Question, 

I'm 45 and am on Warfarin for a blood clot and PE. All scans came back clear except I have a large uterus with a thick lining (in the family). I also have fibroids and a benign cyst on the thyroid. Before Warfarin periods were heavy lasting about 9 days. Since a curette and going on Warfarin bleeding and spotting between periods and very heavy periods that go beyond 10 days. I had 4 days of heavy floods that occured mid morning and eased off in the afternoon leaving me exhausted. Gyno had me on 2 Primolut n a day and allowed me to increase to 3 a day this has cut period back to a light medium flow but am on my 17th day of period. Could I take Cyclocaprin or does it clash with Warfarin? My Gyno wants to insert a Mirena Levonestrel IUS but common side effects are heavy bleeding and I'm on Warfarin (Coumadin)...I would like to stay alive!!!!!!!!

Answer

Many drugs change the efficacy of warfain, but cyclokapron does not. You can use cyclokapron if necessary, but only for 3-4 days. However, consult your hematologist prior to this. I don't think Mirena will be very helpful as it causes a lot of intermenstrual spotting and sometimes takes a long time to get amenorrhoea (stoppage of periods ). Check with your gynec whether you should take Zoladex or decapeptyl injections which would temporarily reduce the size of the fibroids. Since you are now 45 you may go into menopause soon and you need to worry about your periods only for a few more years.

Question,

I got a yeast infection from a flavored condom. I didn't get it treated because my period came. Since my period have stop, can I treat it myself now, or wait until I go to the doctor. i have been feeling really sick all the time and i want to make sure nothing is wrong with the inside of me.

Answer

You can use canesten vaginal pessaries for 6 nights to reduce the yeast infection. When you say "you are feeling sick " what do you mean ? Is it nausea or what ? Do let me know , so I can advice you accordingly for that.

Question, 

i have been married for a year and 3 months and have been unsucessful in conceiving. all my tests were clear. my husband semen analysis is as below

total qty 1.5 ml
colour greyish white
viscosity semi viscous
pH 7.5
total count 70 000 000
motility 40% actively motile
30%sluggishly motile
30% dead

smear 1 to 2 inflammatory cells seen per high power field
30% abnormal spermatozoa
10% immature spermatozoa
I have been on Clomid for 4 cycles, but didn't get pregnant. My doctor says that we have unexplained infertility. When I was on Clomid, my periods were very light and brownish. Is this normal? he is taking herbal medicine spermenol twice daily. kindly tell me if we need any kind of further treatment.i shall be very thankful to you

Answer

Periods maybe light after clomid , so don't worry. While you were on clomid , how many eggs did you produce per cycle ? If only one, your gynec could increase the dose of the clomid to produce two eggs per cycle, which would increase the chances of conception. You know, however, that you should be monitored by ultrasound while on clomid. Also, have a PCT ( post-coital test ) done which will determine whether enough sperms are staying alive in the cervix or not . If the test is abnormal, IUI (intra-uterine insemination ) may help.

Question, 

My husband and I have been trying to concieve for 16 months now. I had a hormone test and I was a little concerned about my FSH level. My doctor said it was normal but I looked up some info on the web and found it looked low. I had the FSH test done midcycle (actually a day before ovulation) and it was 8.0 but I found on WebMD that it should be between 30 - 50 IU/L durring that phase. Is this correct? Thank you so much.

Answer

A low FSH level is nothing to worry about and changes from person to person and from cycle to cycle. Ideally, an FSH should be done on day 2 or 3 of the cycle. If it is high then, it means that the ovaries are not functioning well. If it is low then, you might need medication like clomid to help you ovulate.Do a clear plan test to determine whether you are ovulating or not. If you are not, you can take clomid tablets, under ultrasound monitoring.

Question,

I was diagnosed with endometreios 3years ago and had to have my tubes removed. Three months ago I had a cyst on my right ovary rupture. During my period, I pass very large dark blood clots. Some have been up to 4 or 5 inches long. Is all of this related or is there something else going on? I am miserable and my doctor doesn't offer much help because I have no health insurance.

Answer

Do you have fibroids or adenomyosis of the uterus also ? These may cause heavy periods. You can take cyclokapron from the second day of your period - one tablet three times a day for 3 days to reduce your bleeding . This can be used for around 3-4 cycles. If the problem persists, you will have to see a gynec.

Question, 

Let me start with, I have a son alomst for now. In June 2001 I had an Etopic Preg. and they removed the entire tube. Since this I have not been able to conceive. On my last visit my Gyno said to take Ovulation Tests monthly and come back in a couple months. She also commented that my progestrone levels could be off since my son was born I still have leakage from my breasts, however it is white and thick. I am getting very worried I will not be able to have more childern as it took almost 5 years to get my son.

Answer

You have not mentioned how old your son is and when you stopped breast feeding. the milk secretion from your breast could be due to a high prolactin hormone. Check your blood for the prolactin hormone, and if high, take appropriate treatment like parlodel , dopergin or dostinex. A high prolactin horomone could also prevent conception and once that is normal, you could get pregnant. You have also not mentioned whether the ovulation tests showed that you were ovulating or not. If you were not ovulating in 2-3 cycles, you may need clomid tablets to help you conceive. You should check whether you are ovulating after the secretion from your breast has subsided or when your prolactin is normal.

Question, 

HELLO I HAD A BABY 4 1/2 MONTHS AGO AND MY PERIODS STARTED BACK NORMAL EXCEPT FOR I HAD THESE BIG BLOD CLOTS FOR 2 OF MY CYCLES BUT THOSE ARE NOW GONE AWAY! AND NOW 1 OR 2 DAYS BEFORE I START MY PERIOD I DISCHARGE SOME BROWN STUFF WHAT IS THAT??

Answer

The first few periods after delivery maybe heavy. Regarding your brown discharge prior to the period, it maybe due to some vaginal or cervical infection. See a gynec . who can determine whether you have any infection and give you the appropriate treatment.

Question, 

20 days ago i had a bad period lots of liver like clots was present. I was told to go to the emergency room because they thought i was having a miscarrage.My blood test came up negative and i was not pregnate.went to the doctor yesterday was told i had a cyst on my overys and it had ruptured. they gave me a birth control prescription and told me to start my next period. The promblem im having, is the side my cyst is on i am constipated i am passing gas but nothing else.I took 4 enemas ans drank alot of prune juice but nothing my left side is swollen and its been going on for 5 days. i feel horible is this normal.

Answer

You can take duphalac syrup for your constipation. Do not eat apples, drink plenty of water,eat plenty of vegetables and fruits and you should be fine. You can also take disflatyl tablets - twice a day for 3-4 days to relieve any gaseous distention you might have. However, if the problem persists , do an ultrasound again to see what has happened after the rupture of the cyst.

Question, 

For the past four days I noticed a strange brown, bloody like discharge. It is not accompanied by any pain or itching. I am twenty two years old and have never had any problems in the past. I do not feel any pain during intercourse or urination, and the discharge goes away after a few days, and does not come back every month. This month I got it a couple of days after my period. I'm not on any medication. I don't have medical insurence and can not see a doctor, so please help me. Again, the discharge is brownish it looks like old blood left over from my period. Thank You!

Answer

If the discharge was around mid- cycle, it is probably due to ovulation. If there is no other vaginal discharge and it occurs only around mid-cycle, you don't need to worry. If ,however, it increases or is present at any other time of the cycle , you will have to see a gynec. who can determine whether you have any vaginal or cervical infection and give you appropriate treatment.

Question, 

I have some questions, first I am a full 42 C bra size, although my left breast is somewhat larger than my right breast (maybe a 1/4 of a cup size), is this normal? Last August (2003) I had a small lump in the right breast, it went away after 3 months, again is this normal? Also I have very dark areolas, although I am African-American, I am dark carmel coloured and they are black like charcoal, also they seem to cover a lot of area on my breasts, is this normal? In addition to this, if it helps, my neck and the sides of my face, also inbetween my breasts, the insides of my elbows and knees, my inner thighs and middle of my back are unusually dark as well. Finaly and most importantly, for as long as I have had breast (that were actualy portruding and visible), I have had flaky skin that I have had to pick out of the very center of my nipple, usualy with a toothpick or something like that, is this normal?
I am a 17 year old female who will turn 18 in about 5 months, I am 5'2 274 pounds with massive stretch marks all over my body, if this info helps you at all, Thank You.

Answer

First of all , you have to do the most difficult thing- lose weight!. Your stretch marks are probably because of the weight gain. You can use cocoa- butter cream to reduce the marks. The dark skin patches are sometimes due to certain hormone disturbance like thyroid or due to an unusual amount of melanin secretion. You will have to check with a dermatologist for that. Regarding the difference in breast size, you don't need to worry as it occurs quite commonly, and nothing except surgery can correct that. However, you must have your breast examined to rule out that the lump has disappeared. If not, appropriate treatment for that is required.

Question, 

I am a 33 year old woman and recently married 2 years ago. My husband is away a lot so we don't get to have sex much.
We have been trying to get pregnant for a few months now. I was recently told when I went to my primary care physician (when I went for my annual papsmear) that my cervix was pointing towards the floor. Should I be concerned about this when trying to conceive? Are some positions impossible for me? I am trying to picture in my mind what direction my cervix is going in. Also, could it be the fact that I am overweight that is keeping me from getting pregnant? I have never been pregnant before but I have never tried getting pregnant until I got married. My cycles are regular, but, recently changed from 28 days to 30 days. I detected an LH Surge on day 15. I have a friend who had sex 5 days before her cycle and got pregnant. Is this possible for anyone? I thought you could only get pregnant during the surge? Please help.

Answer

The position of your cervix will not affect your chances of conception. However, lie down after intercourse for around an hour, so that gives enough time for the sperms to reach into the uterus. If you are overweight and have associated conditions like PCO or any thyroid abnormalities, it maybe preventing you from conceiving. However, since you had an LH surge, you are ovulating. If you plan intercourse around the surge, you should conceive. The time of the LH surge varies from person to person and cycle to cycle. Your friend probably had a surge 5 days before her expected cycle and therefore conceived. She may have ovulated late during that cycle.

Question, 

Hello I was Diagnosed a year ago with Polycystic Ovarian Syndrome and i havent really recieved alot of information on the syndrome and i was wondering if it was true that there was no way for me to become preganant ? I was also wondering i have jsut recently started talking birth control to start my periods again and i jsut lost my health insurance and i dont know how im going to beable to regulate my periods so im kind of concerned about that thank you for your time.

Answer

One can get pregnant with PCO. In fact, it is present in 25 % of women, and some women conceive without any treatment. Do you wish to conceive now or later ?How irregular are your cycles ? Do let me know , so I can advice you accordingly.

Question, 

Dear doc, Thanks for answering my frist question, the itching has gone away some with out anything, but it still flares up and can be really annoying although its not there all the time. You wanted me to let you know what type of discharge I have, I have alot of discharge for a couple of years its white and creamy but turns my underwear yellow. When I was at the doctors I told them I thought I had more discharge than I should and they took a culture and it came back ok so I just figured I was ok. Is the travocort cream something I should still use even though its not as bad, sometimes I feel fine, others it drives me nuts, it acts up about atleast one a day. Thanks again for you help, I'll wait to hear from you again before I do anything. Thanks!

Answer

You probably have fungal infection. You can use canesten vaginal pessaries once at night for 6 nights. Once your infection in the vagina is cleared, your itching will reduce. Also, do you have a dry skin ? If yes, use oilatum soap and oilatum shower gel. A dry skin also predisposes to itching. You can use travocort again for 5 days , but not longer. Also wear cotton panties and make sure that no detergent remains on them That could also cause vulval irritation and itching.

Question, 

Hi, my name is cherelle. I have a milky discharge that has been coming out of my vigina since i was 12. I am now 17 and it is still discharging. It started to worsen when i turned 15. I don't have any STD's and it has no smell. I just want to no if this is normal.

Answer

The milky disharge is probably due to a fungal infection. If you are sexually active, use canesten vaginal pessaries, one at night for 6 days to clear the infection. If it persists, see a gynec. who can examine you and determine the type of infection you have and give you appropriate treatment. You may require some oral tablets.

Question, 

about 5 months ago i had an itch in my thigh, i scratched it and thought nothing of it the next day i noticed a flat ring very small about a quarter of a penny and in the middle a tiny darder spot and it itched. the next day the skin around it felt rough and some discoloration occurred. i began to get more but now i am getting similar like bumps in my arms. my thighs are alot better but it's spreading to my arms. i have a cat that i love very much and i hope this is not related to my cat, i discarded the possibility of it being ringworm.

Answer

I think it maybe ringworm- so you can use travocort ointment twice a day for 5 days. If the problem persists, see a doctor who may have to give you some oral tablets also. I don't think it is due to your cat so don't worry !

Question, 

Hi! I am a 16 year old female and I have a huge problem. About a week ago, I discovered a small bump on the left side of my vagina, it was small and painless so I thought nothing of it. The next day it had got a little bigger and was starting to hurt a little but it still wasn't bothering me all that much but by the end of the day it had become quite painful and had started giving me some difficulty walking so I decided to put some alochol on it to try to dry it up, it burned very badly. The next day, it had got even bigger and had turned into more of a blister than a bump and it was very painful and even more difficult for me to walk, I wore jeans that day that irritated it and made it hurt even worse. That night, I discoverd a small brown spot on the top of it that was very hard, I thought it was turning into a scab but it never did. The next day, it had not got any bigger but it was getting more painful every day and I started taking pain pills and using ice packs to alleviate the pain which only slightly helped. That night, I shaved around the area and cleaned it very thoroughly and then I put some drawing salve on it as well as some anti itch/burn cream that seemed to help quite a bit for the time being. After it wore off, I was in the worst pain and I couldn't even sleep the pain was so great and by that time I could barely walk. That morning I was running a slight fever and I was real dizzy when I first got up, I also felt a little nauseous. When I checked it, I noticed it had got very soft and it was extra tender and extra painful, that afternoon as I was kneeling down to pick up something, it popped and quite a bit of brown fluid came out, the pain went away instantly. Since then, I have had no problems besides some itching and some discharge with a little blood. I have not been to see a doctor because I am so afraid of what I will find out and what will have to be done, I read that the doctor may need a sample of the fluid to be sent off and tested so I took a sample of my own, could the doctor use this? My next appointment is Jan. 26. I have looked up a lot of information on the Internet and herpes always comes up, my worst fear. I have had a lot of the symptoms of herpes but what I had looked nothing like the pictures of herpes I saw and I haven't had any sexual contact in over 6 months and I was tested about 5 months ago, all my tests came back negative. Is it possible that this could in fact be herpes? I've also been told it could be nothing more than an ingrown hair or cyst, what does this sound like to you and what should I do about it? I haven't told anyone and I am very scared so any information you can give me would be greatly appreciated. Thank you.

Answer

It seems like a small abscess on the skin. It could be because of infection of the hair follicle. It does not sound like herpes- so don't worry. You can use soframycein skin cream twice a day for 5 days. If it recurs, you may need oral antibiotics.

Question, 

I am a 17 year old female who has had sexual contact only once and that has been 5 months ago. I have always (since I could remember) had brown stains in the crotch of my underwear and an unpleasant smell coming from my vaginAnswer I wash everyday and still no help, to add insult to injury, now I have cloudy foul smelling urine and a large painful bump on the upper outside of my vaginAnswer I cannot afford to go to the doctor, I was wondering if you may be able to help. Thank You.

Answer

You probably have vaginal fungal infection . You could use canesten vaginal pessaries one at night for 6 nights.The bump on your vagina could be a small abcess on your skin or if it is towards the inner side of your vulva, it could be a Bartholin cyst or abscess. Both might require antibiotics, so for that you may need to see a gynec.

Question, 

I've recently been experiencing a lot of discharge during the day and notice an unusual smell-that I've never noticed before. I wash with with soap specifically for the vaginal area and keep myself very clean. I'm very in tune with my vaginal area and have never noticed this "type" or strong of a smell, what could this be? Or causes this ?

Answer

You probably have vaginal or cervical infection. If the discharge is white and curdy, it is probably fungal . You can use canesten vaginal pessaries- one at night for 6 nights. If it does not reduce, see a gynec. who can do a vaginal smear to check the type of infection you have- bacterial, trichomonial or fungal and give you appropriate treatment. You might need some oral tablets in addition to the vaginal treatment.

Question, 

My period are irregular i.e 3months.I want to be pregnent. Soon doctor will carryout ultrasound. What will be the procedure & how much it be beneficial.

Answer

Since you have irregular periods, you may not be ovulating or ovulating late. Ultrasound will help to see your ovaries- whether there is any probblem in it like an ovarian cyst or PCO and also determine when you are ovulating. Also, it will help detect any other problem like a fibroid in the uterus. Ultrasound can be done in two ways- one from the abdomen where you will need a full urinary bladder and would have to drink a lot of water prior to the ultrasound. If a vaginal ultrasound is done , you need an empty bladder and the ultrasound probe is passed in your vagina to see your uterus and ovaries.

Question, 

Hi, I am 21 years old and I do not have a period. I use to have one and it was never regular.I use to take the pill and they were normal. When I came off (becuase of weight gain). I got only 1 period after that. Now it does not come at all! I have to take medraxyprogesterone pills to make it come every month. That is irritating, I really want to conceive..I have had paps, and blood work everything was normal...how can it be normal without me menstrating?? Please adv....

Answer

Do let me know your blood reports- specially FSH , LH, (both done on the 2nd day of the period ) , PROLACTIN & THYROID TESTS. Also, your ultrasound findings- specially if you have PCO. I will advice you accordingly . Also, do you ovulate? Has that been monitored by ultrasound or a clear plan test ?

Question, 

My husband and I have been trying to get pregnant for 6 months now. We have not performed any tests, so I can not rule out anything. However, I am concerned because after intercourse, the semen starts coming out of my vaginAnswer It feels like my vagina is actually pushing it out. I have tried raising my legs and/or feet to try to keep it inside. My question is, how concerned should I be that this is happening? And can I do anything to reduce it?

Answer

The semen consists of the sperms and other fluids. After intercourse, the sperms move into the uterus and the remaining fluids of the semen come out. This is natural and nothing to worry about. However, you should lie down for about an hour after intercourse, so that there is enough time for the sperms to go into the uterus. Since you wish to conceive, have your husband's semen count done and let me know the report. Also, check whether you are ovulating or not and when you are ovylating by the clear plan test , which is available in pharmacies.

Question, 

My daughter is 12 and a half year old and got her first period in June 2003. Since then , for the last 6 months or so, her cycles have been normal (every 30-32 days) every month. But this month, the cycle has been delayed by more than 10 days. Is this a common condition with adoloscents who have recently attained puberty? Should I be concerned?

Answer

Delayed periods is quite common in the first year after menarche (onset of periods). The period can also be delayed due to stress of any kind like exams, or travelling, or certain drugs. Do not worry. If the problem persists after 6 months see a gynec.

Question,

I am 33 years old with a daughter of 4 years old.I am trying for the second baby since 7 to 8 months.I was having itching in the vagina and got treatment for the same.I used vaginal-canestan tablets.I had irritating sensation in the skin and my gynaecologist prescibed me surbex T tablets for the same.my blood sugar level (random) was 123 and also I am taking clomid 50mg 10 talbets for five days.also my doctor has called me for injection before going for intercourse on 28th.my menstrual periods are irregualar and my last date was 18th of january.

Answer

Since you have been given clomid, you should do an ultrasound around day 14 or 15 of the cycle to see the size of the follicle("egg") . If your egg has already come out of the ovary, you do not need the injection. If ,however, it has reached around 20 mm, you may require an injection. The ultrasound will also let you know whether your ovaries are enlarged excessively because of the clomid and whether you have any ovarian cyst. It is not advisable to take an injection without ultrasound monitoring. All the best.!

Question, 

I was wondering what I could do about a cut I have on the inner labiAnswer It's painful to the touch and hasn't been pussy. Just red. Is there an over the counter antibiotic or should I visit the doctor?

Answer

You could use soframycein skin cream twice a day for 5 days. If it persists or seems to get infected , see a doctor.

Question, 

I have began to take birth control (Orthonovum/Necon 1/35-28 day). I haven't taken it for approximately 8 years. My 1st pill was within the 1st 24 hours of my period. My period has now lasted for 9 days. Is this ok?

Answer

Since this is the first cycle (after a long time) , you may have intermenstrual bleeding or a prolonged period. The next cycle should be normal. If the problem persists, do an ultrasound to rule out any other cause of prolonged bleeding like a fibroid in the uterus. If that is normal, you can try to change the pill

Question, 

I TOOK A PREGANCY TEST ON 011704 AND IT WAS POSITIVE BUT THE SECOND LINE WAS VERY LIGHT THEN ON 011904 I TOOK A DIGITAL TEST AND IT READ NEGATIVE I AM SO CONFUSED. I AM HAVING PAINS IN MY LOWER LEFT SIDE OF MY STOMACH. I WAS COUGHING TODAY THEN A LITTLE VOMIT CAME UP PLEASE HELP ME

Answer

If you haven't yet got a period, check the urine again by the clear blue method. If there is still a faint line, do a blood test- beta- hcg to check the level of the pregnancy hormone. Sometimes, one gets a faint line just prior to a period. If the blood test is positive , have an ultrasound done to check whether the pregnancy is within the uterus or whether it is an ectopic pregnancy(in the tube )

Question,

 i am 16 years old and everytime at the end of my period i get a light brown sometimes green discharge that always smells and I dont know what it is because i have been getting it since a while after i first started getting my period.I am 16 and i am sexually active but this started when i was 12 or 13 and its been a year or so since i began to have intercourse and even so i use condoms. So why do I get this discharge?

Answer

You must see a gynec who can determine whether you have a vaginal or cervical infection and give you appropriate treatment. Sometimes, the condom itself causes irritation and the discharge. You could also have fungal infection, which is very common , specially after swimming .

Question, 

About two months ago I went to my doctor because I was having pains in my lower stomach after having intercourse. I then was sent o have a ultrasound and they said it was a cyst on my right ovary. They said that it would go away on it's own (probably by rupturing) does this mean it would cause a different color discharge? If so, what would it look like because I think that it may have happened because I don't know what else this discharge would look like.

Answer

The cyst may reduce in size or "go away " without rupturing. This usually happens in a " functional cyst" , which is due to temporary hormonal disturbances. You would not experience any change in your vaginal discharge . If, however, the cyst ruptures, you would get pain in the abdomen.

Question, 

I stopped taking the pill about 6 months ago. Now about 5 days before my period I have this brownish discharge, then the period and the brown discharge again. We are trying to get pregnant and I am wondering when to begin the 14 day count, when the brown discharge starts or the actual red blood?

Answer

Do you have any cervical infection or a polyp ? That sometimes gives a brown discharge prior to the period and even after. It would be best for you to do a clear plan test to determine when you are most likely to ovulate. Also, one does not always ovulate on the 14th day of the cycle, so the clear plan will help.

Question,

 i didnt get the period since past 4 months.my period is irregular since begining.now i feel very uneasy,want baby but dont know waht to do.i had primolut for getting period,plz advice what to do for regular period?plz advice primolut has side effect?

Answer

You can take duphaston tablets- one tablet twice a day for 5 days to get a period . It is safer than primolut, specially since you wish to conceive. You must see a gynec who can determine whether you are ovulating or not . An ultrasound will help determine this and will also rule out any other reason like PCO or an ovarian cyst which maybe causing the irregular periods. If yopu are not ovulating, appropriate treatment like clomid tablets can be given.

Question, 

I have been taking gynera for 3 yrs now and it has been alright til recently. I have experience bleeding during the course of my pil and while it is not as heavy as normal period but I now changed my panty liners more regularly to accommodate the flow.It has been going on for almost a week now. I have at least 10 more days to go on the pill. Pls advise.

Answer

Do continue this packet of the gynerAnswer Also, are you taking the pill at the same time everyday? If not ,and if you have forgotten the pill, you may get the spotting. Have an ultrasound and a gynec . check -up done to rule out any other reason for the spotting like a fibroid or a vaginal or cervical infection or a polyp. If all this is normal, you can change the pill and the problem might be solved.

Question,

Dear Dr.,
In a period of two years I conceived twice and at both times have had to undergo a D&C. My sonography report after two months showed no hearbeat and I was therefore advised to undergo a D&C on both occassions. After two months of pregancy I also started spotting. Could you please guide me as to what the reason could be. Any suggestions or advice will help ?? Thank you for your time.

Answer

Do let me know the results of your blood tests- like toxoplasmosis, blood sugar, thyroid tests. The reason of the miscarriages are various like chromosomal abnormalities, hormonal deficiences, blood infections. Do let me know where you are (which city ) , so I can advice you accordingly, once you send me the results of your tests.

Question, 

My girl friend had a her uterus scraped out and frozen about 6 months ago. I am not sure what the procedure is called, maybe a D and C. Anyways, I have noticed a strong smell coming from her viginal areAnswer I few days before and after her period it is pretty bad, during the normal days of the month it is not as powerful but still there. I would have thought that the DR who did the D and C would have noticed any infections or anything like that. Does that procedure cause the smell? Will it wear off? If her insides were frozen how long would it take them to be back to normal? It is getting in the way of my sex life and I do not have the guts to ask her about it.

Answer

If it a D&C, the lining of the uterus is scraped and not frozen.If, however, she aldo had a cervical erosion, the cervix may have been frozen by cryosurgery. Since the procedure was done 6 months ago and the vaginal infection is now, it is unlikely to be the cause. If she has a white curdy discharge also, it could be fungal infection. She can use canesten vaginal pessaries, one at night for 6 nights. If the problem persists, let her gynec see her to determine the type of infection she has and to take appropriate treatment.

Question, 

I had a D&C on Oct. 31st 2003(my 4th M/C) I was 7.5 weeks with no fetal heartbeat. I had a cycle 32days later. I went in for the 3 day after cycle blood test and was to go back on day 21 for more tests. I started on day 21(Dec 23) so those tests would not work so I am waiting for day 21 again, however lastnight(Jan 05) I had terrible burning and pressure while going to the bathroom and started to bleed again. I was going to go to the ER because it was so intense. Instead I took Mortin(800mg) and it took the pain away and I was able to sleep. Well this morning it is all gone. No more bleeding and no more burining. Some pressure still kinda like a tickling sensation in the pelvic areAnswer Could I be Preg again and the bleeding was implantation bleeding or can you start to bleed due to an infection?

Answer

You could have been ovulating when you got the spotting and the pain. (Jan 5th ). You can do a pregnancy test now to see whether you are pregnant, and if positive, see your gynec, who can sometimes give you some medication which might prevent a miscarriage.

Question, 

I am 35 years old and have been dealing with Fibroid Tumors for the past few years which are growing in size and the biggest being close to 6 cm with others a little under that. I have a total of 9 and my question is: My gynecologist is'nt really doing anything about them but watching them grow and I am beginning to feel crampy and uncomfortable. If this is hereditary and my aunts all had hysterectomy's does this mean I probably will. Also, is there still a chance they will shrink? Why is'nt my doctor doing anything?

Answer

Unfortunately, there is no treatment to get rid of fibroids. If you do not have any symptoms like excessive bleeding or pain during the periods, you do not need anything. If you get any of these symptoms or even pressure symptoms on the bladder, you could use zoladex or decapeptyl injections- once every 4 weeks to reduce the size of the fibroids. You cn use 3-6 injections , depending on the reduction in size of the fibroids after 3 injections. However, the fibroids may increase in size within 3-4 months of stopping the treatment. You can avoid a hysterectomy with these injections. Once you go into menopuse, your fibroids will shrink.

Question, 

IF I TAKE Medroxyprogesterone TO BRING ON MY PERIOD AND I DONT GET IT, WHAT SHOULD I DO? HAVENT HAD MY PERIOD IN ALMOST 4 MONTHS I TOOK 2 PREG TESTS AFTER 2 1/2 MONTHS.. COULD IT BE EARLY MENOPAUSE? I AM 39

Answer

If you don't get a period after medroxyprogesterone, do an ultrasound to check your uterus and tubes. If this is normal, do blood tests- prolactin and thyroid tests to rule out any other cause of the delayed periods. Also, later , do a serum FSH test on day 2 of the cycle to rule out menopuase. Usually, menopause is around 47-50 years, but is often seen earlier.

Question, 

Hi, I have had a pain in my left lower quadrant( around my ovary), for about a year now. THe pain is on and off. My most recent menstral period, there was no blood just thick brown, chucks. It doesn't smell or anything but I have never experience this before. What could be wrong with me. I have been to the doctor three times and no one can give me an answer. I had a vaginal ultrasound and they found nothing. I hope u can help me out a little. Thanks for your time.

Answer

Since your vaginal ultrasound is normal, the pain maybe related to your colon See a gastro-enterologist to rule out any colitis or any other problem Do you have constipation ? This is often a common reason for the pain . Also, you may have some pelvic infection , which cannot be detected by ultrasound. Do a test for chlamydial infection( and see a gastro-enterologist ) and let me know the results.

Question,

I have 3 kids and had a tubal ligation. Is there any way I can get pregnant again without surgery.

Answer

You can try IVF where your eggs are removed by inserting a needle into the ovary through the vaginAnswer This does not require hospitalisation or anaesthesiAnswer The eggs are then fertilised with your husband's sperms. The embryo is then inserted into your uterus through the cervix. Since fertilisation occurs outside the body, functioning tubes are not required. The success rate of IVF is between 25-30 %.

Question, 

Help!!! I started depo-provera 2 months ago because I have my period for long amounts of time. 2 weeks after being on the "shot" I starting bleeding. At first the bleeding was not so bad, more like spotting , but then it became excessive and I am still bleeding. My doctor prescribed me estrogen for 7 days to stop the bleeding, but that did not work. Please give me a suggestion I am tired of bleeding.

Answer

Unfortunately, irregular bleeding is a common side-effect of the depo proverAnswer We usually inform the patient of this side effect prior to giving the shot. The irregular bleeding may remain for three months . You can try cyclocapron tablets- one tablet three times a day for 5 days. If the bleeding recurs, use primolut -n tablets twice a day for 30 days. Hope this will redce the bleeding. Later, you should use a pill for contraception.

Question, 

I have been experencing sore boobs, slight neasua, hearthburn, and tired all the time and now today i started having some pain in my lower left side later that night I had pinkisk tissue come out of me vaginaly I took a home pregnancy test and it said negative,i resently came off depo back in november, What could all this mean?

Answer

You have not mentioned what was the date of your last period.If this soreness of the breasts is after day 20 of the period, it is normal. This is due to water retention in the breasts following ovulation. A urine test for pregnancy will be positive 15 days after conception, so usually around 31-32 days after your last period. If the pain persists even after your period, see a gynec. While you were on the depo, you did not ovulate, so there was probably no pain in the breasts. Now that you are off the depo and are ovulating, the breast congestion has occured.

Question, 

I had cryosurgery last week becuz I had high grade abnormal cells, and I had a clear/yellowish dsicharge after that, and nowl like a week or 2 later I have a brownish discharge, and I was supposed to start my period yesterday. Do you have any idead what it migth be? Thanks

Answer

A clear discharge after cryosurgery is common and may persist for 2-3 weeks. The brownish discharge indicates that there maybe some bleeding now. You can take exacyl tablets- one tablet three times a day for 5 days. If the discharge persists , see your gynec.

Question,

hi my girlfriend thinks shes pregnate and last 2 months shes had like blood come out of her with no skin or anything infact doesnt look like period blood at all and shes worried becuase been 2 months since she thinks shes pregnate and today she had clear slimmy stuff come out her vigina so i was wondering wat u think that could be or if thats normal when a girl maybe pregnate or wat also the bleeding was more then 5 days and her period is always 3-4 days at the most thank you for your time

Answer

Your friend should do a urine test for pregnancy like clear blue. If this is negative and the periods are again normal, don't worry. If she gets the clear discharge around the middle of the period, it is common because she is ovulating. If her periods are heavy again or for a longer period, see a gynec . who can do an ultrasound to rule out a fibroid or an ovarian cyst.

Question, 

There is a new surgery my doctor suggested to put like a mesh thing into the uterus- I don't know what it is called please help

Answer

Do let me know what you need to do the surgery for, so I can advice you accordingly.

Question, 

i had an ectopic pregnancy in april 91 and another in june 92 i lost my left tube and the right tube is bamaged i am now in a relationship were we would both like a child what are my chances of a normal pregnancy i have had a daughter before the ectopics and concieved her with no problems also my partner has a low sperm count
Answer

Since your right tube is also damaged, there is a high risk of an ectopic pregnancy in it. Also, if it is damaged, the tube maybe unable to pick up the eggs and you may not get pregnant naturally. You may , however, try IVF , where you do not require functioning tubes.

Question,

 I'M 22, HAD 3 MAJOR PELIVC SURGERYS FOR OVARIAN CYSTS, INFECTION AND ADHESIONS. I NOW HAVE ONE OVARY LEFT WITH A 5CM BLOOD FILLED CYST ON IT AND SCARRING ON MY TUBE, MY DOC WANTS TO DO A TOTAL HYSTERETOMY IN THE NEXT YEAR TO CURE MY CHORINC PELIVC PAIN. BUT I WOULD LIKE TO TRY FOR A CHILD BEFORE THEN - WHAT ARE MY CHANCES? WOULD IVF BE A BETTER OPTION
Answer

Since you want a pregnancy, you can try IVF . Is your cyst an endometriotic cyst? If yes, you should take decapeptyl or zoladex injections for three cycles to reduce the size of the cyst and then try for a pregnancy after that.

Question, 

I've been on birth control since i was 14 years old. As i got older i noticed that i would have a lot of break through bleeding, so i switched. for the first couple of months, it was okay then i would spot for weeks maybe months. i just had a pap smear and they said it was normal, and i also did some blood work, and that also came back normal. what should i do? my doctor recently put me on ortho cyclen 28 day, and i know i should have waited till my next period, but i feel like i've been on my period for the past month now, so i started it after the second week of my tri-levlen. please help!!!!

Answer

You must take the pill only as adviced , otherwise you might get pregnant. I suggest you stop the pill now and once you get a period, star a new packet. Remember that the bleeding after you stop the pill may not be your actual period, so for the next cycle use some alternative contraception also. If you have breakthrough bleeding again, take exacyl tablets- one tablet three times a day for 3 days to stop the bleeding. Do let me know with which tablets you have had breakthrough bleeding, so I can advice you regarding another pill acordingly.

Question, 

I had a colposcopy on 19th Dec, can you tell me if my period will be as normal or will it be delayed due to the treatment. I am trying to get pregnant and am confused about when the best time is to try. Thank you.

Answer

Usually the period will be normal. You can try immediately to get pregnant, provided your colposcopy result was normal and you do not require any further treatment. You can use the clear plan test to help you determine the most fertile period. All the best !

Question, 

Dear Doctor I a an unamarried woamn of 46 My periods are reular bu since a copuple of days I have two lumps like boils on te left part of my vagina andmy inner thigh I have had such boills in my underarms they get very painful and then they burst but this is the first time I have it on my vagina I am worried please help me

Answer

These are probably skin abscesses like the ones you had before. You can use appropriate antibiotics - like erythromycein or cephalosporin for 5 days. If the problem persists, see a gynec.

Question, 

Hi Doctor!
I m 27yrs old n have been married for the past 3yrs,my husband is 28yrs. For the first 1-1/2 yrs we used condoms n then stopped it coz we wanted to conceive, we got all the tests done in a fertility clinic n it was diagnosed that my husbands tests are normal & I have multiple cysts in my right ovary n few in left & my right tube was patent n left was blocked or could not be visualised. but my doc said that since I was ovulating normally with tab siphene & the rupture was done with an injection i.e. pregnyl 5000 that was also normal n I can conceive with one tube being patent & all the other hormonal tests were normal like tsh,fsh,prolactin,eb etc. but even after that I could not conceive for 7-8 months then I got a diagnostic laparoscopy done in may 2003 in which all the cysts were punctured, saline washing was given & it was found that both my tubes showed quick fill n spill n that my left tube was not blocked !!!
Now its been 4 months since we r trying after that!please advise what should we do ,should we go for iui/ivf......at this stage since we have not conceieved for the past 7 months with clomiphene!!!!!! please advise doc.......god bless u

Answer  

Do let me know how many eggs you produce( per cycle) with the clomid . Also, have you done the PCT ( post-coital test )? If this is abnormal, you would require IUI.You should try IUI with superovulation ( producing 3-4 eggs ) for 3-6 cycles and I think you should be pregnant. If you have PCO (Polycystic ovaries ) , careful monitoring must be done to prevent excessive enlargement of the ovaries. If you are not pregnant after 6 months of IUI, try IVF. Relax! Emotional stress also hampers the chances of conceiving, so the more relaxed you are the faster you will get pregnant. All the best !

Question, 

Hi there I am abit worried as for the past few months i have had a brown discharge 3 days after my period sometimes in the middle of the month to.it turns to red sometimes then back to brown. Iam 39 years old i am not having sexual intercourse at the moment because of medication antidepressents im currently taking.i have no pain i just feel a bit tired now and then.Could this be a polyp as i remember having one about 8 years ago? thank you for your help

Answer

Usually one gets spotting around mid-cycle due to ovulation. However, since you have this brown discharge even before that, see a gynec. You probably have some cervical or vaginal infection which might require treatment. It could also be a polyp and may require removal.If there is no infection or a polyp, have an ultrasound done to rule out fibroids or an ovarian cyst.

Question,

I havent had my period in 2 months and i had unprotected sex 3 months ago. I took a pregnecy test and it came out that I wasnt. I`m not having any symthomes. And usually my period is weird and comes at different times, its not on its regular cycle yet, i only got it last year and im 14 years old . . please help me. . thanks

Answer

Since you got a period after the unprotected sex and your pregnancy test is negative, you are unlikely to be pregnant.Have an ultrasound done to rule out any cyst in the ovary which maybe causing the irregular period. If that is normal, have your blood tested for thryoid hormones as an abnormality in these may also cause irregular periods.

Question, 

Hi For the past few weeks i have had a couple of red hard lumps appear on my inner thighs. They dont hurt and when i squeezed them no puss came out. They go away after a couple of weeks but leave a red mark where they were. I also felt a small lump just above the hood in my outer vaginAnswer When i squezzed this one it was sore and puss came out like it was a pimple. I have also noticed that my vagina is dry and itchy at the moment. Are these related and could it be an sti because i have had unprotected sex. Thankyou for your help.

Answer

Do you have any vaginal discharge- yellowish or curdy white ? This may sometimes give irritation to the skin on the vulva and give rise to the red lesions. If they are increasing in size, see a gynec. who can determine the cause and give you appropriate treatment.

Question, 

I have had 2 positive precnacy results. I have a ultasound due to the fact i had previos miscariages. They asked me if i have ovian cysts before. I know they can give you false systoms like pregnacy, but can they give you postive results on tests. My last period ws Dec 3 so iam aout 5 wks.

Answer

What sort of ovarian cysts did you have? Usually, ovarian cysts do not give a positive pregnancy test (except a rare kind which produces the hcg hormone). If you do a scan at 6 weeks, you will know whether the fetus is within the uterus, has a heart beat and also if you still have the ovarian cyst.

Question, 

I have been married for almost three years now.Iam 36 yrs old, my wife is 26, with normal health still waiting to conceive me and my wife gone through different test like semen,blood and ultrasound etc.All the tests were normal as said by a gynaecologist. she suggested a tab for me to improve my count. My semon test result is normal 35%, sluggish 35%, dead 30%. is it ok. plese give me a reply.

Answer  

You have not mentioned your semen count . It should be around 40-50 million. Do send me the report in detail and the tablets you are taking and I can advice you accordingly. Also, have your wife's fallopian tubes been tested? This can be done by a hysterosalpingography without hospitalisation. Do let me know.

Question, 

When i started getting my period the summer before my eight grade year they were very irregular. by the end of tenth grade they were relatively regular; i was getting them about 35 days apart. in september it was about 45 days since i had it in august, but in october and november it was again 35 days later. i did not get my period at all in december, and it is now january 9 (the last time i got it was november 20). i have not had sex since september, so i have gotten three periods since then. can i be pregant, or could there be something else causing it to be so long inbetween menstruation? please respond through email, thank you.

Answer  

Do a pregnancy test like the clear blue to determine whether you are pregnant or not. The period can be affected by a variety of reasons- like stress, travelling,and other medication . Take duphaston tablets- one tablet twice a day for 5 days to get a period. Later , do an ultrasound to rule out any problem like an ovarian cyst which sometimes gives delayed periods. If all this is normal, and your periods are still irregular ,check your blood for thyroid hormones and prolactin.

Question,

i've been having vagial itching and some buring for alittle over a month. I went to the doctor shortly after it started, they said everything look fine and did some test, they all came back ok. its still bothering me. it coemes and goes through out the day. i stoped shaving and it did nothing. should i be worried about this? should i go back? or is there something i can do on my own? I am 19 years old, i also talked to my last sexual partner he said he was tested and that everything was ok. thanks for your help!

Answer

Do you have any vaginal disharge also? Do let me know the kind of dicharge you have , so I can advice you accordingly. Your skin may also be dry and that also gives itching. Use oilatum soap and oilatum shower gel . At present, you could use a cream like travocort twice a day for 5 days to reduce the itching.

Question, 

Dear Doctor,
I am 36 years old and have had three live pregnancies. My youngest is 12. I take thyroxin for hypothyroidsim. I have been off the pill since July. My cycle has be around 24-26 days. My last cycle was 21 days. The first day of my last period was Dec. 2. My partner and I made love on the 10-11 of Dec. I still haven't had my period. I have taken several tests and they were negative. I am having some symptoms. I am having lower back pain, crampy, mood swings, sore breasts, feeling yucky, and a heaviness in the lower abodomen. Is it possible that I could be pregnant with the tests being negative?

Answer

A pregnancy test like clear blue would be positive 15 days after conception. So, if your urine test was negative even on 1st January, you are unlikely to be pregnant. Take duphaston tablets- one tablet twice a day for 5 days to get a period. The sympoms you have could also be due to PMS- pre-menstrual syndrome. If you do not get a period within 15 days of the duphason see a gynec.

Question, 

i have been having a lot of stomach pain and loin pain .ultrasound shows fatty infiltration of liver common bil duct was prominentat7mms alsoureeroleright side .there is minimal promince of the lower right ureter in addition.i have had hystrectomy for fiboriods twenty years ago.blood cells in urine with no infection.also 1.9 follicle being present within.it laid perhaps to the left of midline,and i note the report images of previous study showing it slightly to the right midline ovary measures 11ccs including cyst and measured 3.9x2.1x2.7cms in english what does that mean does not say what type of scyst thanking you

Answer  

Repeat the ultrasound around three weeks after the first one to know the size of the cyst. Also, check whether the report says whether the cyst has any projections or "echoes" . This would indicate the type of cyst you have. It could be a simple serous cyst or an endometriotic cyst. If the cyst has reduced in size, it was probably a "functional cyst " due to hormone fluctuations. Do ask your gynec to let you know regarding the type of cyst and the follow-up required.

Question, 

I WAS PUT ON THE BC PILL B/C OF IRREGULAR PERIODS. JUST LAST NOVEMBER I QUIT TAKING THE PILL BECAUSE I WANTED TO SWITCH OVER TO THE PATCH. SINCE I HAVE STOPPED TAKING THE PILL I STILL HAVE NOT HAD MY PERIOD WHICH HAS NOT ALLOWED ME TO BEGIN TAKING THE PATCH. I HAVE HAD INTERCOURSE IN THE PAST FEW MONTHS BUT USED PROTECTION. I HAVE TAKEN 3 PPREGNANCY TESTS AND THE HAVE ALL COME OUT NEGATIVE. COULD THIS JUST BE BECAUSE I QUIT TAKING MY PILLS OR WHAT?

Answer  

Sometimes, there is a delay in the period once you stop the pill. Use duphaston tablets- one tablet twice a day for 5 days to get a period. If you do not get a period around 15 days after the duphaston, do an ultrasound to rule out any ovarian cyst . Also, do hormone tests for thyroid and a prolactin test , as an abnormality in these could also cause delayed periods.

Question, 

Hi..I was just curious as to how long it is until my body could conceive again after pregnancy... I just had my baby 1 month ago today...I know everyone's body is different but I was just curious on your thoughts .. thank you,

Answer

You can begin to ovulate as early as 45 days after delivery. Once you ovulate, you can conceive .Usually, if you are breast feeding you may not ovulate . However, some women do ovulate while breast feeding.

Question, 

Dear Doctor,
I am 28 years old & 19 weeks pregnant. This is my first pregnancy. My sugar level was 84 during the entire period but in my 16th week I had urinary infection. My doctor prescribed Zinnat tablets 500mg (1-0-1) for 5 days. I also took Gyno-Pevaryl for 3 days for itching. Infection & itching is gone but during the urine test we found that sugar level in urine is 2+. So we took blood test yesterday after fasting which was 156 & then 1 hour after breakfast we again did the test which was 238. I would like to know whether this can be controlled by strict diet like having bitter gourd, leafy veg and avoiding sugar, rice etc completely. Ultra sound scan showed that the baby is alright as far as head & spine is concerned. Baby weight is 312gms. Also I would like to know what is BPD, HC,GA,FL,AC which are written on the printouts of scan. Also what are the possible defects for the baby if I have sugar in blood.
Thank you

Answer

Your blood sugar is really high and maybe difficult to control with diet alone. However, repeat the sugar after 2 weeks of a strict diet control. If this is still high , you should start insulin injections. If your blood suar was high when you conceived, there are chances of congenital anomalies in the baby usually of the spine and the heart. If the sugar was normal when you conceived, the cahnces of abnormalities is low. However, the baby can get very large- even upto 4 kgs. by the time you deliver. This causes problems with a normal delivery as there maybe a difficulty when the shoulders have to come out (shoulder dystocia) .You might require a Cesarian section. The baby may have a low blood sugar level after birth and also changes in calcium and magnesium levels and thus may require close monitoring by a paediatrician. you might have repeated urinary, vaginal or skin infections if your blood sugar remains high. Insulin is absolutely safe in pregnancy , so it would be best to take it if required.

Question, 

Hi! My name is Elizabeth and im 16 years old. Im still a virgin. I've been having this smell after my period and the first time it lasted for like 2 weeks and it was very embarrassing at school. I went to my doctor and got a culture. I dont know if it was a good one , because since im a virgin she could only swab the inside of my vaginAnswer I came up negative for a yeast infection and vaginitis. My other doctor(who didnt look at my problem)just prescribed me diflucan. I took it and most of the smell left i think(because i didnt hear anyone talking about the smell).But im still experiencing some kind of bad smell done there. Sometimes it smells like BO or pizza or fart. I really dont know what to do, Im a A student and the last week before christmas break i failed like all my tests because ive been so subconcious about my smell. Please write back on your imput. Also how do i know how much i need to clean down there? Also if i cleaned to much would that lead to my good bacteria leaving. Thank you!!
P.S. Even if you dont know what the problem is can you please write back anyways telling me that thanks!

Answer

First of all, relax! Don't get so conscious about it. Do you have a white curdy discharge ? That would indicate a fungal infection and you can repeat the diflucan or take sporanox tablets- 2 in the morning and two at night for one day.Do you sweat a lot or do you have excessive hair growth on your body ? Use deodarants and feminine intimate cleansers twice a day . - Johnson & Johnson & Seba med have these. Also, wear only cotton panties and change them 2-3 times a day to minimise the odour.

Question, 

Are most STD's curable, if so which ones and how many are they"re?

Answer

There are over 25 STDs and most of them are curable, though they tend to recur. I do not know which particular STD you were concerned about, so I think you can go through the following sites for further information;
encartAnswercom(-std)
content.health.msn.com/content/article

Question, 

I had a question regarding spotting after intercourse. This has just happened for the first time ever. I have had two children, my oldest is a year old. A couple of months ago I had a pap done that came back normal, I do have hpv though and now I am extremely scared that this is something very serious. Please help!!!!

Answer

Do you have any vaginal or cervical infection ? These can often cause spotting after intercourse. An erosion of the cervix may cause spotting and that can be reduced by dalacin vaginal cream. If the erosion still persists, you might require cryosurgery for that.You don't need to worry about hpv. Just repeat your pap smear every 6-12 months.

Question, 

Hi, im getting a viginal disgharge that is yellow but sometimes clear it is quite elastic (not runny) and ive just recently come off the pill, im quite worried as to what it could be, and im too embarrased to go to the doctor. i would be grateful if you had any idea of what it could be!

Answer

Is the discharge around mid-cycle ? While you were on the pill you did not ovulate, which you are doing now. During ovulation there is a clear discharge, which on drying maybe yellow. If the disharge is at other times also, do a vaginal smear to check the type of infection- bacterial, fungal or trichomonial- and
take appropriate treatment.

Question, 

Hi, im 18 years old and for the past two months i have had itchy discomfort in my vaginal areAnswer I dont think its a yeast infection, because i dont have that cottage cheese looking discharge, and i dont think its an STD because i am still a virgin, however, it just kind of worries me and im scared to ask anyone about it. Also, for the past week and a half when my period was supposed to come, i have only experienced light bleeding that is on and off and that is also another concern of mine....Whats wrong with me??

Answer

Your skin may be dry or have been irritated by some detergent or non-cotton panties. You can use travocort ointment twice a day , which may take care of any mild fungal infection that might be there. Regarding you period , it maybe scanty even due to stress- so don't worry. If the problem recurs in the next cycle, do an ultrasound to rule out an ovarian cyst or a fibroid.

Question, 

hello, can i know if i can use gynazole while having my periods...i mean even on 2 & 3rd days?thanx

Answer

It is advisable to use the gynazole after you have finished your period .

Question, 

I am a 33 year old mother of 2. I have been having some abnormal bleeding and usually I'll bleed during intercourse. My doctor diagnosed me with having fibroid tumors and was told to take a birth control pill for several months to stop the bleeding. My question is what is in the birth control pill that would stop the bleeding and can I find that in something that is all natural like in a harmone cream? Are there no other ways the fibroids can be removed other than surgery? Thanks

Answer 

Since your bleeding is after intercourse- has your cervix been checked? Sometimes, a cervical infection - erosion may cause spotting and that may require local treatment by an antibiotic vaginal cream. The birth control pill may stop the bleeding, but sometimes when used over a long period may increase the size of the fibroid . You can take exacyl tablets- one tablet three times a day for 3-5 days to stop the intermenstrual bleeding. If your fibroid increases , you can use decapeptyl or zoladex injections to reduce the size of the fibroids . This , however, is a temporary effect. Certain fibroids remain the same size for several years and do not give problems and do not require surgery. I am not aware of any natural hormone creams.

Question, 

I have just recently noticed that I have little white dot on my vaginAnswer I have been shaving for a long time, and I do not think I have ever noticed them before. They are itchy every now and then. I had unprotected sex about a month or 2 ago, but I don't think he had anything. I have sensitive skin. What are the little bumps? Just shaving irratation?

Answer 

You may have a small abscsess(pus collection ). You can use soframycein skin cream twice a day for 5 days. If it recurs, see a gynec.

Question, 

I was reading an article about a girl who was 18 and had not had her period for 6 months in your archives. I am only 17 , still a virgin but have not had my period for 2 months. i am however experiencing some whitish discharge which does not have an odur. You recomended duphaston tablets. Will these work and if so do u have to go to a doctor to get these pills.

Answer

Sometimes, for the first 3-4 years after the period begins, the periods are regular. You can take duphaston tablets- one tablet twice a day for 5 days to get a period. I do not know which country you are from and whether you would require a prescrition for it there.

Question, 

My last Depo Shot was Nov 2002. I still have not gotten a period. After some blood work and ultra sound, it looks like Poly-Cystic Ovaries. We went on birth control for 2 months, I was also prescribed Levoxyl 100 mcg for low thyroid, and Glucphage for Inslin Resistance. What would be the next course of action? Clomid?

Answer 

You have mentioned your last depo was on Nov 2002 , which indicates that you haven't got a period for a year ! One usually gets a period around 3-4 months after the last depo. Did you get a period after the last birth control pills ? If you are planning to conceive and you are not ovulating, you would require clomid tablets. You must continue your glucophage and levoxyl. Ultrasound monitoring after clomid is essential to see when you are ovulating and to make sure you do not form cysts with the clomid, as this is very common with PCO ( polycystic ovaries).

Question, 

I wrote before concerning irregular periods. I have been on the pill since I was 18 and never changed brands of the pill, I am now 27. No stress or emotional change has occured. Again, I have had regular periods every month since I was 14. In the past few months I have missed every other month for the past four months. aug had period, sept missed, oct had, nov missed and dec had. What could be happening. Back in the summer of this year my doctor tested my Thyroid hormone levels and they came back normal. My Thyroid was not tested for anything related to my menstral cycle though. Please help.

Answer 

Have an ultrasound done to check whether you have a cyst in the ovary or have polycystic ovaries.(PCO). 20-25% of women have PCO and that is associated with iregular periods .If you do, check your FSH & LH hormones on day 2 of the cycle. If these are normal, and you do not have any cyst in the ovary, don't worry about your periods being irregular.

Question, 

my marriage was on 2nd of dec.to day i came to know that she is pregnent.we want to abort it.but my wife is not agree to do surgery.so is there any medicine on which we can abort it.

Answer 

You have to check with your gynecologist as the drugs available may not be available in your country.

Question, 

I am a 28 yr old female. For the past month i have been experiencing a foul smelling vaginal disharge with itching. A couple of weeks ago i had a very bad case of bronchitis, took Omnicef for 10 days, then a Z-pack for 5 days, then 5 days of amoxicillin. I would think that if i had an STD, taking all of these antibiotics would have cleared it up. Would else could this be that is not being cured by a series of antibiotics??? I had the disharge before i started taking the antibiotics, so i know it is not a reaction from the antibiotics.

Answer 

You should do a vaginal smear to check the type of infection you have- bacterial, fungal or trichomonial. Then take the appropriate treatment either as vaginal pessaries or cream or as oral tablets. A fungal vaginal infection is also common after antibiotics.

Question, 

i havent had my period for about 5 months now and im starting to worry. i'm 13 and i already told my mom about it and she said that that happened to her when she was young.i also masturbate. can that cause me not to have my period? i need to know i'm really scared. please help me!!

Answer 

Relax! Irregular periods are quite common in the first few years . Masturbation does not delay the periods. You can take duphaston tablets- one tablet twice a day for 5 days to get a period. Also, do an ultrasound to check that you do not have any problem with the uterus or ovaries. Also, check your thyroid hormones.If everything is normal, stop worrying!

Question, 

For the past 6 months i have been having lower left adominal pain with pressure in my vagina .i also have uncontrolable gas AND SOME MISSED PERIODS I HAVE NOT HAD SEX IN 2 YEARS SO I KNOW ITS NOT A DISEASE .LAST NIGHT WHEN I WAS PUTTING A TAMPON IN I FELT A NICE SIZE LUMP ON THE LEFT SIDE OF MY VAGINA WHAT DO YOU THINK IT IS

Answer

You must be checked by a gynec. to determine what your lump in the vagina is. It maybe a vaginal cyst or something outside the vagina causing a pressure effect on the vaginal walls. Also, have an ultrasound done to rule out any fibroid or ovarian cyst which maybe causing the abdominal pain or the delayed periods.

Question, 

WSSUP MA NAME IS KATHY N IM 17 YRS OLD. AROUND THE MIDDLE OF AUGUST I HAD AN ABORTION. I DECIDED TO HAVE THIS ABORTION BECAUSE I WAS HAVING MANY PROBLEMS. THE FIRST TWO MONTHS AFTER THE ABORTION, I WAS NOT STRESSED OR SAD AND I DIDN'T REGRET IT. NOW I REALLY DO REGRET IT AND IM TRYING TO GET PREGNANT. I STRESS EVERY DAY I I FEEL THEY MESSED MY OVARIES UP AND THEY MESSED UP MY CHANCES OF BEING PREGNANT. AFTER THE ABORTION I DID NOT GO TO THE FOLLOW UP. I RECENTLY WENT ABOUT 3 WEEKS AGO AND THE GYN TOD ME THEY LEFT ME A LIL BACTERIA AND SHE GAVE ME A GEL TO INSERT INSIDE OF ME AND ANTIBIOTICS. ITS BEEN FIVE MONTHS AND IVE TRIED TO GET PREGNANT, BUT I DO GET MY PERIOD EVERY MONTH. ITS JUST IRREGULAR. WHAT I WANNA KNOW IS THAT BEING THAT I GET MY PERIOD EVERY MONTH EVEN IF ITS IRREGULAR, IS THAT A GOOD SIGN OF ME STILL BEING FERTILE, OR COULD SOMETHING BE WRONG. I REALLY DO WANT TO HAVE A KID BUT IM ALSO AFRAID THAT IT MIGHT BE THAT IM STRESSING IT TO MUCH. PLEASE HELP ME. P!

Answer

First of all, have you been able to sort out the problems you had earlier which made you have an abortion ? If they are completely solved, then only should you plan a pregnancy. If they are likely to come up afain, wait for some time before you get pregnant. Check whether you are ovulating or not by doing a clear plan test. This will inform you regarding the best time to conceive. If you still don't get pregnant after two months ,check your fallopian tubes by hysterosalpingography. Relax and you should be pregnant soon !

Question, 

please help. I my outta left lip of my vagina there is this little white pimplin looking thing.. it is filled with a lot of fluid and making the whole left inner thigh and leg sore. PLEASE help!!!

Answer 

This maybe an abscess (pus collection). Use soframycein skin cream twice a day for 5 days. If you are not better,you may need to take antibiotics and an anti-infalammatory drug like brufen. You would then need to see a doctor.

Question, 

MY doctor prescribed me orgamentril for delaying the periods ,i have taken 5 mg twice a day fr almost 10 days (i have tried to delay twice in 6 months) due to pilgrimage ,now i have notice that my weight is gained almost 7 kgs ,is it due to thsi tablet side effects as there is no change in my normal routine of eating and excersie ,can u pls tell that is organteril a sfae tablet fr delaying periods i am 25 yrs old weight 90 kgs ,mother of 3 children.

Answer 

Orgametril can cause some water retention and weight gain , but usually only around 1-2 kilos. Due to the tablets, there is an increase in apetite also, so make sure you are not increasing your intake of food. You can try primolut-n twice a day to delay your period as it may cause less water retention and weight gain.

Question, 

Canada, where the medical is free, but the doctors are too busy to test and diagnose you. I have a backwards menstrual cycle...I bleed for 3 weeks and have a week without. This has been going on for 6 1/2 years. I am exhausted, physically and mentally now. I have seen 4 physicians all, just did a pap and said everything looked normal, then I was checked for fibroids, and there were none to be found. I tried 3 types of birth control pill at 6 month lengths and my body just overrode the pill and kept on bleeding. Then the gyno that I was referred to said I needed a hysterectomy because she could not SEE anything wrong, yet she never did any bloodwork. All she did was a sight seeing tour of my vaginAnswer I am frusterated because nobody does blood work or will even do a proper physical..let alone check hormone levels...so what I am asking is do you know a doctor in Toronto Canada that is willing to find the real culprit without doing a full hysterectomy? I should all so disclose the other symptoms they are hair thinning, body tremors, vertigo,extremely dry itchy skin, weight gain from 110 lbs - 160 lbs, dark circles around eyes, achy bones, tired, & moody. If you can suggest a physician and or can guide me through this...it would be so appreciated eh.

Answer 

I am sorry, but I do not know any doctors in Toronto. From your symptoms, you might have a thyroid disorder, so it would be advisable to check your thyroid hormones(by a blood test). Do let me know the results of these and I will advice you further.

Question, 

I recently had a ultrasound and they discovered that the lining onmy uteris is very thick. Iam now on birth control and will have another utral sound in a few weeks. What may have caused this? Iam 24 years old and would like to have hildren in the ner future.

Answer 

Did you have delayed periods prior to this? This may sometimes cause a thickend lining. How thick was your lining and on what day of the cycle was ultrasound done? Usually, the lining is thin just after a period and thickens around ovulation. The best time to check the lining is just after a period and if this is less than 5 mm at that time, you are fine. Rarely, there is endometrial hyperplasia which can usually be corrected by hormone tablets.

Question, 

Hi I am 25 and have stopped taking the pill about 8 months ago and have had irregular periods ever since but 2 months ago I started my period and it has not not stopped it has been light and I noticed when I get up from urinating long drips of dark red blood came dripping out that has never ever happened before please help thanks oh by the way 3 weeks before i had started this period I had a yeast infection due to antibiotics and when I started my period I still felt it had not gone away so I had taken the medication again when I was on my period and it went away I dont know if this has anything to do with this but thanks any way

Answer 

Was this period delayed ? Sometimes, a delayed period is heavy or prolonged. You can take cyclocapron tablets- one tablet three times a day for 3 days to stop the bleeding. Also, have an ultrasound done to rule out an ovarian cyst or a fibroid which may cause period abnormalities. The yeast infection would not affect your menstrual cycle.

Question, 

Hi i recently went to the gyn, and i found out that i had "genital Herpes" i haven't got my peroid since around July 4th 2003. I had asked the doctor if she could give me a time frame and she said no, but when i looked up info online, it said you break out 2- 21 days after exposure and or transmission. i still haven't got my peroid and it is going on January soon, and i keep experiencing pain in my left side, i don't know what is going on. I was also washing myself and i noticed small tiny bumps around the bottom of my vagina, can you have herps and warts?? There is so many unanswered questions that i am dieing to know. i don't know how to accept this, and i'm so depressed, i can't eat, sleep, and i'm up every night crying. I just hope that i can get the help i need and i can help other people; so they won't get this horrible disease. Thanks for listening, and someone please get back to me

Answer 

First of all relax! Genital herpes and warts are very common and are not "horrible" diseases any more. Treatment is available for both. So, with adequate treatment like zovirax your herpes can be cured. The small bumps could be just small abscesses(pus collection) or could be warts. The abscesses may go with antibiotics. The warts would require cryo-surgery which can be done in a consultant's office without anaesthesia . Before you do any treatment, make sure you are not pregnant. If your urine test is negative, take duphaston tablets- one tablet twice a day for 5 days to get a period. Since adequate treatment is available, you should not get depressed about this condition

Question, 

Dear Doctor,
I had an ectopic pregnancy in July which was surgically removed on July 16th, 2003. The tube, my doctor says ,was not damaged.I also have had scans done which show a PCOS condition. However before my ectopic pregnancy I have had regular cycles of about 35 days.After the surgery I doid not get my period for 3 months. I had my period on October 16th and havent yet got my period. Is this normal after a surgery of this sort? Or is it due to PCOS. The doctor has adviced me not to try for pregnancy until January.Although we use protection there was one day around 20th of November when we did not use protection becos I had all the symptoms of an impending period.Could it be possible that I am pregnant? I did do a over the counter pregnancy test at home which appeared as negative.
If I am not pregnant how long do I need to wait to start trying? I am 31 years old and this will be my first baby.
Thankyou.

Answer 

You can try for a pregnancy now. However, you should be monitored every month to see which ovary is forming the eggs, as you should try and conceive only when ovulation occurs in the ovary on the side of the normal tube . Irregular periods are known to occur with PCOS. If on scan , you are found not to ovulate, you can take clomid to help you conceive. If you haven't got a period yet, repeat the clear blue test and if negative, take duphaston- one tablet twice a day for 5 days to get a period.

Question, 

I have had a preterm baby (first pregnancy) that died at 19 weeks, this was due to cervical incompetence. Do u think it could be caused by mifepristone which I had taken at the start of the pregnancy, after which I bled but did not abort? After this I had a blighted ovum which required D&C. Ever since then I had normal periods until now where I bled for a month with no explanation. The ultrasound scan revealed nothing. I am trying to get pregnant since then, could you advice me if it advisable after these miscarriages?

Answer

If it is 3 months since your last abortion, you can conceive now. Do the following bblood tests- thyroid hormones and toxoplasmosis IgM . If these are normal, go ahead. If there is a problem with these, let me know and I can advice you accordingly.

Question, 

i am a 33 year old female, i had a daughter back in 1996 and after giving birth i had a hysterectomy, i still have my ovaries but no uterus, what alternatives do i have to have more childern?

Answer 

You can only try IVF with a surrogate mother. Here, your eggs and your husband's sperms will be fertilised in the lab. and the embryo inserted into another woman's uterus. There are a lot of moral, ethical and religious issues involved in this. So, think carefully before attempting it.

Question, 

I am a 20 year old female whose never been pregnant or even thought about it. my male companion is 25. He already has kids and i assume that he is capable of having more. We had unprotected sex and he climaxed at least 4 times inside of me. I am not on any kind of birthcontrol and i am very healthy. The only thing i am concern about is can i get pregnant if i am not ovulating and when do you usually ovulate. my friends are telling me one thing but i need some real advise. My period usually comes on on the 10th of each month and we had sex on the 22 and 23 is there a high chance that i could get pregnant and if so how soon will i know.

Answer 

One usually ovulates around 15 days after the period. So , if you have a 30 day cycle, 22 and 23 should be fine for getting pregnant. Do a urine test - like clear blue on the 12 th . if you have not had a period.During the next cycle you can do a clear -plan test to determine when you are ovulating and what is your most fertile period. All the best !

Question, 

please help me doctor !!! for about a few years now, i've had these bumps on my inner thighs, not the entire time, only now and then do they come back maybe like a few at once....when i first got them i got one on each side about the size of a golf ball, they were so painful i had to wrap both thighs up with a bandage and then they eventually broke and pussed.....i never experienced that after that....now when i get them they are mild, they have a dark center with a light red circular rash around it....and they leave scars....i don't know what to do !!!! i don't know why i havent's seen a doctor before i feel like i already go there for other problems.....please help !!!

Answer 

From your description, it seems that you have an abscess (pus collection) on the thigh. You can use fucidin or soframycein skin cream twice a day for 5 days.You may need oral antibiotics also. If this recurs, see a dcotor who can examine you and give you the appropriate treatment.

Question, 

I am a 19yr. Girl. My menstrual cycles have always been semi-normal but now my period comes later and later in the last few months. I have not had my period in 40 days and last month it was 38 days but usually it comes every month. I'm worried that something might be wrong. What can be happening to me??
PLEASE HELP!

Answer 

You should do an ultrasound to check whether you have any problem in your uterus or ovaries. You may have PCO- Polycystic ovaries. These are present in around 20-25% of females and is a common cause of irregular periods. If the ultrasound is normal, check your thyroid hormones. If everything is normal, don't worry.

Question, 

I was put on Ortho-Trycyclen Lo in about April of 2003. I stopped taking the pill in about late June, early July. I did have a period shortly after. Since November 26, 2003 I have been bleeding. At first it was dark brown, since then it has turned bright red, and has gotten heavier. I am trying to get pregnant. I have taken several pregnancy test, all have come out negative.We do continue to have intercourse. Is there anything you can tell about my situation.

Answer

Do a blood test for pregnancy - beta hcg . This will confirm if there is any pregnancy , which could not be picked up by the urine test. If that is negative, do an ultrasound to rule out a fibroid in the uterus or an ovarian cyst. If that is normal, take exacyl tablets- one tablet three times a day for 3 days to stop the bleeding. Since you wish to get pregnant, check whether you are ovulating or not by the clear plan test. All the best!

Question, 

I found out that I have a few abnormal cells in my cervix for the firse time, Can I still get Pregnant?

Answer 

Please let me know in detail regarding the abnormal cells. Send me your Pap smear report in detail, so I can advice you accordingly.

Question, 

I am married and have a 2 yr old kid. This month on my regular period date, the periods started but few drops everyday and is still continuing, Its been 10 days. I am not getting properly, just few drops everyday. This is the first time something like this is happening. Pls suggest.

Answer 

Do a urine test for pregnancy- like clear blue. If that is negative, take exacyl tablets- one tablet three times a day to stop the bleeding.Later, see a gynec who can check you and determine whether you have any cervical infection which is giving you this bleeding. Also, an ultrasound would rule out any fibroid or ovarian cyst , whhich may give the menstrual irregularities.

Question, 

My wife is 25 weeks along in her pregnancy and has had one ultra sound. Is there a rule of thumb on how many ultra sounds a woman should have during a pregnancy?

Answer 

The nuber of ultrasounds required varies from person to person and from pregnancy to pregnancy. If there are complications like high blood pressure, diabetes, growth problems in the fetus, more ultrasounds will be required. If everything is normal, she should do one again around 32 weeks , so that if there are any growth problems, adequate treatment can be given.

Question, 

A couple days ago I found a painful bump on the lip of my vagina, but the next day whatever it was had popped. I was just wondering if it was a pimple I didn't know girls could get pimples down there.

Answer 

You can have a small abscess (pus collection) on the lips of the labia- so don't worry. If the problem recurs, you can use soframycein skin cream twice a day for 5 days.

Question, 

I am 25 years old. On the 28th of November 2003 I started my period and ended about the 3rd of December. Today is Sunday December 14th I started Bleeding again and it's not spotting, It's kind of heavy like normal and Before my period I thought I was pregnant and took a pregnancy test and it was negative. Then I took another one today on the 14th and it was also negative. Why could I be bleeding and should I go have a pap smear? I never had an irregular period although I just started taking prenatal pills. Could that be the reason? And I haven't had a pap since my son was born witch was 11-19-97. I need help since there no such thing as advice nurses anymore over the phone.

Answer 

Firstly, the prenatal pills can not cause any bleeding irregularities. Did you have any other problem like a viral infection or were you on medication or under stress ? All these can give you the bleeding problem. Just relax! If the problem recurs , do an ultrasound to rule out any fibroid or ovarian cyst, which maybe the cause of the bleeding. Since it is more than 5 years since your last Pap, you could repeat it.

Question, 

I have been having very low abdominal cramps and lower back pain off and on (lately, mostly on) for several months. I am on birth control pills to help control the bleeding of two small uterine fibroids. But, I still am having two periods a month. I've been to a gynecologist who did an ultrasound of my ovaries and found nothing. I've been to a physician's assistant who said she thought it was irritable bowel syndrome. I went to a urologist because I was having frequent urination for about a week (6 or more times at night) who said it was just bladder spasms and wanted me to start taking Detrol LAnswer The bladder symptoms are fine now. As a matter of fact, last night, I didn't have to get up all night! Yea! But, I"m still having the frequent lower side pains and sometimes left side pains. I started my period again two days ago, even though I still have another week of birth control pills left to take. I was having some constipation for a few weeks, until I started adding bran to my diet. This has got me very frustrated. I'm not sure if it's the fibroids or not. Do they cause cramping all month, or just around period time? They are only the size of two small walnuts! The pills help me to not bleed too heavily. My pap smear has been fine, also. And the doctor says my uterus feels fine, too. So, what is this cramping? It was so annoying and even has lately been waking me up at night! Did I mention, I am a newlywed and this is not very cool to be cramping all of the time when you're still on your honeymoon......So, help! Please email me ASAP!!!!

Answer

Do let me know the name of the pill ypu're taking. Also, are you forgetting the pill or not taking it at the same time everyday? This could be the reason for bleeding while on the pill. You may need to change the pill . Do remember , however that the size of the fibroids may increase with the pill, so regular ultrasound every 3 months should be done. Since your urine problem is solved, you don't need anything for that. Regarding the cramps, whenever you bleed or are about to bledd , you may get cramps. You can take buscopan tablets- one tablet twice a day for that. Once you don't bleed in between the periods, your pain should reduce. Do let me know if the problem persists.

Question, 

Just so happy to have gotten this site as i feel like a very frustrated woman. I have had several abortions (7) and never experienced any complications. The last one was 2000 February. Since then, i have not gotten pregnant though i have never been careful with sex. Sometimes in April 2001 my mestruation cycle change from regular 28 days to 21 and it came very jumpy even sometimes going less than 21 days. Though at this time, i was very much under stress from a relationship breakup. I lost about 10 kgs weight. I was not concerned and i did not see any gyn. Now am 5 months married and i desperately want a baby. I now have a regular cyle of 26 days though i can never tell when am ovulating. I see the cloudy discharge around when am supposed to ovulate, but i never notice the egg-white discharge. I feel pain on one side of the abdomen, have sex with my husband but i still do not conceive. I have seen a gyn and had an HSG test which came out ok. The tubes and the uterus were outlined. With my cycle, he tells me i must be ovulating. He checked my cervix and he tells me everything is ok. I feel like i have reached the end of the road and i really don't know what to do to conceive. I don't want to go clomid as am not sure of side effects. I am 30 yrs and my husband is 34. Please doc help as we want a baby soon. Tell me what more tests to go for. Thank you and your quick response will be highly appreciated. Please reply me thru' e-mail as i don't know how to get this site again.

Answer 

Check your ovulation by the clear plan test. This will tell you the best time for conceiving. Has your husband's semen been done? If that is normal, do a PCT test - Post- coital test. For this test, the gynec. will initially do an ultrasound and then ask you to have intercourse on a certain day. You will then be seen around 1 hour after intercourse. The sperms in your vagina and cervix will be examined to see whether they are staying alive or not. If the test is O.K. , you don't need to do anything further, and just try naturally, and you will conceive. If the PCT is abnormal, you may require IUI ( Intra- uterine insemination ). Do let me know if you need any further advice. You can contact this site again- omanaccess.com.
 

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