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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


hi, my age is 33, is 65kg and i got married 11 years back. i have one daughter. her age is 9. i always 31- 38 days cycle and have polycystic ovaries.i want second child .i had so many treatments done but no use. now my doc give me ovacare , ebexid and m2 tone tonic. i want to ask- is it good treatment in my case . i can get pregnent by taking this. pleez help me doctor pleez pleez pleez

Answer: Relax ! Since you have conceived, you should conceive again. Are you ovulating ? Have a scan done on the 12th day of the period to determine that. Also, have your husband's semen examination done and check your tubes by hysterosalpingography. Let me know the results, so I can advice you further.


B) INFERTILITY

Question


Dear Doctor, I'm having a laproscopy and hystercopy done this week. How long after this surgery should I wait to try to concieve?

Answer: If there are no other complications , you can conceive after 3 months of the surgery.


Question


Me and my husband is trying to conceive a second baby for almost a year. I have taken duphaston on my 3 cycles of menstration and clomid on the 5th day of my menstration. Based on my ultrasound she told me that this time the taking of my clomid is successful because it improved the size of my egg cell, there's a possibility that we can conceive this time. But she wants me to take duphaston on Feb. 11, 09' (2nd day after taking clomid). Will duphaston help me to conceive or it will hinder me to conceive? Thanks.

Answer: Duphaston taken after ovulation helps the fetus to grow well in case you are pregnant. . Continue the same treatment and monitoring and you should conceive. Is your husband's semen normal and are your fallopian tubes patent ?


Question


Hello doc, am joy 25yrs from nigeria i got marreid nov 2008 to a man of 46yrs, since the wedding stil now have been having pain in the anus bone, an also we have been having sex but no sign of preginance. Plz doc help me out. This is email address: joycvlaw2002@yahoo.com

Answer: You need to see a gynec who can determine the cause of your anal pain. Also, have an ultrasound done on the 12th day of period to determine whether you are ovulating or not . also have your husband's semen examination done . Let me know the results, so I can advice you further.


Question


i am 21 years old . i was married in 2006.i got infertility problm .my husband semen analysis is normal. my ultrasound is also normal. my menstrul cycle is regular. we are living togather but still i have not conceived .. i am suffering leukoria from many years. if leukoria is the couse of infertility? i am taking clomifen from 5 months.i got thick jelly like discharge. plz help me

Answer: Regarding your leucorrhea, have a vaginal culture and sensitivity done to determine whether you need any further treatment.Also, do you have an erosion of the cervix? Let me know, so I can advice you further. Are you ovulating with clomid?


Question


i have already one daughter. her age is 9plus. since 1998 i have pcos problem.i want second child but i took so many treatments but no use now what to do. please tell me urgently. now also my treatment is going on.

Answer: Relax ! Since you have conceived, you should conceive again. Are you ovulating ? Have a scan done on the 12th day of the period to determine that. Also, have your husband's semen examination done and check your tubes by hysterosalpingography.Let me know the results, so I can advice you further.If all these are normal, you can try IUI( intra uterine insemination ).


Question


Dr,i am having irregular period history, i went to doctor and she told me to take duphestron 10mg and folic acid 400 mg and i conseive and got baby girl,now she is 2 years,i want to go for the second child now, but my period is still irregular and if i take duphestron i bleed,i want a boy this time so i want to know when i ovulate which is impossible for me as my period is irrugular please tell me how to track my ovulation day. my last period was 20 th january.

Answer: Do you have PCO (polycystic ovaries )? This is associated with irregular periods and infrequent ovulation. Check whether you are ovulating or not by doing an ultrasound on day 12 of the period and this would let you know about your fertile period. Since your periods are irregular, I will not be able to calculate your fertile period. If you are in Oman and wish to consult me , you can take an appointment on 24563181.


Question


Dear Mam,I m 34 year old . got married 5 years ago.still waiting for baby.My wife had Ovarian Cyst which doctor removes through lapro scopy.but after 3 months menstural cycle become again irregular.if she continue taking glucophage500,Brotin & Ascard75 then periods become regular.but if she stops taking medicine then irregular.My Semen report is . 3 ML ,60 percent active 25 slugish ,15 dead.Is my report ok or need to take some medicine. Plz reply as early as possible Best regards

Answer: She can continue the medication. Have an ultrasound done on day 12 of the period to determine whether she is ovulating and what would be her most fertile period. You have not mentioned the semen count which is usually mentioned in millions. Let me know, so I can advcie you further. Have her fallopian tubes been checked ? If they are patent, you can also try IUI (intra uterine insemination ) .All the best !


Question


Hi Doc. I have been married for 7 years now. Initially i use to conceive. But had miscarriages all the time within 2 months. In 2005, when i conceived i had spotting and in the 3rd month it got aborted. After that i did not conceive. In 2008, i had a tubualar pregnancy which had to be aborted. I am visiting my doctor from past 8 months now and no result. I am continuously on letroze 2.5 mg and FMR scan and susten tablets. I have regular peroids (28-30 days). In my HSG report, the doctor told me that my right tube is partially blocked and left tube is patent. Is this a problem for me to conceive. Please suggest. I am really frustrated

Answer: Sorry to hear about your problems.You nust do an ultrasound on the 10th day of the period to determine that the follicle is on the left side ( the side that the tube is patent). In that cycle you can try to conceive. Do not try when the egg is in the right ovary , as you can have an increased chance of an ectopic pregnancy .What investigations have you done for the recurrent miscarriages. Let me know, so I can advice you further. Do not give up and get frustrated ! Since you have conceived, you should conceive again, and with adequate medication during the pregnancy, you should have a baby !


C) PREGNANCY

Question


i got married in 2005 and conceived in few months but had to terminate it for some reasons(not medical),then we took precautions for 3years.since last 4 months we stoppped taking any, as i wanted to conceive.but then i was diagnosed with chocolate cyst in my left ovary & also polycystic ovary,the doc. here gave me metaphage,clomid,actos.now i m 10 weeks pregnant and takingthe folllowing medicines since last month; 1) metaphage 500mg twice daily 2)folic acid 5 mg 3) duphaston 10mg 4)cyclogest 400mg 5)juspirin 81 mg once daily b,cos my anticardiolipin test igG is positive while igM is negative doc. i m very worried about this aspirin,is it so necesary fr me & my baby my doc, said i ve to take it throut my gestation,due to that i m not able to enjoy this beautiful phase of my life doc i beg yr help,pleassssseee.

Answer: Congratulations ! Do not worry- juspirin is absolutely safe in pregnancy. What is the size of the cyst now? Also, do you have any abdominal pain ? If you are in Oman and wish to see me , you can take an appointment on 24563181. All the best for your pregnancy! Relax and enjoy your pregnancy !


Question


Hi,I am 10.5 weeks pregnant and bleeding happened twice in last week. consulted doctor and found baby growing well but placenta lying near cervix opening. doctor advise for gestofit injection upto 16th week. I would thankful for your kind guidance for this situation.

Answer: If you should be fine. If the bleeding is still persisting, you may need other tablets to prevent the uterus from contracting. Consult your doctor regarding that.


Question


Doctor, currently we are in hyderabd, My Wife had a D&C during last year due to reducted growth of the fetus(no heart beat). After that TSH level tested and shows high, and she was under Thyronorm 25. we cam back to hyderabad shown to a doctor, he told that to stop thyronorm since it was normal. We tested after three months again and it was normal. Now she conceived and the doctor told us to have huchogon 5000u upto 14th week, Gestofit 100(twice daily) for one month and ecosprin 74 for one month and again Thyronom 50 (becasue the TSH level shows 13.6 after the first month of pregnancy). Madam is there any problem of taking these many medicines ? We are bit worried about it. thanks jayakumar

Answer: All these medicines are safe in pregnancy . The thyroid levels change during pregnancy ,so you need toadjust the dose accordingly.All the best !


D) OTHERS

Question


I have a normal period for 5 days this month I spotted one day it was pink when I wiped then the next day nothing then the 3rd day brown day 4 and 5 it started getting heavy and its lasting longer then usual by the way I am trying to concieve what can this mean this never happened before

Answer: Do a urine test for pregnancy as you can have bleeding in pregnancy ..If it is negative , have a scan done to rule out an ovarian cyst.


Question


Dear Doctor, I am getting married on 11th March 2009,which is exactly the time for my periods. People are telling there are some injections to prepone it. Can you please suggest me the solution and if possible can you please let me know the side effects also. Thanks and Regards, Swapna

Answer: You have not mentioned in which city you are. You can take primolut - N tablets- one tablet twice a day from the 4th of March till 20 days . You would get a period after stopping the tablets. These will be safer and more reliable than the injections. The only injection that I am aware of is a contraceptive injection which avoids a period for 3 months. However, with that, some women get bleeding off and on, so it would not serve the purpose. Please check with your doctor whether you can take the medication. All the best and congratulations !


Question


using pan masala since last five years, mouth opeiong now is less than five years back.Doctor has advised to take inj.placentrix 2ml+inj.dexona 2ml + LA as intrlesion. your advise is required.

Answer: I have not understood your question well. When you say" mouth opening" - do you mean vulva ? I am not aware of how paan masala affects the vulva. Anyway these medicines should help.


Question


I am 29, i have two children. i have lost sensitivity in my virgina. My Gspot area is not senstive and my clitoris is not as sensitive as it once was. When i had my first son i tore, they sold me back up could this be the reason.

Answer: You need to see a gynec who can determine if there is any other skin lesion responsible for this and could then give you advice regarding it.


Question


i just started to get my period back after two yrs. i've been on the depo and have been off it for the past yr. finally got my period in novemeber and it was a 30 day cycle. in january my period was due on the 28th and didnt get it. i was experincing light headedness and breast tenderness took a pregnancy test came back neg. got my period on the 5th of feb. which turned it into a 39 day cycle. i was wondering that being that i was under alot of stress in jan. would that have delay my period and is there any chance of ovulating being that my cycle has changed for this month.

Answer: One does get delayed periods immediately after stopping the depo provera, but you should have normal periods now since it is one year since you have been off. Have an ultrasound done on the 5th day of your period to rule out an ovarian cyst . Also, have your thyroid and prolactin hormones checked. If any abnormalities, let me know , so I can advice you further. Stress can cause delayed periods. You could be ovulating even if the periods are irregular.


Question


hello madam,i am having irregular periods.after 2 months gap i got period with dull coloured spots.it was continued till 25 days of my period started.then i consult gynec ,she did ultrasound &she told my endometrium is verythick and also having pcods.is there chances for conceiving plse inform.my T4&TSH LEVELS ARE NORMAL

Answer: You have not mentioned the thickness of the endometrium. Repeat the scan on day4 or 5 of the period, as the endometrial thickness changes during the cycle and is minimum at that time. Let me know the thickness in mms. and also let me know whether you have any fibroids in the uterus. Also, what were the findings of a vaginal examination ? Let me know whether you have an erosion or a polyp which can cause the spotting. Also, have your prolactin hormone checked. You can conceive with PCOD as long as you ovulate. This can be determined by doing a scan on day 12 of the period. If you are not ovulating, your gynec can prescribe you clomid tablets to help you ovulate.
 


Question


Dear Doctor, I am 23 year old, i have not seen my period for almost 4(four)months now .I have took about 7 pregnancy test and it all was negative.i have also went to see an gynecologist ,he didnt an ultrasound which comfirm i wasn't pregnant .can you advise me in which next step should i take

Answer: Take duphaston tablets- one tablet twice a day for 5 days to get a period. If you have a similar problem in the next cycle , have your thyroid and prolactin hormones checked.


Question


dear Dr. i used to have an irregular period when i was still a teenager, and as i grew older it became regular. im 25 yrs. old now and my menstruation has been regular, it occurs every 27 days but now im delayed for 4 days already, i havn't had any sexual contacts. i had gum inflamation which started 10 days ago (jan. 27) and i had been taking amoxicillin 500 mg twice a day for 10 days along with tylenol extra strength every 4 hours. yesterday(feb.5) was my 10th day of taking the antibiotics. does the delay in my menstruation have anything to do with the medications i took? is it normal that i regularly have my cycle every 27 days and i suddenly become delayed for 4 days? pls help, im really worried. thank you so much.

Answer: The antibiotics can cause a delayed period. However, since you have a history of delayed periods, have an ultrasound done to rule out the presence of PCO ( polycystic ovaries) .


Question


Hello doctor, I had a problem with my periods, they are very irregular.I undergone so checkups and treatments.. I tested for thyroid, harmones imbalance, ultrasound tests.. Reports says normal. but I wont get my periods. I will get my periods only if I use regestrone tablets for one week. once I stopped the tablets i will get my periods. One of the famous doctors suggested me to use one regestrone table daily after a meal from the 16th day of my previous period. This is the way i am following from past 10 months. I put on weight also and I had an unwanted hair growth under my chin... I am married and had one 2 yrs old kid... Please help me.. I am desperately waiting for your response.

Answer: From your history, you may have PCO ( polycystic ovaries) . You have not mentioned that in your ultrasound report. Also, let me know the results of FSH, LH and testosterone done on day 2 of the period. If you have PCO , you would have irregular periods , weight gain and excessive hair growth. For how many days are you taking regesterone ? Let me know all these, so I can advice you further.


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