|
A) PCO (Polycystic
ovaries) |
|
Question
Dear doctor am 26 i cought into miscarrige by june
o7 it is a 50days baby of i got pcod am taking metformin{bigomet 500mg
twice\day}for the past one year i reduced 14kgs now iam planning for my
pregnancy so am taking fertyl 50mg/5 tablets and susten 200mg from 14th
day to 24the day now please tell me about the side effects of all this
tablets though iam having fertyl and susten for the past 5months but our
planning is by the month of august, i need your thoughts
|
|
|
Answer:You must monitor your ovulation while on fertyl. Have a
scan done on day 12 of the period to determine your fertile period and
also that your ovaries are not getting unduly enlarged. The side effects
of fertyl are multiple pregnancy and ovarian cysts or hyperstimulation.
Regarding susten,- like other progesterone medication, it can cause
certain abnormalities in the fetus, though this is rare. The risks and
benefits of the drug should be discussed with your doctor. All the best
! |
|
|
|
Question
Dear Doctor, I was diagnosed with PCOS last year.
Prior to that I had heavy bleeding for a month, my gynec told me i had
thick uterus lining and prescribed me aminor for 6 months. I do not get
my periods regularily as well. I changed my gynea and the new one gave
me glucophage and duphaston now. I am wondering if I need to take any
ovulation inducer to conceive. I also am aware that ovulation predictor
kits are not effective for my condition, could you suggest what
treatment should I be going in for and how can I know exactly when I
ovulate as I am really keen in ovulating. Due to PCOS i am overweight.
My last scan showed a small decrease in the cysts. I am also on hunger
suppresants. I don't like the idea of having many pills. Thank you
|
|
|
Answer:Firast of all, PCO stays forever, so the decrease in the
size of the cysts, would usually not occur. . The size of the cysts may
vary depending on the day of the cycle and medication. Have an
ultrasound done on day 10 of the cycle to determine whether you are
ovulating or not. If not, you may require clomid .Losing weight will
help you conceive, so even though it is a difficult job, continue it !
All the best ! |
|
|
|
|
B) INFERTILITY |
|
Question
I am 41 years old
and have 1 2 year old boy. I had undergone DNC last year and my husband
and I have been trying to get one baby for more than 8 months but todate
I still unable to conceive. I just would like to know is it after DNC
chances of conceiving is difficult. Furthermore, my period now starting
to be irregular, previously my period is 30 days but last month my
period came after 19 days after my last period. Could you please me how
can I improve my chances of concceiving. Dismayed
|
|
|
Answer:A D&C , by itself, does not increase the chances of
conception. You must check whether you are ovulating or not. Since your
periods are irregular, have an ultrasound done on day 10 of the cycle.
This will determine your fertile period.If you are not ovulating, you
might need clomid tablets. Also have your husband's semen checked and
also your tubes by hysterosalpingography or laparoscopy. Also, have
your thyroid hormones checked. An abnormality in these can cause
irregular periods. Start taking folic acid tablets. You should be aware
that the chances of conception reduce after the age of 35 and also that
there is an increase in the incidence of congenital anomalies and
miscarriage after that age. You must discuss these with your gynec. All
the best ! |
|
|
|
Question
Hi,I am 26 year old married for 3 years and I have
trouble in conceiving.I am getting treated with Dr.Kamini Rao in BACC. I
had twice IUI but the result was not postive. Doc has told me that I am
suffering from PCOS and one of my tube is little bit bend and
endometrial is not progressing. This time when I went she told me to try
naturally. And she is prescribed me with Diamet 500mg for whole month,
Premarian 0.625 mg from Day 4 to day 18 3 times a day and from 19th day
2 times a day upto 28th day, Foliden 5 mg for whole month, Astymin forte
for whole month and lastly duphston 10mg from day 19 ti Day 28. Has she
given right prescription for trying naturally.
|
|
|
Answer: The treatment given is perfect. Since you are ovulating,
you should conceive. Premarine will take care of the endometrium. Just
relax mentally and try IUI for 3-4 cycles. You have not mentioned
regarding your husband's semen report. If the count or motility are very
low , he might require medication . If you do not conceive after
further 4 cycles of IUI, you may require IVF. All the best ! |
|
|
|
Question
i'am
33yrs old still i have not conceived, my doc has started usg, i got
it done on my 3rd day of my periods & have been called on 24th of
this month i.e 10th day, what is this done for. i also have thyroid,
& my husbands counts are 30%,will i be preagnent of not,kindly
suggest something.regards
|
|
|
Answer:Ultrasound is done to determine whether your follicles (
eggs ) are growing well and what would be your most fertile period. You
have only mentioned the sperm motility. What is his count? What is the %
of actively motile sperms ? Let me know , so I canadvice you
further.Continue taking your medication for thyroid, as it is essential
that the levels are normal when you conceive. Also, let me know the size
of the follicle seen on day 10 and whether it grew to 20 mm or not.
Also, have your tubes been checked ? Are they both OK ? |
|
|
|
Question
Hi Doctor, Iam 24yrs old, i have hypothyroid and
also pcos.....,i got married before 3months and i have been adviced by
my doctor to take throxin 200ml,glyciphage 500ml and crisanta.My weight
is 90kgs and height 5.5inches. Also dark skin is formed at the back of
neck,arms and thighs.... please suggest a cream which will be available
in India-chennai.Also please suggest me some ways to reduce weight and
get concieved.
|
|
|
Answer:Continue your thyroxin, and glyciphage. You must
excercise and go on a strict diet , eating only soup or salads for
lunch and at night eat some protein like fish or meat or chicken. If you
are a vegetarian, eat daals or soya or sprouted beans at night. Cut down
on bread, rice and chapattis. It would be also advisable to meet a
dietician . The darkness of the skin is common with PCO and you should
see a dermatologist for that. Have an ultrasound done on day 10 of the
period. If you are not ovulating, your doctor can give you clomid
tablets. All the best ! |
|
|
|
Question
I am married for an year now and trying for a baby
for the past few months. Also consulted a gynec and confirmed that I am
ovulating. She advised me to take Duphaston from 16-25 days of my cycle.
But she did not check on my medical history. I am slightly asthmatic and
take Asthalin inhaler daily. Is it safe to take Duphaston with breathing
problem? Also its been 8 days since I have stopped my this months course
of Duphaston and yet to get my period. Kindly Advice.
|
|
|
Answer: Duphaston is fine with asthalin inhaler. If you have not
yet got a period, do a urine test for pregnancy. All the best ! |
|
|
|
Question
I am married for 03 yrs now.Last year we were
trying to conceive without any success for about 6-7 cycles. A series of
tests followed on me and my wife, from A to Z.Finally all my tests(TB,
AIDS,THYROID,SPERM COUNT AND CULTURE etc) were normal and endometriosis
was detected for my wife. My wife is on inj. lupride for the past 02
cycles now and IVF is planned in the next cycle commencing 29 jun 08.My
question is: 1. Is inj. lupride given to stop bleeding during menstrual
cycle so that endometriosis doesn't aggravate( as my wife did not bleed
during her menses for the last two cycles)? 2. What are the chances of
An IVF being successful at this stage.My wife is 29 yrs, has had her
menstrual cyccles at a perfect regular interval of 28 days since
beginning,all hormone tests i.e. E2, LH, FSH are normal,no TB infection.
But one of the fallopian tubes was found to be slightly blocked during
hysterolaproscopy done in Mar 08.
|
|
|
Answer: Lupride would help to prevent an increase in the
endometriosis. It also cuts down on certain natural occurring hormones
in the body. This would help in regulating the response obtained when
injections are given to grow the eggs during the IVF cycle. The success
rate of IVF changes from centre to centre and is also dependent on
various factors . Since your wife is young and if your semen parameters
are absolutely normal, the chances are good - around 25-30 % .. All the
best ! |
|
|
|
Question
hi doctor, me and my huuband is trying to have a
secound baby, and tried for 4 month now, and last month we had every
alternate days sex but still didnt coneveive can u help me for this?
|
|
|
Answer: You have not mentioned whether you are ovulating or not.
Have an ultrasound done on day 11 of the cycle. This will determine
whether you are ovulating or not and your fertile period . If you are
not ovulating, you may need medication like clomid, which you can
discuss with your doctor. Also, have your husband's semen examination
done. If you do not conceive in 2-3 months , have your fallopian tubes
checked by hysterosalpingography (HSG ) or laparoscopy. HSG can be done
without anaesthesia and does not require hospitalisation.Let me know the
results, so I can advice you further. All the best ! |
|
|
|
Question
Hello Doctor, I am 30 yrs old and we have been
trying to conceive for a year naturally. Since the last 2 cycles have
taken medical help and have been advised Folic Acid with Becadexamine
and Metformin (cause of PCOS). From 3rd day of my cycle took a course of
Fertyl and went for regular scanning. On day 13 my Follicle size is LHS
15mm n 16 mm and RHS is 24 mm n 22 mm and ET is 8. I was given an HCG
injection on day 13th. IS the treatment on the right track. Last time I
ovulated on day 15th with the Follicle size of 18 mm and 12 mm. Please
help, Im really worried and need your expert advise.
|
|
|
Answer: You are on the right track. Continue the same medication
and follicular scans. You have not mentioned regarding your husband's
semen and also whether your tubes have been checked or not. Let me know
the results, so I can advice you further. Please mention again at that
time that you are taking fertyl, as I will not have any record of your
previous question and the questions are sent to me by omanaccess without
the person's name for privacy purposes. All the best ! |
|
|
|
C) PREGNANCY |
|
Question
i am married now for 2 years,im 28 years, and
started planning for more than a year now, i have been put on course of
'susten', but i have been told that susten can cause disability in the
fetus, is this true.? |
|
|
Answer: Susten, like other progesterone medication, can cause
certain abnormalities in the fetus, though this is rare. The risks and
benefits of the drug should be discussed with your doctor. |
|
|
|
Question
i took a blood test possitive but faint another day
later it was a 5 took another one neg doc done sona gram did not see
nothing also oral exam still could not tell me if iam preg or not help
|
|
|
Answer:The best method
would be to determine the actual level of hcg in the blood. If it is
below 5 , you are not pregnant. Let me know that result, so I can advice
you further. All the best ! |
|
|
|
Question
I am 35 weeks pregnant and i am having the last
couple of days a very dark discharge and i am worried what it is about,
because like 2 months before i had a vaginal swab and had UTI and was
treated, i have no itchiness nothing and the discharge this time is
darker and i am having really really painful braxton hicks. so i want to
know what this discharge could be
|
|
|
Answer:if the discharge is brown, it could be blood. See your obstetricain to determine that you are not having premature labour
pains. |
|
|
|
Question
hi i have a simple quesition,i m pregnant now
almost 22 weeks i m very fat can i do diet and excercices 2 lose some kl
like 10 kg or it ll afect the baby pls i m waiting 4 ur answer. Thanks
|
|
|
Answer:You have to put on 10-15 kilos during pregnancy and now
at a rate of 1 kg every 15 days, so that your baby grows well. Use low
fat milk, yoghufrt and avoid high fat foods like chocolate, ice creams
etc. Have a lot of protein. If you were overweight before pregnancy, you
have to lose weight only after you deliver. |
|
|
|
Question
Is it safe to take ecospring 75 during 2-3 month?
Doctor suggested to my wife. He said because of one miscariiage it is
advicable to take it. We dont know the reason of first miscourrage. pl
guide us.
|
|
|
Answer:Ecosprin 75 is safe in pregnancy and often helps to
prevent a miscarriage/ All the best for this pregnancy! |
|
|
|
Question
Dear Sir/Mam, I am undergoing treatment for
thyroid and am two months pregnant weighing 75 kgs. Pls help me with
some diet tips to maintain my weight and take good care of my child in
womb? Awaiting for your help and advice. Regards Kavitha
|
|
|
Answer:You must ensure that your thyroid levels remain normal
during pregnancy, by taking the correct dose of your medication.Ensure
that you eat a lot of protein and salads. Avoid fats and sweets , so
that you do not put on excess weight. You should put on 1 kg every 15
days now and only in the last 4 weeks 1 kg every week. |
|
|
|
D) OTHERS |
|
Question
hi. i had my first period when i was 10
and ever since then i can't remember having a regular monthly
period. at age 19, i was given diane to regulate my periods but
still no regular pattern. i'm now 25 and is planning to have a
baby soon. i was told by my doctor recently to take duphaston
but since i was kinda pre-ocupied then i didn't understand how
to take it, could you give me a clear instructions about the
drug? thanks.
|
|
|
Answer: Duphaston can be given for various conditions and in
different doses . Usually it is given twice a day for 5 days to induce a
period. Now , since you are planning a pregnancy, determine whether you
are ovulating or not. Have an ultrasound done on day 11 of the cycle.
This will determine the size of the follicle ( egg) and also whether you
have PCO ( polycystic ovaries ) which maybe giving rise to the
irregular periods. If you are not ovulating , you may require clomid
tablets, which you must discuss with your doctor regarding the dosage
and follow- up. |
|
|
|
Question
I am 29 years old. i am married but never get
pragnent.last 2 years i have got milk sicretion from my best without any
reason. i want to no why.
|
|
|
Answer:Have your prolactin hormone checked. A high level can
give rise to milk secretion and even prevent conception. If it is high,
take medication like dostinexor parlodel |
|
|
|
Question
hi there, im 3days delayed on menstruation, last
month i had mens on May 7th but up until now i still dont have,then i
have some slight but can handle the pain on my left side of abdomen.
sometimes i feel back pain on the lower left side of my back while
sitting or lying bed. am i pregnant? is it signs of pregnancy? i already
experience 2 preganancies and i felt same slight pain on my left side of
abdomen. thanks and i hope u can help me out.
|
|
|
Answer:
If you still
have not got a period, check your urine for pregnancy. If you have got a
period,have an ultrasound done to determine whether you have an ovarian
cyst or a fibroid which is giving you this pain. |
|
|
|
Question
Dear sir/ Madam I got this mail id from net, Iam
undergoing treatment for infertility (irregular menstruration, mensus on
eprate), I am suffering from PCOS and Fibroid, 3 months back we did
laparoscopy treatment to punture the pcos and also removed the fibroid.
Dr advised me to wait for atleast 4 months to conceive a baby, and also
advised us to have protected sex from the second month from the date of
operation.But we are not using condems instead he will remove when he
reach the climax but i have a doubt if 1 or 2 drops get inside or not.
Now it is almost 3 months over I didnt get periods so she suggested me
to take susten 300 - 5Nos each day 1 tablet tablets continously for 5
days for getting the periods, I have taken 4 and forget to take the last
one, one week passed still I didnt get my periods so i have a doubt
whether i am pregnant or i can wait for some more time or any otherlelse
due to forget of last tablet. Kindly suggest Deepa
|
|
|
Answer: you must have got your period by now or you maybe
pregnant. If you have not checked for pregnancy, do a urine test to
confirm that. If still negative and no period, take duphaston tablets 2
tablets twice a day for 5 days to get a period. You should get a period
within 7 to 10 days of stopping the duphaston. |
|
|
Dr.Smita
Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
