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Health Desk

Ask your doctor

Dr.Smita Lulla  MBBS, M.D, .D.G.O. (Gold Medallist),
Consultant Obstetrician & gynecologist at Qurum Clinic, Muscat since 16 years. Have had advanced training in U.K. in Obstetric & Gynecological Ultrasonography & Infertility.
Click here to ask your questions

Question

I am 4 days late ,iam feeling nauseous and having cramps ,am'i pregnant

Answer

If you have still not got a period, do a urine test for pregnancy like clear blue. Nausea and cramps may occur just before a period also, so a urine test will be confirmatory.


Question

Can you please tell me if Duphaston can cause morning sickness to be more severe?

Answer

Duphaston, being a progesterone hormone, may increase the morning sickness. However, you must have been given duphaston for some specific reason, so do not stop it without consulting your doctor.


Question

Dear Doctor,Iwas pregnant on Jan 18th And abortion occured on March 21st due to bleeding.After that i got my periods on April 24th.But after that periods iam not getting Any periods for the last 2 months.So i consulted a doctor.She checked my blood and scanning also was done.The result was negative.So she gave me medicine for getting periods.After taking it for 5 days also iam not getting my periods.Iam really tensed.I fear whether i was pregnant and not shown in scanning.I know its not possible.But whats the reason for not getting periods after taking medicines also.Ans please give me a guidence for my next Pregnancy.Next time i dont want to be a loser.Please send me a reply.please Doctor.

Answer

Regarding your future pregnancy, start taking folic acid tablets- one every day. Also, was your toxoplasmosis test done? Are your thyroid hormones normal? Was a scan done during your pregnancy and did it show a heart beat ? Once you plan to conceive, you can take certain medication from around the 22nd day of the period and during the pregnancy to avoid a miscarriage. Discuss with your obstetrician about that.


Question

During the pass two months, I have been having smelly discharge before and after my period. Before my periods' it is a clear discharge almost like water. But, after two hours that discharge that had no smell now smells like something die. After my period, I have a sticky yellowish, brown discharge, and again after two hours the smell it unbearable.

Answer

Have a vaginal smear done to determine the type of infection you have- bacterial , fungal or trichomonial and take the appropriate treatment.


Question

About years ago i had a partial hysterectomy done while i still have my overies i was wondering if it is normal for the back of the vaginal wall where the uterus was should be opening up i have found 1 spot about 1/4 in in diamiter and it has caused cramping and slight bleeding after intercourse, with this happening could i possibly get pregnant in my stomach cavity since there is that small hole or is this just me being scared i have a doctors appointment on the 26th of august please help me with this

Answer

Relax! The bleeding maybe due to infection or granulation tissue formed at the vaginal vault. Your gynec. must have found the reason . If the problem persists, let me know.


Question

Hi, i had a misscarraige in feb, 2 years ago at 4 weeks (i didn't know i was pregnant. then my husband and i started trying and got pregant in june 04. i misscarried again at the beginning of aug.(they couldn't find the babies heartbeat)the doctors said nothing was wrong with me, and to try again. but ever since the misscarraige my periods are very irregular. anywhere from 29 days to 39 days apart. the last one was 52!! days. we are as a result not getting pregnant and it is very frustrating. could there be something wrong with me or is there something i can do to regulate my periods? i just don't understand why it is so hard to get pregnant again since i have already been twice.

Thanks for listening.

Hope to hear from you soon

Answer

Sorry to hear about your miscarriages. Do you have PCO? This maybe causing the irregular periods and anovulation. Are you ovulating by day 15 or 16 of the cycle? This can be determined by doing the clear plan test. Also, have you done toxoplasmosis test and have your thyroid hormones been checked? Start taking folic acid tablets. Let me know all these and I can advice you further.Some doctors , like me, give certain medication during the pregnancy to prevent another miscarriage. I am sure with the right treatment you will have a baby soon !


Question

I am 24 just heard i have polycystic ovarian disease would that cause kidney promblems i have not had a period for 7 months can iget after vhaving a baby i never had any heatlh prombles befofe can you get it from a c-section

Answer

Polycystic ovarian disease is present in 10-20 % of women. You must have had it since adolescence , but was not detected earlier. Your irregular periods can be due to polycystic ovaries. However, if you are breast feeding, it is more likely due to that. C- section does not cause PCOD.


Question

I am a 27 year old female with 3 children. I had a tubal ligation two years age. I get horrible pains in my ovaries. Usualy the left side. This has been on and off for over a year. During examination I was told my ovary was enlarged. I had two ultrasounds and they were normal. I tried taking two different types of birth control pills but they give me sore breasts, nausea, headaches. I am always tired. My iron was checked and it was 13. I have my period now and I just passed a clot the size of a quarter. Is the clot normal. My periods are irregular and long sometimes very heavy. Please help?

Answer

Sorry to hear about your pain. Do you have a fibroid in the uterus? This could cause heavy periods. Also, do not let your period delay for long. A bleeding after a delayed period is often heavy. You can take duphaston tablets on the 35th day of the period whenever it is delayed. take one tablet twice a day for 5 days. Also, if you pain persists, you should do a laparoscopy to rule out endometriosis or adhesions which can cause the pain. Let me know, so I can advice you further.


Question

I am having pcod for the past few months and now i am talking femilon tablet to regularise will it regularise my periods.and how to reduce my weight I am 20 years old and i am 75 kg and 5.4 in height.help me


Answer

Femilon may increase your weight slightly due to water retention. Whenever you miss your period by 3-5 days , take duphaston tablets- one tablet twice a day for 5 days to induce a period. This is better than taking femilon every month for 21 days! Regarding your weight gain, see a dietician who can advice you a good diet and exercise programme to lose weight. Weight gain and irregular periods are common with PCO .All the best !


Question

I am 38 years old. No medical probs. Is it ok for us to conceive/Do we need to do any tests?

Answer

The incidence of certain fetal abnormalities increase after the age of 35 years. You can discuss these with your obstetrician before you conceive.


Question

Hi...I would like to know if is ok to take cyclocapron while breastfeeding...my periods are very heavy and I usually take them if I have heavy periods

Answer

Cyclokapron is safe during breast feeding.


Question

I'm a 36yr old female, I was 32 when I had to get my uterus taken out but not my ovaries, due to a miscarriage ( 1 month-1/2 ) plus my uterus had drop dramatically..I have had multiple sex partners in my life (5-6), the only thing I ever had was a yeast infection as it was not a severe one (just burning sensation and a little red on the virgina) at this moment I am having an amount of clear discharge without smell nor any other colour of discharge. I have never had any other infections in my life due to any STD's...I do find that it irritates the skin of my virgina as well as a burning sensation, but there is no smell at all, could it be that I have been drinking more caffeine? or is there any other chemicals that would be the results of this? What could it be? Do all STD's have a discoloration of discharge or has bad odour? Since I do not have any odour or discoloration of discharge as it is very clear...Thanks for your time and information...

Answer

Have a vaginal smear done which will determine the type of infection you have- bacterial , fungal or trichomonial. Depending on the type of infection, appropriate treatment can be taken. You can use travocort ointment twice a day for 5 days externally to reduce your vulval irritation.


Question

How many days is the safe sex after menstration? During those period is it safe that the man´s sperm come inside the woman?

Answer

This will vary from person to person and cycle to cycle It depends on when you ovulate. Do let me know the last few dates of your periods, so I can advice you further. However, this is always variable, and it would be advisable to use some other form of contraception also.


Question

What could it be if your get a cyst on your vagina during your menstral cycle and then it goes away after menstral cycle?

Answer

Do you mean a cyst on the vulva- labia? This maybe a Bartholin cyst which can go away and recur. See your gynec. to determine what it is.


Question

On 7 day of my periods I had sex is there any chances of my becoming pregnent.i consulted a doctor and she gave me tab.primolut and tab. ferocid for 21 days. will this tab. terminate my pregnancy (if I am). pls suggest me as me n my husband don't want a baby.


Answer

If you have very early cycles- every 22 days, then you could be pregnant on day 7 of the period. Once you get a period you should take some birth control pills to prevent a pregnancy. You can take gracial or yasmin which would give minimal side- effects.


Question

I amd 36 , misscaraged first pregnance January this yaer ( 7 weeks , 5 days - obsoleta ) I had LMP 26 on June, had mu USG last week. The doctor have found a functional cyst on right ovary and a very small pregnancy ( 5 mm ). I have been monitoring my B-HCG regulary for last few weeks and it is growing however the growth is very slow. At the moment 3720 ( basiscly glowing approx 10% every few days ). I was told that as long as it keeps growing I should not worry too much .. however I do not underestand the reason for slow growth. I am taking Luteina 3xday, Duphaston 2Xday and 6 tablests of poor magnesium as well as folic daily. What could be a reason and what else I could do to make help. ( during last pregnancy my B-HCG was growing correctly until.. ) Thank you for advise

Answer

You must have known by now how your fetus is. Hope it is growing well. Usually, the beta hcg when repeated after 72 hours should be double the previous value. Let me know what is happening, so I can advice your further. All the best !


Question

Is it normal for a girl to have a bump inside of her vigina around the time of her period? the bump doesnt hurt or noting its just there and if put hot water on it it shrinks a little is that somethin to worry about?


Answer

Since it is not increasing in size and is disappearing, you do not need to worry about it. However, it is not normal, so it would be advisable to show it to a gynec. to determine its cause.


Question

I
am 29 years old. I usually have a 21 day cycle every month. i have an IUD inserted 2.5 years ago. There was a tingling sensation with pain 1 day prior to my menses. I am just wondering is this due to the IUD. this month i am not getting my periods and it has crossed 21 days and i dont have that tingling sensation due to IUD. i am wondering if i could be pregnant.

Answer

By now you must have got a period. If not, do a urine test for pregnancy like clear blue. The tingling sensation and pain prior to the period are common, even without an IUD .


Question

I have for the past year been spotting in between periods and have been to the gyne who did a pap smear and it came back normal, and he said there's inflamation which is normal for sexually active healthy women or with an intra uterin contraceptive. I haven't been active sexually for almost a year until recently about two weeks ago and am not on contraceptive. Whilst making love there was blood again and an unpleasant smell, what is the problem with me? Please help.


Answer

Have a vaginal smear done to determine the type of infection you have and take appropriate treatment. At the same time your cervix will be examined and it will be determined whether you have a cervical erosion or polyp. Both these can cause spotting after intercourse and in between periods, Let me know, so I can advice you further.


Question

Hi, I am a 30 yr old mother of 4. After I gave birth to my youngest son on Jan 6, 2005 I decided to get an IUD for birth control because I am in a monogamous relationship my doctor said I was a good candidate for the IUD. Last month after severe cramping and a couple trips to the er I found out that I had a strep b infection and pelvic inflammatory disease. According to my doctor, this was caused by the IUD, but for some reason I have a feeling that because of the "in office" "non-sterile" procedure I may have contracted a bacteria through the placement of the IUD, which, in turn, concerns me to return to this doctor again. Please tell me the possible causes of this and if my hypotheses could be right. Thank you very much for your careful answer to my question.

Answer

Vaginal infection and PID are common with an IUD. This can occur even when the IUD has been inserted in " sterile " conditions. This is because of the thread of the IUD which allows ascending infection . If your infection does not respond to medication, it would be advisable to remove it and opt for the pill.


Question

This is a long one sorry june 12th was a flow but a very light one, not regular at all,i get a spotty bleed on july 9th and aug 2nd, i mean so light that if i would wear the same pad for 3 days it wouldnt even fill it, i change every two hours even if it is a spot on it too keep clean, i have had so many urine test done i think i own stock in hpt tests now. i went to the doctor and did one blood test back on july 8th it was neg. i did urine test at the doctors also neg. then i went in and she did a pap and an internal, she said i had an enlarged uterus, but could not say it was pregnancy or fibroids. i have all the symptoms of pregnancy but none for fibroids, rather than do an ultra sound she said that until i get a positive pregnancy test they would not do an ultrasound, something dont sound right there, then she said because i am 43 it impossible to believe i could be pregnant, then suggested perimenopause, even though i have no signs of it. which one of us is touched her or me...i guess i am gonn! a have to wait this out and see what happens in march, if it is a pregnancy i am due around the 19th of march. any suggestions out there????

Answer

Relax! How was your last period in September? Did you repeat a urine test in September ? Have you put on weight in the last few months and have your thyroid hormones been checked ? Let me know, so I can advice you further.


Question

We are Married since 4.5 year, but my wife is yet to conceive, she has undgone laproscopy which says everything is normal, doctor have advised siphene 100, she has completed 5 dose as of now. Doctor have how suggested insemenation. My sperm report is - Count - 70 illions/ml motility at the end of 1/2 hour 80%, 1 hr - 70%, 2 hrs 60%, 4 hrs -60% 6 hrs 45%, Leucocytes 4-6%, What are the chances that she will be successful on insemenation, how many times we need to try insemenation techniques, and what is the next course of action after insemination.
I had earlier also posted this matter at your site, but somehow i am not able to trace my question from the huge list of queries posted by people at your site. jepson

Answer

Have your wife's fallopian tubes been checked? What was the response to siphene? This would be known by ultrasound. Ultrasound is essential while on siphene , as this would determine when the eggs are forming and indicate the most fertile period. Insemination would help and the success rate of that is between 20-30 %. All the best!


Question

Dear doctor,
My husband sperm is mucoid iwanted to hv second child now it is 5yrs since no child. my hormone all is normal.recently 3ys befor i underwent fibroid surgery. after that i conceived recently and got aborted after 3 months. baby was not growing properly and it was a weak baby.kindly advise what should i do iam 34 yrs old and my husband is 35yrs old.

Answer

Sorry to hear about your miscarriage. I need to know your husband's semen count, motility. Also, did the baby not show any heart activity from the beginning or was it o.k. in the beginning and then stopped growing? Were your toxoplasmosis and blood sugar test done? What were the results? Let me know all these, so I can advice you further.


Question

I am in the middle of my cycle and have experienced heavy bleeding for about a day, I also had lower back pain and mild stomac cramps. I have been on the the pill for about eight years and i have never had anything like this before?

Answer

Were you off the pill when you had the bleeding and cramps? In that case, this would have been ovulation bleeding and pain during ovulation at mid- cycle. If you were on the pill , the question of ovulation does not arise unless you had missed a pill. If the problem recurs. , have a vaginal examination done to rule out vaginal and cervical infection or a polyp. Let me know , so I can advice you further.


Question

Hi There, Since having my child six years ago, I have teribble lower abdominal pain around the fertile time, my back stiffens, my muscles tense and I get very light headed and tired this lasts for around a week. I have been to my doctor and have been put on antidepressants and diagnosed the IBS i don't thinks its this but I don't really want to back and question him please help.
Your advice will be much appreciated.

Regards
Charley

Answer

Abdominal pain during mid- cycle is due to ovulation, but should be present only for 1-2 days. Has your ultrasound been done? Ovarian cysts,specially endometriotic cysts, can cause pain from ovulation till the time of the period. Let me know the results of the ultrasound, so I can advice you further.


Question

Dr, I am a 30yr old female married for 2 yrs.I have had regular periods since i attained menarchy with ovulation pain exactly two weeks preceding my period.I underwent MTP one and a half years ago after which I was on oral contraceptives till 4mths ago when I had to stop them due to severe allergy for which i was put in steroids.I have been off steroids for the last three months now. My cycles were regular though i noticed that the flow had decreased. My lasts menstural period was on 24th June thereafter which I had amenorrhoea for three weeks I took progesterones for three days,10 days after which I have started with my period.Since the last two months i have been also suffering from acne. USG done revealed multiple cysts in the ovaries and a diag of PCOD was made.I am very disturbed thereafter. What are the tests you recommend for confirmation of the diagnosis? Will I be able to conceive normally without any treatment? Can this disorder be reversed? Does it progr! ess with age? For how much time will i have to be on treatment?

Answer

PCOD occurs in 20-30 % of women and cannot be reversed. If you are ovulating , you can conceive without treatment. If you are not, you may require some medication like clomid to induce ovulation. You can do blood tests like FSH, LH and testosterone on day 3 of the cycle. Let me know the results, so I can advice you further. Relax! Millions of women with PCOD have children!


Question

Good day doctor

After normal vaginal delivery at8nov 2004 ,i complained from dysfunctional utrine bleeding,treated by primolut 5mg 3 time daily for 21days 5days off for 4 courses the 1st one followed by normal cycle but bleeding came back again ,doctor advice 3 cources,1st 21d &5d off,&for 60d contineous treatment of primolut because of interruptted bleeding during the 2nd course,now the menstrual cycle come evrey 20 ,19,17days for 7to10days stopped with the help of mefenamic acid 500-250mg tid,all ultasound was normal for your kind advice because i tired &depressed from the menstrual cycle thank you

Answer

Are you breast- feeding yet? This could also be one of the reasons for irregular periods. Since this problem is persisting, have your thyroid hormones checked. If they are abnormal, take the appropriate treatment. If they are normal, you should use oral contraceptives like gracial or yasmin for 5-6 cycles. This may help to regularise your periods.


Question

Hi Doctor I am 27years and am dignistnose with polysistic overy. my question is whot is the most fast and efficient cure and what are my chances of having children. Iwould so much loke to have children

Answer

Polycystic is a condition which occurs in 10-20 % of women. It would never go away. You can have children with PCO , so don't worry. Depending on your symptoms like irregular periods, infertility, hirsutism ( excessive hair growth), you will require treatment.


Question

H ru doctor? Doctor i like ur answers which shows ur very good in Gyne and i also heard ur name in TV also.

Actaully doctor i have periods problem.I m 25 year old unmarried girl and i have high serum prolactin level means its upto 80 ng/ml.Three year before i took Dopergin for one month then i got normal periods but after few month again i had irregular periods so again i took dopergin for one month .But from jan 2005 i dont have periods and i tool dopergin for one month but no periods.I have so much constipation.I ultra sound of my uterus+ovary but all is fine.Serum T4+T3 test is also normal.Please guide me what should i do? My bad habits are late night study and worng time eating.Are they reasons of stress and high prolactin?Please answer me in my email address.

Answer

Prolactin is a hormone which is often high in many women. Has your skull x-ray or MRI been done to rule out any tumour in the brain. This can cause a high prolactin. Stress can be a reason for the increased prolactin. So, try to relax. Otherwise, you will need to monitor your prolactin level every 2-3 months and whenever it is high take dopergin tablets.


Question

I have a white discharge I can be walking and it just comes out some times it is a thick milky white and a week ago it was clear little brownish white and it had a little blood in it and it has a odor I can clean myself out and it will be back in a day or two please help

Answer

This seems like fungal infection. Use canesten vaginal pessaries- one at night for 6 nights. If the problem persists, use sporanox capsules- 2 in the morning and 2 at night. Your partner should also take the sporanox capsules at the same time. The clear discharge with blood could have been due to ovulation (if it was during the mid- cycle).


Question

I am 48 yrs old, for several months my period were very heavy. now last month it was very light, how ever it lasted for 18 days... now this month again it was very light for about 14 days and now it is somewhat heavy, also with some clotting. please help. I have two children 21 yrs apart. my youngest is 10. I have been a widow now for over 2yrs. and don't have ins. i don't really know if i am going through memopause. except i do get hot flashes. is this normal for going through menopause! thank you in advance.. sherri

Answer

You do need to have an ultrasound done to rule out any fibroids or an ovarian cysts. Let me know the result , so I can advice you further. Also, have your hemoglobin checked and ,if low, take some iron tablets like fefol or ferose.


Question

I am 21 yrs old, i was on the pill for about 2 years, and i stopped, i was having farily regular periods, but all of a sudden i would have 1 then 2 months later have another, i havent had one for about 6 months, but i have been very active and under tremendous stress, however i did have intercourse 3 times during that time...is it possible to be pregannt even though not having periods...


Answer

You can get pregnant even if there has not been a period as you could have had a late ovulation. Check your urine for pregnancy test ( like clear blue). If it is negative take duphaston tablets- one tablet twice a day for 5 days to get a period. Stress can cause irregular periods. However, have an ultrasound done to rule out any ovarian cyst , which can cause irregular periods.


Question

I am 34 years old woman suffering from depression. Married since one year. Can I conceive after laperoscopy myomectomy of my Fibroids?

Answer

How many fibroids do you have and what are their sizes? Also, are your fallopian tubes patent. If your tubes are patent and the fibroids are small, you can conceive naturally and would not even require a myomectomy. Let me know the result of your scan , so I can advice you further.


Question

Greetings Doctor,

Is it necessary that for the first time when you do sex with your husband, blood comes..is this only the sign of virginity?


Answer

DSome women have an elastic hymen which does not bleed during the first intercourse. Examination of the hymen by a gynec. will reveal whether it has been broken or not.


Question

I found out i had a PID. I had culture done and no bacteria growth. I also found out while being treated for this with medication I am newly Pregnant for my 3rd child. Is this a problem? I have had history of PID, being my second case in 10 years. WIll I be considered a high risk Pg? WIll antibotics be bad for the baby?

Answer

When you say PID, do you know which specific infection it is ? How was it diagnosed? By itself, PID rarely causes any problems for the fetus. The antibiotics can be given to you keeping in mind that you are pregnant, so there should be no problem.
 


Question

Hi Doctor

What is regular period mean. As I'm getting my periods every month & my cycle is 28 days but sometimes my period comes in 25 days, 27 days or 24 days. is it regular

Answer

A regular period is one which comes every 25-30 days. Your seems regular, so stop worrying. There will always be a variation of 2-3 days on either side of the period date.


Question

I am 34 yrs old and trying to concieve,,i had my tubes untied after 8 years,,,and i am obese (300),,,i have normal periods and im tracking my ovulation days ,,but 7 months have gone by since the reversal and im still not pregnant,,is there a problem here?

Answer

Have you done an HSG (hystero- salpingogram) to check whether your tubes have remained patent after the surgery? Also, what is your husband's semen count and have you done a PCT( post- coital test ). Let me know, so I can advice you further.


Question

I am 23 and sexual active, and I have protected sex and am also on birth control. A week ago i noticed two small skin like growths on the outside of my vagina near my anus. I have no syptoms of anything except there existance. Can this be an STD or cyst? I was last tested for Vanerial Diseases and AIDS a few months ago and everything came out fine. What can this be?

Answer

This seems like anal warts. You must see your doctor to determine what they are and take appropriate treatment.


Question

Dear doc, I just would like to ask is it a problem to use tampons every time I have my period, even though I'm trying to fall pregnant? thanx

Answer

Tampons will not affect your chances of pregnancy directly. However, there is a chance of vaginal infection with tampons, specially when left in for a long time when there is less bleeding. TSS ( toxic shock syndrome ) can occur sometimes, which is a serious condition.


Question

I
am a 40 year old woen and at the end of myperiod's i notice the changing of the color it start's tunrning a really dark brown colr and i was wondering what that could b could u give me some insight of what it might b

Answer

During the first few days you may have red blood. As the amount of blood reduces you could have dark brown or black blood . This is normal, so don't worry. However, if the bleeding is persisting for more than 7-8 days, then let me know.


Question

I am 8 weeks pregnant.Couple days,I had brown discharge,now it's turn to red.Is it mc?Please Help.

Answer

If you are pregnant and bleeding, you are having a threatened abortion or have an ectopic pregnancy. Have an ultrasound done, to find the cause of the bleeding. If the bleeding recurs, let me know the result of the ultrasound and I can advice you further.


Question

I am 26 yrs old and had been undergone twice missed abortions. Hence, doctor suggested me to undergo certain tests like blood test, hysteroscopy , chromosomal etc and found my ACA level is bit elevated ie 10 GPLU. Hence she advised as precautionary to take a calcium tablet (shelcal 500mg), folic acid and Iron tablet (Ferox). I am planning to get pregnant after two months. My husband also gone through all the test and is normal. Doctor advised that once i get pregnant i need to be under medication ie daily a Aspirin, Heparin injections.
My question is, with the mentioned above detail.. pls let me know the chances/rate of successful pregnancy with treatment. Do I need to undergo any other tests before getting pregnant. Pls advice.. I am scared for my future..

Answer

Relax ! You will require aspirin in the next pregnancy.The low- dose aspirin ( 75-81 mgms) is absolutely safe. Whether you require heparin or not will have to be determined by your doctor. Some of us also give cyclogest vaginal pessaries or duphaston tablets during the first 12 weeks of pregnancy. All the best !


Question

I used a tampon yesterday for the firstime in many many years. Later on that evening my leg started to feel numb and like if I had little pins in it. Is that a sign of TSS. Or could that have been caused by something else?

Answer

TSS causes fever, chills, diarrhoea and muscle aches. I doubt that this feeling of numbness is due to tampons. If any other problem occurs, see your gynec.


Question

Doctor I have had three failed pregnancies, missed abortions. I have just gone through one and am devastated. I was on duphaston during my last which came out at 11 weeks. I am 41yrs old and real worried that the clock is against me.. Why do you think this keeps on happening to me? and please give me some advice on what I can do. Thank You

Answer

Sorry to hear about your miscarriages.I need some more details of all your pregnancies, so I can advice you further. Was the heart beat of the fetus present initially and then absent? Did you start duphaston in the luteal phase of the cycle( from day 22 of the period) and then continue it throughout the 12 weeks? What is the result of your toxoplasmosis test, thyroid tests and blood sugar? I am sure with the right treatment you should have a baby !


Question

Am 29 years old am to the day with my period each month..the last few periods have been different. thee months ago had a light period 2 days with only browinish spotting and pregnancy test was neg. last month was regular and this month had my period on the same day but only bleed heavly 1 day and now just spoting on 2-3 day not enough to even tell but have had dark red clotty jelly-like discharge ,no oder having reg crramping but nothing severe, been nautious..

took preg test was neg...should I bee concerned

Answer

Relax ! Stress also can cause some cycle abnormalities. Have your thyroid hormones checked and an ultrasound done to determine if any problem in these is causing the scanty periods.


Question

I have a healthy daughter 3 years old. My pregnancy was easy and I developed pre- Eclampsia in the end with her. 3 years later we tried for another child and again I became pregnant. I want to first mention that I was under alot of stress in my new home in a different country.The pregnancy didnt feel right from the beginning. I started bleeding at 9 weeks, but it continued. I was constantly sleepy and having a sick feeling until the day they told me I have no water on my baby. I delivered a son pre-term at 25 1/2 weeks on February 16th. Then again I became pregnant after 1 period. It stayed for 8 weeks until hemorraging caused me to take a D&C on May 15th. 2 months later I am pregnant again now I am in the 5th week, and I want to use Cyclogist because my progesterone has never been checked and I feel more comfortable trying to keep my pregnancies with Cyclogist. I am in the middle east now and these Doctors dont beleive in "interferring with what god wants". My!

Question is do you think it is safe for me to take the progesterone anally to prevent another miscarriage.I have taken the medicinie only one day, and felt really good when I woke up today.

Also my husband has some concern about us having sex with all of our problems..

Thank you for your help.


Answer

Hope your pregnancy is fine. Cyclogest is safe and I think you should use it till 12 weeks of pregnancy. I would also advice you to use low- dose aspirin ( 75 or 81 mgms) till 34 weeks of pregnancy. Keep me informed about your pregnancy. All the best !


Question

how long after unprotected sex would a pregnacy test detect preg?

Answer

A urine test for pregnancy ( clear blue ) will be positive 15 days after conception. So you can do it 15 days after the unprotected intercourse.


Question

Ma,

I started my last menstruation on the 28th of June 2005 and ended it on the 1st of July 2005 and since then have not seen it. So i went for ultra scan in which says the baby was not found in the sac, whereas the urine pregnancy test say it is positive, the hemoglobin is 12.7g/100ml and my pcv is 38%. My uterus is 59mm AP 68mm,PS or TS 92mm LS, Endometrium is 20mm,ovary is normal Adnexa is normal. So what is happening to me because i do have pains underneath my abdomen?


Answer

By now, you must be knowing whether the pregnancy has grown or not. Sometimes when there is a late conception , the pregnancy test will be positive , and the ultrasound will show the pregnancy later than 6 weeks. If nothing is still seen within the uterus, an ectopic pregnancy should be ruled out.


Question

Hello,

I am 17 years old and I have always had very irregular periods (since age 11). The most regular cycle I have had has been around 45 days. I have never had sex, but have had some sexual contact (although never vaginal penetration). I have not had my period for over two months (this has happened to me a few times before, I actually went for 10 weeks without a period before). I am very stressed out and I am told this is a contributing factor to irregular periods. I am experiencing some slight pink discharge, but I have had this during my "regular" cycles before. Should I be tested for something? Should I get a prenancy test although I have never had intercourse? I am starting to get worried that there is something wrong with me.

Answer

Do a pregnancy test to confirm that you are not pregnant. The pink discharge maybe your period. Do you have PCO ( Polycystic ovaries )? This is associated with irregular periods.


Question

Is it possible to ovulate from a normal ovary that has a blocked fallopian tube? My right ovary and right fallopian is all right, however my left tube is blocked with a normal left ovary.


Answer

You can ovulate from the left ovary, but since the left tube is blocked, you would not conceive when you ovulate from the left side. You should have an ultrasound done every month on day 11 of the period to see whether you are ovulating from the right or left ovary and plan accordingly.


Question

I used canesten pessary i finished my treatment 2 days ago but still have a discharge of the actual tablet now is this common and when wil it stop


Answer

Sometimes the pessary takes a long time to dissolve completely, but it should not be more than 5-6 days.


Question

I had a laprascopy done to drain chocolate cysts & then I had two doses of Zoladex 3.6 to curb Endometriosis. Last shot was taken on 14th June. Now it has been 2 months and I still have'nt got my menses. I have put on weight and my wrists hurt like hell, always a bit swollen n tender. Apart from this no pain.

Please help as i was wish to get my menses soon ...


Answer

You should have got a period by now. if not, do a urine test for pregnancy. If it is negative, take duphaston tablets- one tablet twice a day for 5 days to get a period. Weight gain may have been due to the Zoladex, but I do not think the wrist tenderness is related to that. See your doctor if the pain persists.


Question

I have always had vaginal odor that I think is stronger than other women. I wash with feminie wash and tried different soaps, basically tried everything, but it is so hard for me to stay fresh down there. I get routine check ups at the gyno so I know that I do not have an infection. Are there any things I should or shouldn't do? Any remedies that might help this?

Answer

Since there is no infection and you seem to be doing so many things about it , stop worrying. Does anyone around you complain of the odour. If not, you maybe very sensitive about it , so stop worrying. You can use gynoflor vaginal pessaries once a month for 6 nights. This may help restore the normal vaginal flora and prevent further infection.


Question

I HAVE BEEN HAVING A BROWN VAGINAL DISCHARGE FOR A LONG TIME IT WILL GO AWAY FOR A DAY OR TWO AND COME RIGHT BACK IT ALSO HAS A FOUL SMELL IF I DOUCH IT WILL GO AWAY FOR A DAY.

Answer

Have a vaginal smear done as this will determine the type of vaginal infection you have and which treatment will be appropriate for you. A pelvic examination at that time will also reveal whether you have a cervical polyp or an erosion, which can also cause the brown discharge.


Question

At around 9-10 years old, due to ill fitting underwear, the 'lips' within my vagina used to be irritated and became red and swollen. I am now 18 and the labia now 'poke out' and are a dull grey colour, as is the area above the urethra. I also experience thick cloudy discharge everyday, and thought this normal until talking to a friend. Should I get this checked out or is it too late?

Answer

Regarding the discharge, this maybe fungal. Use sporanox capsules- 2 capsules in the morning and 2 at night. If you also wish to use vaginal pessaries,use canesten pessaries for 6 nights. regarding the " grey " labia, you will have to show a gynec.


Question

I am going to use clomid (50g) from my next cycle from 5-9 days. is this pill only work for one month. in case if i didn't get pregmant, should i be using another 5 pills for next month? or the previous 5 pills will work for a certain months? if i use this pill, which are the days i should have sex? by the way my cycle is 29-33 days. after using this pill when (which day of th cycle) should i get tested myself and what are the tested i should get? could you please give me answers for this questions? i am married for 2 years and desperately looking forward to my pregnancy day. i been with GP. They have done a blood test and said nothing wrong. To see whether i am ovulate which day of my menses cycle get tested/ looking forward to your reply.

Answer

You must be monitored by ultrasound while on clomid. This will determine your most fertile period, depending on the size of the follicle. Also, ovarian enlargement is common with clomid, so an ultrasound will ensure that the ovaries are not getting enlarged. Also, what is your husband's semen report? Have your fallopian tubes been checked? Let me know, so I can advice you further.


Question

Hi, i have pcos and my period came 4 times a year. early this year, i did a laparoscopy to remove polyps. my gynae shed the womb lining for bioscopy becos it is thick. currently i m on clomid and metformin. this round, my period 4 days earlier but is worry me becos i had brown discharges for 7 days. (no bleeding at all) the doctor put me on progynova and puregon for 3 days, metformin to be continue till the day i get pregnant and clomid during day 2 to day 6. i was wandering does metformin, clomid and puregon resulted in having brown discharge. my womb lining is very very thin. is there any food at i can take to improve the womb lining. progynova and puregon does not help

Answer

None of the drugs taken should cause brown discharge. Clomid may cause scanty periods, so if the brown discharge is only at the time of the periods, stop worrying about that. There is no food that can change the lining of the uterus. You said the womb lining was thick, so you had a d& c done and now it is very thin. Have a scan done on day 5 or 6 of the period and let me know what the thickness of the lining is at that time, so I can advice you further.


Question

We been married now for 3years, we would like to have kids we do physical examination and normal they said needs to relax. We would like to consult to a specialist for this matter. TY

Answer

You can check whether you are ovulating or not by doing a clear plan test ( which is available in pharmacies). Have your husband's semen report done and let me know the report, together with your ovulation pattern so I an advice you further.


Question

I am not one to like to go to doctors to much. I noticed a small knot on the inner part of my right thigh about 2months ago. I thought it was a flea or mosqeto bite or from shaving. Now it has grown biger and moved up to the outer side of my vagina area on the right side. It hurts very bad and is very inflamed and bright pink. I am confused as to what this can even be. I have been married for 10 years and my husband and I are faithful to each other, we are a very church going family. I guess I was hoping before I have to force myself to see a doctor maybe you would have some clue as to what this might be. To let you know there is no type of head on this at all. I kept thinking if I could just squeeze it and release the presure it won't hurt anymore. I guess I am more scared then anything. I am 34 years old and have 4 children. I would be grateful for any help that your willing to give me. I will realize that it isn't a definite answer just a sugestion.

Thank You in Advance

Answer

Relax! It probably is a skin abscess (boil). Use bactroban or soframycein skin ointment twice a day for 5 days. If it does not settle, see a doctor who can determine what it is and give you antibiotics orally , if required.


Question

I haven't had my period for about 3 months ago but eventually i got it this month. i use one a women a day that has a lot of iron & calcium. lots of clod blood would be discharge. my tummy is stuffy, bloated, hurts & it is high meaning my tummy is big. can u tell me about my irregular periods & tummy size.i need help with my tummy size.

Answer

Have an ultrasound done to rule out an ovarian cyst. or fibroids , which may cause your tummy to enlarge. Stress, change in climate, certain medication can also cause irregular periods. Let me know the result of your scan so I can advice you further.
 

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