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PCO (Polycystic
ovaries) |
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Question
Hey, i havent had a regular period in over 3 yrz
last year i got them once from 27th oct to 4th nov then nuthn i was
earlier diagnosed with pcos, now this year i have been bleeding for a
couple of days say about 2 weeks sometimes light, not really any odor i
some times get a little sharp stab in my vagina area that makes me jump
any ideas of what it may be the blood iz brown on day bright red on
others and maroon like on otherz it also has clear like sticky stuff
through it twice when me and my partner had sex i bled quite alot so we
had to stop didnt really know if it waz me or him we are sure it waz me
what u think i may have please help? Im worried |
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Answer: PCO is associated with irregular periods. Since you have
had post coital bleeding, have a pelvic examination done to rule out any
infection, erosion or polyp in your cervix which maybe giving the
bleeding. If there is a problem you would need adequate treatment. Also
have an ultrasound done to ensure that there is no cyst ( besides the
PCO ) or fibroid in the uterus .Let me know the results, so I can advice
you further. |
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Question
I am 17 and i have p.c.o.s and i was wanting to
kno if a home pregnancy test could so up negative n u could really be
pregnant but have to have a blood test to have it show up positive |
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Answer: The pregnancy test would not have any relation to
your PCO. It would be dependent on your time of ovulation. It would
be positive 15 days after ovulation. A blood test- beta hcg - would
be positive 12 days after ovulation. So, if you think or know that
you have ovulated after day 16 of the period, a blood test would be
preferable. Even if your urine test is negative, you can repeat it a
week later and it maybe positive. |
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B) INFERTILITY |
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Question
Hello doctor,iam married for last 3yrs,presently
iam in australia,my gp here did my ultrasound in jan 2009 which says all
is normal(she gave me diane).when i went to india in april 2009 i went
to gynec, she checked me personally and said there is no problem,(my gp
here said i have minor PCOD)The gynec doctor in india prescribed me with
diabex and clomid to be taken from 3rd day i took contraceptive pills
till june2009 and from july2009 ihave taken clomid upto nov2009 and
daily iam taking diabex,my periods are regular (every month delay by 1,2
or 3days)last i got my periods on dec 10 (before that on nov 7) and in
jan 2010 i didnot get my periods, i didnot check for pregnancy test, doc
i want to conceive iam 28yrs, shall i wait until feb till my periods
show off ,iam scared to chek for preg,doc if it turns out negative.....pls
doctor advise if iam taking right tablets. Thanking you in advance |
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Answer: Diabex and clomid are fine. i presume you are taking
folic acid tablets also. I hope you have been doing ultrasound at
least once in a cycle around 12th day of the period. This would let
you know your fertile period. Also, it would reveal whether your
ovaries are forming cysts or getting unduly enlarged due to the
clomid. I presume by now you must have got a period . If not, please
do a pregnancy test. All the best ! |
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Question
I am trying to conceive 41 days menses i am
confused about ovulation at times i am dry and at times wet can u help |
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Answer: The time of ovulation changes from person to person
and even in different cycles in the same person. The best way to
determine that would be to do an ultrasound on day 12 of the period.
During ovulation , there is an increase in cervical mucus and
therefore you would be wet. Once ovulation has occurred , there is a
thickening of the mucus, so you would be dry. Dryness also depends
on many other factors like stress, so you should be relaxed during
intercourse. |
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Question
Hello Doctor, I'm 33 years 6th months old and my
husband is 40. We are unable to conceive as he had a low sperm count of
6 million and this has been corrected by varicoceale with which it
increased to 19 million and again decreased to less then 10 million but
with 50 % mortility rate. We have been married for the last 4 years and
within this time I have undergone one IUI (failure)and IVF with ICSI for
which i got my beta hcg result today itself. (0.1 mIU/ml) Non pregrant.
It was emotionally devastating. I had 2 ET done on 10.01.2010, one of
grade A and the other of poor quality. My doctor said I had 25% chances
and I tried to remain as positive as possible. Now my only concern is my
increasing age. I will be 34 this november. Will I be able to conceive
naturally with my egg quality decreasing every passing day. Do you
suggest we consider 2nd cycle of ivf? Please advice as I'm totally
depressed and confused. Thank you doctor |
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Answer: Sorry to hear about your IVF failure. Considering
your husband's semen quality and your age , IVF / ICSI would be the
best option. In the meantime, you should contact your andrologist
and your husband can use some medication to improve his count. If
you are unable to do another cycle of IVF at present , IUI should
help even with this count and motility. All the best ! |
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Question
I have suffered from irregular periods since age
13, however a doctor adivecd me to induce with mycrogynon, when i
stopped i never got periods for 6months, the i was given duphaston for
3months , but after that period i have not seen the periods again for
three months now, i want t to get pregnant , what can i do? |
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Answer: Have an ultrasound done to determine whether you have
PCO ( polycystic ovaries ) . Also have your thyroid hormone(TSH )
checked. An abnormality in this can also cause irregular periods. On
day 3 of your period, do a serum FSH and LH .. This would also
determine what sort of treatment you would require to get pregnant.
Let me know the results, so I can advice you further. |
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C) PREGNANCY |
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Question
Hello, i have had two miscarriages. After the
second miscarriage i got some blood tests done. The results for
antibodies showed that my anti-cardiolipin IGM was 3.8 MPL/ml and it
should not exceed 3. My doctor has advised me to take Ascard (75 mg) as
soon as i conceive next time along with foilc acid. I want to know is it
safe to take ascard during pregnancy as it is aspirin and aspirin should
not be taken during this time. |
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Answer: Ascard is a low dose aspirin and has found to give
good results in preventing a miscarriage. Several studies have been
done and it has been found to be safe in pregnancy when taken as one
tablet a day of the 75 mgm tablet. |
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Question
Dr.Hi firstly we used to consult you when residing
in Oman.We have a son named Dhruv ( 6yrs). In between i had 3 obortions
and I am carrying for the second baby and am 19 weeks and few days now,
i was advised to get the triple marker test done. In the test result we
have got the report as trisome-21 at high risk ( ratio 1=239). I have
been advised by the doctor to get the amniocentesis done in India and
are meeting Dr. Leela lulla on coming tuesday 26/1/2010. Also in the
last weeks scan report,all is normal except there is kidney dilation (
both kidneys, mild) which is on border. We would like to have your
opinion since we got Dhruv under your observation, checkups and
guidance. Awaiting earliest feedback. best regards, |
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Answer: Your question goes to the omanaccess website and then
comes to me without your name.The questions are then sent to me and
then I send them the answers after a few days. By now you must have
got the result of your amniocentesis. Since you were my patient ,
you could have phoned me at the clinic directly with your card
number. Anyway, you can phone now and let me know the result, so I
can advice you accordingly. In case you do not have the clinic
number it is 24563181.Also, you can come and see me once you are
back, so I can treat you further to try and prevent another
miscarriage or preterm delivery. All the best ! |
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Question
I'm 28 years old and I was expecting my period on
the 18th of january. the first day of my last period was on 19th of
december. I took an at home pregnancy test wich came out positive. I
don't want to have the baby and I don't want to have an abortion either.
I asked my gyno what I can do to induce a miscarriage and she told me to
take Primolut tablets, 2 in the morning and 2 at night for three days.
Will this work? Is this dangerous? What else can I do to avoid an
abortion if the Primolut is not helpful? Please help me. |
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Answer: Primolut N is not an abortifacient, so it would not
work, unless the fetus was already abnormal or dead when you took
it. Certain other drugs are available in different countries. I do
not know which country you are from, so you will have to check with
your local doctor regarding that. The best way would be to do a D &
C , as it assures complete removal. In future, I would advice you to
use the pill as the contraceptive measure rather than go for an
abortion, as any abortion can cause some damage to your uterus and
tubes . |
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Question
I was pregnant in 2009 and had a still birth at 40
weeks. During the early stage, I was given progesteron injections. Now I
am 5 weeks pregnant and the doctor have place me on Primulot Depot
injection. I read on the net that the injection has side effects
expecially on female babies. Could it have contributed the death of my
first baby as it was female baby? What are the risks involved in taking
this injection as I do not want anything to happen to my second baby. |
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Answer: Sorry to hear about your stillbirth.I do not think
the stillbirth was related to your progesterone injections. Did you
have high blood pressure or diabetes during that time ? Was the
growth of the fetus normal ? Regarding this pregnancy, if you are
afraid of the primolut depot, ask your doctor if you can take hcg
injections- 5000 units twice a week instead of the primolut. Hcg is
the pregnancy hormone , so absolutely safe and is found to be
helpful in preventing a miscarriage. Why had you been given the
injections in the first pregnancy anyway ? Did you have bleeding or
any previous miscarriage ? If you have any more queries, please do
not hesitate to contact me ..Please ensure that your blood sugar is
normal throughout the pregnancy. All the best ! |
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Question
Hello doctor, i would like to what effect does
modus 10 tablets will have if used once pregnant. |
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Answer: If used during early pregnancy, it can cause
masculinization of the female fetus in some cases.It may cause
hypospadias in the male offspring. |
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Question
I had an incomplete sex just once and after that
my periods are delayed by 14 days. My tummy has bulged out. How can i
check pregnancy at home without any strip? |
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Answer: First of all, the tummy would not bulge out so soon
even if you are pregnant.You need to buy a clear blue or any other
strip to determine whether you are pregnant or not. |
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Question
Hi I am 34 yr old lady i am pregnant i was having
problem of brown discharge for 15 days DR has suggested med to have 3
times Duphaston, 3 times Glucophage one time Juspirin 2 time Cyclogest.
Would you pl suggest me these medicines are safe for my baby. |
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Answer: All these are safe in pregnancy. However, both
duphaston and cyclogest are progestational agents , so you would
usually require one of them . |
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D) OTHERS |
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Question
Doctor, by mistake i hadone meprate tablet on the
day i got my periods...does this affect my health in any way..? |
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Answer: Meprate taken for one day on the day of the period
would not cause any problems. |
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Question
Can u tell me what is the use of taking metaphage
500mg tablet before getting pregnant and having hypothyroid contolled. |
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Answer: You have not given me a lot of information. I
presume, however, that you have PCO and therefore metaphage has been
given. In PCO there is insulin resistance which prevents the ovaries
from producing eggs. Metaphage helpsthe egg formation. If your
thyroid levels a re abnormal, it may interfere with conception.
Also, once you are pregnant, if the thyroid levels are not normal,
there can be problems with the fetus. |
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Question
I am taking progynove 2mg after my ovulation. it
is now 10 days after my periods due date. i stopped taking progynova
6days back. but still i have not got my periods. my home pregnancy test
turned negative. what could be the reason iam not getting my periods. |
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Answer: Usually, one would get a period within 4 to 10 days
of stopping the progynova.If you still have not got a period, do a
beta hcg blood test for pregnancy. If that is negative, have a
pelvic ultrasound done to rule out the presence of an ovarian cyst
which can cause a delayed period. |
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Question
I wont to know what use for navidoxine drugs |
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Answer: Navidoxine helps preventvomiting. |
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Question
Hi, Doctors are using some type of jelly while
doing folicuar sonography for less pains. This jelly they are inserting
in vigiana.My questions is after inserting this jelly doctors are
telling us to keep intercourse.So there is possibility of mixing of this
jelly with the seamen.So is there any side effects of the same or any
side effect on child? |
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Answer: I usually do not use the jelly on the outside of the
probe as it can reduce sperm motility on that day. The jelly is used
inside the probe cover for better vision. Even if you do get
pregnant when the jelly has been used , it would not affect the
baby. |
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Question
I am 50 years old. I am having my period after 6
months. Heavy bleeding has started continuously for 12 days. What should
I do? Which tablet can I take? Or do I continue like this. I am not
feeling any other discomfort, except Looking at my own blood flowing
with cloths makes me nervous. Pls advise |
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Answer: You can take dicynone or tranexamic acid for 3 days.
Since the bleeding is profuse and after 6 months, have an ultrasound
done to rule out the presence of an ovarian cyst or fibroids. Also,
later, have a Pap smear done . Let me know the results, so I can
advice you further. |
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Question
Can i use tab duphastom&inj proluten depo together |
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Answer: Both are progestational drugs, so you would not
require both .So, check with your gynec again , why both have been
given. |
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Question
Hi there! I am 28 years old i was diagnosed with
IBS about6 yeears ago but just recently i have been getting very bad
abdominal pain and also back pain is this a symptom of IBS as i usual
get abdom pain but never much back pain so why now i hav also got white
discharge but without symptoms. |
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Answer: Abdominal pain is a symptom of IBS, though usually
back pain is not. Anyway, have an ultrasound done to rule out the
presence of a fibroid or an ovarian cyst. Regarding your white
discharge,use canesten 6 vaginal tablets for 6 nights. If the
problem persists, see your gynec who can do a pelvic examination and
determine if you need any other treatment. |
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Question
I am having irregular period.my gynoe suggested me
krimson35 for 6 months.i am about to complete the course.now i want to
conceive asap,can i? |
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Answer: I would advice you to wait for 1 cycle before you
conceive after stopping the krimson. In the meantime, start taking
folic acid tablets. |
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Question
Madam, Can I have your contact details please. I
want to come & consult you personally. |
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Answer: My telephone number is 24563181. My clinic is
situated in Qurum area, opposite the qurum private school. You can
phone for an appointment and at that time we can give you the
directions . |
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Dr.Smita
Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
