|
PCO (Polycystic
ovaries) |
|
Question
Dear doctor, i need your help.. please! me and
husband was trying to have a baby for almost 1yr already.. i have an
iregular period and was diagnosed with PCOS. my 1st ob-gyne recommend me
to take clomid for only a month but nothing happens. so i try to consult
other ob-gyne, so she recommend me to not to take clomid instead take
metformin 3x a day, follic acid everyday and duphaston 1x a day on my
16-25 cycle. i take those medicines for 7 months but no baby yet. so i
tried not to take duphaston this november, because i think i already
have a regular period because of those medicines but unfortunately im
already delayed, im expecting my period last dec 1 so i took a pregnancy
test on dec 3 but the result was negative... so i take 5 duphaston like
wat my doctor said for 2 1/2 days, 2x a day on dec 10.. so i usually
have my period 2-3days after taking duphaston.. but unfortunately until
now i dont get my period.. but im experiencing headache, cramps, and
back pain...is it possible that im pregnant? pls help |
|
|
Answer: PCO is associated with irregular periods and infrequent
ovulation. If you still have not got a period, do a pregnancy test.
If you have got a period, do a scan on day 12 of the period to
determine whether you are ovulating or not. If you are not, you must
take clomid in the next cycle and again do a scan on day 12. You can
continue the metformin. Also, have you checked your TSH ( thyroid )
hormone? If not, checkit . Let me know the results of the scan , the
thyroid hormone and your husband's semen report and I can advice you
further. Don't worry, with the right treatment, you should be
pregnant soon ! |
|
|
|
Question
Hello Dr, I had an miscarriage in my 11th week of
pregnancy in 2007. Dr said it might be due to infection or stress. Since
then i was given fertilization tablets to get pregnancy. I also have
PCOD problem for about 7 to 8 years. I have been given the following
medicines for 3 months cycle to get pregnant. Siphene from day2-day6.
Ovacare from day1 - day15. Naturogest from day 15 - day 27. I got my
periods exactly after 30 days during my first month course of these
medicines. We are also planning parallel. After my second month of this
medicine course today is my 35th day. I still didn't get my period also
i tested for pregnancy.the result is negative. Do I have to wait for
some more days to test. Also i did HSG in India before taking all these
medicines. Dr has a doubt that my fallopian tube position is upward.
Will I get pregnant again. I am really depressed of planning for the
past 2 years. Please suggest |
|
|
Answer: Sorry to hear about your miscarriage. Since you have
conceived before, you should conceive again. Which city are you in ?
If you are in Oman and wish to see me, you can take an appointment
on 24563181. I think you should monitor your ovulation on
ultrasound. if you are taking siphene. This will determine your most
fertile period and also ensure that your ovaries are not getting
unduly enlarged. I did not understand what you meant by "We are also
planning parallel. ".Do send me the written report of your HSG also. |
|
|
|
Question
Hi I am 28 years old and I have PCOD (Polycistic
Ovarian Disorder). I have been taking OCPs (Novelon) for last two years.
Recently, there was some milky discharge from my breasts. I showed it to
a gynec and she asked for Prolactin test. My level came out to be 15 but
that is normal..right? But the Gynec has prescribed Cabglin 0.5 mg
weekly. I am a little concerned as the Prolactin level is normal only.
My periods before taking OCPs were quite irregular up to the extent of
once in four months sometime. Shall I take Cabgolin or not. I am
planning for pregnancy and will be stopping pills after this cycle. What
are the side effects of Cabgolin? |
|
|
Answer: Since your prolactin is normal, you may not require
cabgolin. However, the value often varies, so it would be advisable
to take it for 2 weeks .. There are usually no side effects with
cabegolin.Once you stop the pills, have a scan done on day 12 of the
period to determine whether you are ovulating or not. If you do not,
you can use clomid in the subsequent cycle. |
|
|
|
|
|
B) INFERTILITY |
|
Question
Hello, Its 8 months for our marriage me & my wife
is trying for a baby. We have not consulted any doctors. She is having
her periods regularly. Please let me know should we consult doctor or
wait for some more time as we are trying desperately fo a child. Please
advice. |
|
|
Answer: You should have your semen examination done. Your
wife should start taking folic acid tablets, to prevent certain
abnormalities in the baby. Have her ultrasound done on day 11 of the
period to determine whether she is ovulating or not. Let me know the
results, so I can advice you further. |
|
|
|
Question
Hello Doctor,I got married on nov 2008 and i am 23
now.I have the problem of irregular periods,so i consulted a doctor to
regularize.I was given rogestrone first.after taking this i got my
period.then from the third day i was given fertomid tablet.the next
month i got period correctly(28 days).Again i was given fertomid, and
from 14th day (14.12.2009) duphaston was given. will this help me to
conceive.i am very much worried help me please. |
|
|
Answer: Fertomid will help you form eggs and help you
conceive. However, you should do a scan on day 12 of the period to
determine whether you are ovulating or not. Duphaston should be
given after you have ovulated. Also, have your husband's semen
examined and your fallopian tubes by doing an HSG (
hysterosalpingography ) or Laparoscopy. All the best ! |
|
|
|
Question
I have had one son that is 8 and i had a miscarage
then a d&c one week after the miscaraige now it has been 4 months and i
can not get pregant i checked my levels and lf 4.5 and fsh 5.1, when is
it good to try to get prenant? it took me almost 2 years to get pregant
but then i lost the baby. |
|
|
Answer: Sorry to hear about your miscarriage. You have not
mentioned how many weeks pregnant you were when you miscarried and
whether any reason was found for it. Anyway, have an ultrasound done
on day 12 of the period to determine whether you are ovulating or
not. If you are not, you would require clomid tablets during the
next cycle. Also , have your husband's semen examination done. |
|
|
|
Question
Hi Doctor. I have been having unprotected sex with
my husband for 4 years now, and have not been able to get pregnant. Went
for blood tests, pap smears etc and all seemed to be fine, exept for the
fact that I am not Ovulating. My doctor put me on Clomihexal now. Is it
possible that I will be able to fall pregnant during the 1st month? How
long does this usually take?? I had a history of exxesive bleeding with
bloodcloths, no visible systs on my ovaries tough. Please advise! thanx!! |
|
|
Answer: Clomihexal should help you ovulate and conceive. If
you did not conceive this month, take it again the next cycle and
have an ultrasound done on day 12 to determine whether you are
ovulating or not. If you do not, the dose of clomihexal can be
increased in the next cycle. Discuss that with your doctor. All the
best ! |
|
|
|
Question
Hi, Before 2 years i am married. After 1 year i
contact my doctor because i am not conceived. My husband's semen count
is normal. and my folicules's size are normal. So my doctor suggest me
for IUI and after five IUI no result is their. my period is regular, my
doctor priscribe me to take 'clome 50 for 5 days and Lynoral for 7 days'
plz tell me the usage of these tablats. Is these tablats helpful for
pragnancy? |
|
|
Answer: Sorry to hear that things have not worked out yet! I
understand from this that you did IUI without using clomid
previously.Clome 50 ( clomid ) would help you form one or more eggs.
The chances of success in IUI increase when more eggs are present.
How many eggs were you forming when you did the IUI ? Also, let me
know your husband's semen report in detail and your HSG (
hysterosalpingography ) or Laparoscopy report , so I can assess the
condition of your tubes. Lynoral is also fine. |
|
|
|
Question
I am done with lapro-hysteroscopy before 2 months.
Did ovulate last month, had IUI, but no success :(. This month after IUI,
my doctor has adviced me take ecosprin(ASA 75mg). Can you please tell,
why I need it? |
|
|
Answer: Some studies have shown that ecosprin may help
prevent a miscarriage. All the best ! |
|
|
|
Question
Hello Doctor I am hypothyroid, my TSH is below 5.
My ednocro. doctor told me that for pregnancy to occur TSH should be
below 3, is it true.Because as per my gynec below 5 is ok. I had
laparoscopy, no problem was found. My husbands counts are fine. Then
what could be other factors for not conciveing. My age is 33. |
|
|
Answer: Please check the normal range of the thyroid hormone
in your lab . This varies depending on the kit used. Depending on
that you would know whether below 3 or 5 is ok. Have you done an
ultrasound to determine whether you are ovulating ?Have one done on
day 12 of the period and let me know the result, so I can advice you
further. Also, have your tubes been checked ? |
|
|
|
|
|
|
C) PREGNANCY |
|
Question
I had a miscarriage two years back and found it
difficult to conceive until now. Now i am pregnant(four weeks). My
doctor has precribed duphaston, jusprin and gupisone for a month. Are
they safe? |
|
|
Answer: All the drugs given are safe . Did you do any other
investigations to determine the cause of the miscarriage ? In case
you are in Oman , and wish to see me , you can take an appointment
on 24563181. I could then advcie you further after seeing you. |
|
|
|
Question
HI, I am 27 year old, I had 2 miscarriage within 2
months of pregnancy. Now I am pregnant with 5 months completed (22 week
pregnant). From the day one of my pregnancy to till now I am using
ECOSPRIN 75 tablets. I want to know is really required for me to take
this tablet now also?. And how long I should be taking this tablets? Is
there any side effect for this tablet?. Is this tablet affects by baby?
please let me know. Thanks in advance –Shruti |
|
|
Answer: Ecosprin is safe in pregnancy and taken once a day ,
does not have any side effects. Your doctor would be able to advice
you regarding till when you require it, depending on the growth of
the fetus and other factors. All the best ! |
|
|
|
Question
I am 22 weeks pregnant.Yesterday I had TIFFA
scanning. Doctor told me about following abnormalities: 1.Right
diastolic notch notes. 2.Low placenta 3.Prominent kidney 4.B.P is more
She said when scannning at 32 weeks is done, all the identified
disorders may not be present. Also she prescribed Loprin 75mg. I have
seen some negaive feedback on loprin, leading to miscarriage. Is Loprin
usafe? Thank you verymuch for your answer. Kind Reagrds |
|
|
Answer: I presume Loprin is low dose aspirin. If so, it is
safe in pregnancy in the dose prescribed to you. |
|
|
|
|
|
D) OTHERS |
|
Question
Hi doctor, Iam 24yrs old and have undergone a
Laproscopy to remove chocolate cysts in my two ovaries(4.8cms and
3.4cms).In the biopsy it was found I have Endometriosis. I was asked to
use NOVELON pills for 6months after the surgery since I dont want to get
pregnant now. I have searched many sites whether to use oral pills after
laproscopy or not since I heard they would reduce my chances of becoming
pregnant later.Please reply since its very important to me and Iam
recently married.
|
|
|
Answer: Chocolate cysts is the term used for endometriosis.
Novelon is fine. It should reduce any residual endometriosis which
maybe present and act as a contraceptive, too. Short term use of
pills do not reduce your chances of conception. |
|
|
|
Question
Hello doctor...i am 23yr old..i get too wet while
intersourse it becomes very difficult for my partner to feel it because
of less friction..i went to a doc she suggested me af kit and clingen
vaginal tablet. white discharge keeps coming out...is their any way to
make the wetness less ..and are these tablets for std ..thank you. |
|
|
Answer: You need to see a gynec who can determine whether
your wetness is due to an infection or whether it is your normal
vaginal secretion. Please let me know the contents of clingen ,as it
is not available in Oman, so I am not sure whether it is an
antifungal or not . |
|
|
|
Question
I started my period Dec 3rd and it lasted 4 days
like normal. Seven days later on the 13th I started bleeding again and
now it's the 4th day and I'm still bleeding. Usually my periods only
last 4 days. Is it possible to have 2 in one month like this? |
|
|
Answer: Do a urine test for pregnancy as sometimes you could
be pregnant and the bleeding you had was due to a threatened
abortion or ectopic pregnancy. If you have got another period by
now, have a scan done to rule out the presence of an ovarian cyst or
a fibroid which can cause the irregular bleeding.If the scan is
normal andthe problem recurs, have your thyroid hormones checked.
Let me know all the results, so I can advice you further. |
|
|
|
Question
Hi, i have been on the pill for about two years
now and about 12 days ago i had food posioning which caused me to vomit
and have dirrea for two day- i carried on taking my pill as normal.when
i started taking the inactive pills, i didnt really had a period - its
was more like brown discharge.i thoughht i could be pregenant because
the pill might have not been absorbed properly because i was sick, so i
took a pregnancy test today (5 days into what is suppose to be my time
of the month) but it came out negitive - i was wondering could the
pregnancy test be inaccurate as its only been 10 days since my husband
and i slept together? |
|
|
Answer: If you have not yet got a period, repeat the pregnancy test. It
would be positive 15 days after conception, so it would not have
been positive when you had done it earlier. Diarrhoea can cause
inadequate absorption of the pill and therefore inadequate blood
levels. This may , therefore , not prevent ovulation. You must use
an alternative method of contraception during that cycle. |
|
|
|
Question
I am 38 years old. I have two childs
one is 18 years another is 14 years. I observe paint in left lower
abdomen 1 and ˝ months back. Dr. advice me to do Ultrasonography and
result is as follows :- 1) Bulky Uterus : Endometrim thk. 8.1 mm. Uterus
measures 109.9 x 66.7 mm. 2) Follicle in Left Ovary: Left Ovary Measures
32.4 x 27.1 mm 3) Right Ovary : normal Measures 31.0 x 20.4 mm I felt
tremendous pain with vomiting 3 weeks before and was hospitalizes. After
two weeks treatment the pain has disappear. Doctor discharged me from
the Hospital and advice not to go for operation. This will automatically
clear with taking medicine. I am taking medicines as per their advice.
Now I am feeling week, acidity, and some sometime feeling so light pain,
my lower abdomen is slight weight. My menstruation period is normal
Please advice me will I be recover from this. |
|
|
Answer: Sorry to hear about your problem. Do a scan on day 5 or 6 of the
next period. The sizes that you have mentioned - are they of the
ovary or the cyst ? Anyway, send me the report of the next scan -
including both the ovary sizes, cyst sizes ( if present ) and the
thickness of the endometrium. I can then advice you further. Hope
your pain is better. Ensure that you are not constipated , as that
may aggravate your pain. |
|
|
|
Question
I am 23 years old. I have been having
a white clumpy vaginal discharge that is very watery. Very mild itching
and no odor. I have taken diflucan and nothing changed. Now the
discharge is very light pink and clumpy, do you know what this could be. |
|
|
Answer: It seems that you maybe having afungal infection. Use canesten
vaginal pessaries for 6 nights. If the problem still persists, have
a vaginal culture and sensitivity test done to determine whether you
also have a bacterial infection. This would also determine which
antibiotic you may require for the bacterial infection, if any. |
|
|
|
Question
Hi doc i ask question i missed my
period this month but negative result and im taking duphaston last month
can i be pregnant? |
|
|
Answer: You should get a period within 5-10 days of stopping the duphaston.
If you have still not got a period, do a urine test for pregnancy. |
|
|
|
Question
What mean mesturation? |
|
|
Answer: Menstruation is "getting your period ". It is the flow of blood that
women get every month . |
|
|
|
Question
Hello doctor, i am 31 years old
...Doctor treatment After this month i take duphaston tablets. After
taking tablets my vaginal very pain i have very tired then abdominal
pain what i am doing? i read lot of details in duphaston through net. i
want to know about the reason this tablets take person heavey bleeding
but i have normal bleeding then some month only irregular period some
month regular period. what problem in my body. i like child but how way
i am pregnanat? |
|
|
Answer: Duphaston usually does not give heavy bleeding. Have a scan done
on day 5 of the period to determine whether you have fibroid or a
cyst in the ovary. If normal, then repeat the scan on day 12 of the
period to determine whether your "eggs" are forming well or not.
Also have your husband's semen checked. Let me know all these
reports, so I can advice you further. |
|
|
|
Question
Married for 8yrs,trying for a baby,detected multiple polyps in the utrus and on 23rd undergone
hystolaproscopic to remove the polyp.. my tube, overies and utrus are
all normal.My Dr gave decapeptyl depot 172mg,on 30thnov.on 13th of dec i
got bleeding same as periods, is it normal. pl. advice |
|
|
Answer: Decapeptyl should reduce the size of any fibroids or polyps that you
may have. Usually, there should not be any bleeding after the
injection, but , sometimes, it can occur. Do you have to repeat the
injection after four weeks ? What are the sizes of any remaining
fibroids or polyps ? Let me know, so I can advice you further. |
|
|
|
Question
I have a smelly discharge but its white can you
tell me what does that mean I know its not a std because me n my
boyfriend was cured for that can you help me please? |
|
|
Answer: It is difficult to tell you which infection it is without seeing
you. Use betadine vaginal pessaries for 7 nights. Check with your
pharmacist that you are not allergic to any of its contents. If your
discharge still persists, have a vaginal culture and sensitivity
done. This would determine the type of organism you have and the
appropriate antibiotic for that. |
|
|
|
Question
Hello there i have been sterilised
for 5yrs and i have missed 2 periods. done 4 preg tests and all came out
negative. i feel bloated , feel sick in the mornings , eating like
theres no tomorrow and need toilet every 1-2hrs. i had them cut and
tied. please could you shine some light please. i am 26yrs old kind
regards gill |
|
|
Answer: Have a beta hcg blood test done. This would rule out pregnancy . If
that is negative , have an ultrasound of the pelvis and upper
abdomen done. Also, check your blood for H pylori infection and
thyroid hormones. . Let me know the results , so I can advice you
further. In the meantime ensure that you are not constipated. Also,
take disflatyl tablets to reduce the bloating. |
|
|
Dr.Smita
Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
