If the problem persists, have a pelvic examination done to ensure that you do not have any vaginal or cervical infection.


Question


Hi, Few weeks back my wife had periods for continous one month. Before that she had no period for about more than a month. We went to doctor and no pregnancy was found. I do not remember the time difference between going to doctor and one month lond periods. But after that her periods came at a proper time. What could be the reason? My wife didnt go to see the doctor when she was having long periods. How can we ascertain what exactly happened? thanks,

Answer: If this has occurred only once, you should not worry . If this recurs, have an ultrasound done to determine whether there is a fibroid or an ovarian cyst. If that is normal. have her thyroid hormones checked. Let me know the results, so I can advice you further.


Question


hi doctore i am 26 yrs had intercourse on 1st nov 07, had my period on regular date 13th but the flow was less than usual. december didnt had periods done urine test came negative, on 18th december done beta hcg, gyane asked me to take duphaston for 10 days, course got complete its been 3 days after course still not got my periods, what could be the problem, i hope i am not pregnant? plz reply

Answer: If you still have not got a period, repeat the beta hcg and let me know the result. If you have got a period by now, have an ultrasound done to ensure that you do not have an ovarian cyst which can sometimes give rise to a delayed period.


Question


Dear. Dr I am on yazman birth control and forgot to take the pill one day and me and my husband had sex when it came around for the day of my period it had a couple dots off red and the rest brown then most of the day i didnt have a tampon in because nothing was coming out and the rest of the time it was only a little bit of brown.This lasted 3-4 days during my spotting period i took three pregnancy test all negative. Could it be to early!I fell nasuse and this morning my nipples started stinging and hurting real bad! Am i pregnant because it sure sounds like it please help me!!!

Answer: Do a blood test- beta hcg. If negative , you are not pregnant. Any contraceptive pill can cause scanty periods, so the less flow could be due to that.


Question


What do you suggest i do. I just had my second surgery on the 28th of November to see if i had endometriosis.The first time was a laproscopy and nothing was found,this time was a laproscopy,biopsy,histectomy and still nothing;i've had my period since then and there is no change in my condition. I can't stand for the first two days, my legs seem to wanna give out,and the flow is very heavy. I NEED HELP GOING CRAZY!!!!!!!!!!

Answer: Your question is not very clear. You have not mentioned why you needed the surgery ? Do you have pain in the bdomen or irregular periods or what ? Does your ultrasound reveal a fibroid ? Let me know the details, so I can advice you further.


Question


I am 36. Periods have been irregular. Married for two years now. Get periods only when i take medcine. When 17 yrs and even later had noticed that periods occured (without medicine) when i took vigourous exercise. Plus almstevery month at for 2-3 days i get white discharge (more white and quantity than other days). Is it that i ovulate but dont get periods

Answer: You have not mentioned whether you wish to conceive now. Also, do you have polycystic ovaries ? Have any hormone tests been done ? Let me know these factors, so I can advcie you further. Regarding your discharge, you may have fungal infection. Use canesten 6 vaginal pessaries. If the problem persists, see your doctor.


Question


I am 26 yrs old married for one and half year i had become pregnant naturally in september 2007 but had bleeding and was given progestrone ing and nidagen capsule but had missed abortion and undergone d and c after which i am having heavy periods every once in 20 to 15 days tried all drugs now on regestrone all tests are normal i am disgusted pl. Help

Answer: Sorry to hear about your missed abortion. Have an ultrasound done to rule out the presence of a fibroid or an ovarian cyst. If that is normal, check your thyroid hormones and let me know the results, so I can advice you further. Also, check your hemoglobin. If it is low, take some iron tablets.


Question


I had marsupialization two years back.After one year of surgery i was o.k.Then there was big hole on side of my vagina.so he stitched back the hole.still i am having pain.Still there is tiny hole.that makes me very pain.any advice

Answer: Sorry to hear about your problem . You will have to go back to your surgeon and decide what else can be done for this.


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