Question

I am currently taking 100mcg oroxine tablets every day as I have an underactive thyroid. I am trying to conceive my third child can having this problem and taking these tablets cause problems in trying to conceive. I had problems TTC my other two children but was not on any medication. And for the first time in a very very long time my periods are very regular. Can these tablets effect me in anyway at all in conceiving?

Answer

Oroxine tablets and will not prevent you from conceiving and are safe to use even during pregnancy, if required . You must maintain your thyroid hormones at normal level when you are planning to conceive and even during pregnancy. the dose may have to be changed during pregnancy.

Question

Dear doctor I am having a baby girl. how can i have a baby boy. now my daughter is 7 yrs. can i do a chromosome test for my self. How my wife can have a baby boy. is it medically possible. I read that in Dubai they are having a facility like that. kindly let me know thanks. Muscat

Answer

You can take an appointment for you and your wife at my clinic. The number is 24 563181. I can explain to you further . Your chromosomal test will not help in any way.

Question

Hello,
I came across some tablets with the marking of Estinor on it's foil. It's a small green colored tablets, but I'm not quite sure what's it for, and I would really like to know more about it

Answer

Estinor is an" emergency contraception pill ", which maybe used after unprotected intercourse to prevent conception. However, it must be used correctly, so you must contact a pharmacist or a doctor prior to using it.

Question

I am 27 and have a daughter 10 years old, which was conceived naturally. I have been trying to concieve for the past 18 months. I have had blood test which revealed im not ovulating, and today I had an ultrasound which showed I have PCSO? I am really confused and worried that I will not ever be able to conceive, and what treatments are available to correct the ovaries? how long does the treatment take to work? please can you put my mind at rest!!

Answer

PCOS ( polycystic ovarian syndrome ) is present in 10-20% of women. You must have had it when you conceived earlier , so don't worry about it. One has irregular periods and infrequent ovulation or anovulation with PCO. You can take clomid tablets to help you ovulate . However, ultrasound monitoring is essential while on clomid to detect your most fertile period and to observe that your ovaries are not getting enlarged.

Question

I was recently treated for a sinus infection with biaxin...the month before I had also been treated with biaxin for broncititus. Both times I got a yeast infection after treatment and treated it with a 3 day over-the-counter vaginal antifungul. But this time, during treatment of the yeast infection, I started bleeding lightly and having slight abdominal pain...I have not engaged in sexual intercourse for 3 weeks. My question is, should I see my doctor about this or is it normal and nothing to worry about? I've never had it happen before and I would rather not have to have a plevic over some light bleeding that is probably nothing. Thanks for the input.

Answer

Antibiotics do predispose to yeast infection. You can use canesten vaginal pessaries for 6 nights. If the infection still persists , you may need oral antifungal tablets (like diflucan or sporanox ) for you and your partner. If the infection still persists, have a vaginal smear done to rule out any other infection which might need some different treatment.

Question

Hello Dr.
I was in a 2 1/2 yr relationship never used protection but since then I have a white creamy discharge with a wierd smell.. I thought it could be left over sperm from my partner but we are not together anymore, I don't have any std's just HPV.. what can I use to stop it.

Answer

It seems to be fungal infection. Use betadine vaginal pessaries. However, check with your pharmacist that you are not allergic to any of its contents. If that does not help, have a vaginal smear done to determine the type of infection you have and take appropriate treatment.

Question

24 years ago I had a hystorectomy snice then I have been on and off hormone tretment. I was 29 when I had it done and I have not been able to enjoy sex at all. I have also had a yellow discharge which I only seem to have when I am on hrt canyou tell me what this is please.

Answer

Were both your ovaries removed as well ? Do you have vaginal dryness? If yes, you can use premarine vaginal cream once a day fro 7 days every month. Which hormones have you used? A hysterectomy should not affect your libido in any way. The vaginal discharge could be due to a fungal or bacterial infection. Use betadine vaginal pessaries. Check with your pharmacist that you are not allergic to any of its contents.

Question

hi my name is Tiffany and I am 19 years old. I am experiencing a brown discharge. It has a odor sometimes but is mostly right after my period. It started one day after using a latex condom. Can you please tell me what this is?

Answer

You could be having a vaginal infection. Use betadine vaginal suppositories, after checking that you are not allergic to any of its contents. If you are not better, have a pelvic examination done to determine whether you have a vaginal or cervical infection or a cervical polyp. A vaginal smear would determine the type of infection you have.

Question

I'm 19 and have been experiencing some unusual bumps on my vagina. They hurt when pressed against and if it breaks pus as well as blood afterwards. I'm kinda nervous because I don't have health insurance to see a gynecologist and I fear for my boyfriend when he gives me oral sex. I love him and I don't want to lose him. What should I do?

Answer

I am sorry, I cannot answer this without seeing you. You will have to be seen by a gynecologist to determine what you have and to take appropriate treatment.

Question

I've known that Primolut N can delay the period. My question is that if I have a period next time on 1st October and I want to delay my period for 7 days when will I start/stop taking them ? Can I have sex without getting pregnant during those 7 days? Can Primolut N use as birth control pill as well?

Answer

You can start primolut one week prior to the expected period and continue it till you wish to delay a period. It is NOT a method of birth control and can cause some problems with the fetus if continued during pregnancy. I presume you have consulted a doctor before and there are no contra-indications for taking the tablets.

Question

I am pregnant woman 8 months and CBC was done to me on 10/9/05. the result was good except the platelet count was 98 and as i know that the normal range is 150 ti 400 so I wanna to know whether any complication can happen beacuse of this? and what is yr advise in order to increase the paletelet count?

Answer

Nothing can be done to increase the platelet count. Repeat the count again and let me know. Also, what medication are you taking ? Let me know , so I can advice you further.

Question

Hi Dr. I am 29yrs.. lost 3 times get pregnant and with in 5-6 weeks my period get started and my u/s there is no sac nothing.just now I chked my follicle but size was small.so my Dr.told me wait for next month then will u/s she will chk again follicle size and she will give me some medicin to protect my fetus..if folicle size small is there any prob to become preganent??. And why I am loosing my preganacy please tell me Dr.

Answer

Sorry to hear about your miscarriages. I am sure with the right treatment , you can reduce your chances of miscarriage. Regarding ovulation, are you taking clomid tablets and in what dose? This can be adjusted to form adequate follicles. For further treatment during your next pregnancy- I need to know the following: where are you living?, what is your toxoplasmosis test result ?, is your blood sugar normal? are your thyroid levels normal? Let me know, so I can advice you further.

Question

Hi,
I am a 33 years old breast cancer survivor. I was on Tamoxifen for 2 years and stopped the pill 4 months ago as I am planning to have children soon. I noted I have spotting during mid-cycle and spotting several days before my period starts since I stopped the tamoxifen. Is this considered abnormal vaginal bleeding?

Answer

Have an ultrasound done to rule out any ovarian cysts ( caused by the tamoxifen) or a fibroid in the uterus. Also, have a vaginal examination done to rule out any vaginal or cervical infection or polyp. All these can cause the spotting. Let me know, so I can advice you further. All the best !

Question

Hi,
I post my problem to you some time back that you diagnose as the vaginal fungal infection and recommended the use of CANISTEN (6 tablets course). I did it and the white discharge that used to come out with urine and at times unexpectedly, subsided.

I had intercourse after about 3 days of the completion of course. Now I have the following problem.

In the past when I used to get aroused I had sticky, transparent fluid coming out. After the completion of the act the nature of the fluid remained the same.

Now I experience the white (curd like, the same as I used to experience when I had fungal infection) liquid coming out when I go to the washroom after having intercourse. The fluid keeps on coming out for a few hours then subside. I also experience some itching and a slight burning sensation inside the vaginal walls but they also subside after some time and every thing gets to normal as long as I am not involved in any sexual activity. As soon as I indulge in any such activity the problem arises again.

I wonder why it comes out after the completion of the act, along with the itchy and burning feeling. Please recommend the course of treatment as well as any tests that you think will be helpful for an effective diagnosis.

Thanks,
Sana

Answer

You may still have the infection, or you have had a re-infection. Use canesten again. Also, both you and your partner should use diflucan tablets or sporanox capsules for one day - on the second day of the period. If the problem persists, you need to see a gynec. who can do a vaginal smear and a culture and sensitivity to determine what infection you have and what would be the best treatment for it.

Question

Hello,
My wife has been currently suffering from Dirreha for for 4 months,weight loss of 15 pounds,pelvic pain, and stomach pain. All these symptoms started to occur after she stop using Deporovera birth control. She was on depo. for about 10 years .
She has had tons of blood work, STD Check, Ultra sound, Endoscopy, Colonoscopy and all test results were negative. I am concern that her long term use of depovera has caused these symptoms and what steps should we take next? Her doctor has not mentioned anything about deprovera being the culprit and suggested that it might be irratable bowel syndrome. However, from my reading of irratable bowel syndrome...it doesn't cause pain in the pelvic and abdominal area. Any suggestions would be greatly appreciated. Thank You.

Answer

Depo provera does not cause this. Besides, she is having these after stopping the depo. Depo provera may have caused weight gain ( because of water retention). Now that it has been stopped she may have reduced her weight which was due to water retention. Let me know the detailed results of the laparoscopy and colonoscopy .Is she stressed ? Maybe a fear of pregnancy is giving her stress , which does cause irritable bowel syndrome.

Question

I have irregular periods. I had 2 surgeries in the last 5 years. I've been trying to get pregnant over the last 3 years. I'm not sure what's wrong with me. Last year from April up until Jan. Of htis year i've been all month long or 20 days out of the month. Now i've had my menstration the last 2 months regular. But let's see if it comes this month on Sept. 24. Can you elite me on my problem.

Answer

What is the result of your ultrasound? Do you have PCOS ( polycystic ovarian syndrome)? Are you ovulating? This can be checked by the clear plan method. Let me know, so I can advice you further.

Question

Dear doctor,
I am a 24 year old woman who has been diagnosed with polycystic ovarian syndrome recently. Prior to that, i was taking Gynera for 2 and a half years for contraception. Before, i started on Gynera, my periods were regular. I would like to know what was the probable cause of my PCOS? Is it Gynera? What treatment is available for PCOS? A trans vaginal scan revealed that each ovary has at least 12 immature follicles. How did this come about? Would this affect my chances of conceiving in future?

Answer

Polycystic ovarian syndrome is present in 10-20 % of women. It often runs in families and is more in certain races. Gynera does NOT cause PCOS. In PCOS , one has irregular periods, irregular or absent ovulation, hirsutism (excessive hair growth), acne and increased body weight. While you were on gynera , your periods were regular because of the hormones in it. Now, you are getting your natural cycle pattern. Treatment depends on whether you wish to conceive or not and what symptoms you have. There is no treatment to get rid of the PCOS.

Question

I had an embryo transfer after ivf 2 days ago, yesterday I had abdominal discomfort & creamy whitish yellow vaginal discharge. also I was a light smoker and I stopped smoking about 1 week before embryo transfer I wonder if this affects the ivf? I used to smoke about 6 ciggarettes per day

Answer

Smoking, if continued during a pregnancy , affect the baby. However the discomfort and the discharge are not related to the smoking Are you using cyclogest vaginal pessaries? This may cause the discharge. All the best !

Question

I went to my doctor 3 months ago for a brown, brown discharge inbetween periods. an ultrasound was done and was diagnosed with follicular cysts in each ovary. The brown has stopped, but my periods are really wacked. They are really long and different then they used to be. I never went to a gynecologist, because of no insurance. I just went to my primary doctor. Should I go to another doctor, or will these go away on their own. Also, does this mean I am not ovulating? Will this affect pregnancy? I seem to have cramping all month long. Off and on. Please help me.

Answer

What was the size of the cysts? Do you have PCO(Polycystic ovaries) ? If it is PCO , you need not do anything further, except take medication to regularise your periods or to ovulate, in case you wish to conceive. The PCO will not cause cramping. Do you have a fibroid in the uterus? Let me know, so I can advice you further.

Question

Dear doctor;
I'm 38 years old. I have married for 15 years. I have 2 children(7 and 4). I also had 3 abortions before. My husband is my only sex partner. Recently, I found I had virgina bleeding during sex. Once happened about 10 days before my last period. This time is about 10 days after my last period. The bleeding is light. It stopped next morning. I feeled a little bit discomfort at my left lower tummy both time. I had a big solid tissue (about 1 inch) passing out during my last period. I'm not on contraceptive pills.
Would you please tell me what happened to me? I'm scared.

Answer

If this spotting is only for a day around mid-cycle, it is likely to be due to ovulation. If it is not only during mid-cycle, have a pelvic examination done as this will reveal whether you have a vaginal or cervical infection or polyp. Have you done an ultrasound? This will detect a fibroid or an ovarian cyst . Let me know the results, so I can advice you further.

Question

3rd Query: 09.09.05

Respected Doc., I am very thankful to you for your response of my last 2 queries. I will like to inform you that D&C were done on 27.07.05 and her next period was on 27.08.05. The period was exactly on after 30 days after D&C. There are 2 changes noticed:

(a) Before pregnancy, my wife got the indication (back pain etc.) before period but this time she does not have any indication. (After D&C).
(b) In this time she complained that the period was not as before pregnancy i.e. she was spotting only for 3-4 days.

Kindly advice on the matter. We will very thankful to you.

ROMESH, LUCKNOW.

Answer

The first period after D& C maybe different. Anyway, the absence of pain or the scanty period are nothing to worry about.

Question

Hello Dr.
I am a 32yr.old woman; I have type 2 diabetes & polysistic overy. I don't know if it is both overies or not. My monthly cycles are very rare;maybe 1 every year. Here recently I have been spotting a little. Can I possibly have a baby. I have been married 2 yrs.. Thank you in advance.

Answer

Polycystic ovaries are usually seen in both ovaries. They are accompanied by irregular periods, absent or infrequent ovulation, increase in weight , acne or hirsutism (increase in hair growth). Regarding conceiving, you can with medication, in case you are not ovulating spontaneously. Have your blood tests done on day 2 or 3 of the period- FSH , LH and testosterone. Let me know the results, so I can advice you further.

Question

Hello,,well I have already had kids after my last birth in 2003 I started the depo ..had 4 shots (1 year worth) I bled only after his birth.last shot was may 2004 .so the thing is since then I have had no period ,only once 3 months ago spotted for one day, thought I might be pregnant NO negative ..my son is 2 1/2 now ,I thought maybe you could help,, I am 31 and want one more kid before I close my busy factory (ha ha). Is there ant thing I can do to get things normal again ??? please any advise helps .( my gyno says up to one year is normal to wait it out.. butt its been 1 year and 1/2 now..... thanx...

Answer

Are you ovulating ? This can be detected by a clear plan test , which is available in pharmacies. Also, have your husband's semen examination done. Let me know the results, so I can advice you further.

Question

I am 27 and have been on Depo for about 7 years or more. I stopped taking my depo and my period came on the very next week. What are the chances of me getting pregnant? It's been three months and my periods are very regular. Is this good or bad.. how long will it take

Answer

You should be ovulating by now. check whether you are ovulating or not by the clear plan test (available in pharmacies) .Let me know, so I an advice you further. All the best!

Question

Both my overies are Polycystic. I conseived with Siphene sometime in Nov 2004 but had a miscaarriage in Jan 2005. After that I did not ovulate with any medicine like Letroz, Syphene. I was given 5 inj of Gonal F but it did not lead to pregnancy. Later I underwent Laproscopy, DNC and Overian drilling and was diagonised having endometriosis.My tubes are fine Now I am on duphastone. My question is:
1) Doctor has asked me to take duphastone for 6 months (continuously for 6 months, 2 tabs daily (1-0-1). Is it fine?
2) Will ovulation occur when using duphastone or is ovulation supressed?
3) Can I get pregnant when using duphastone

Answer

Duphaston taken continuously may help to reduce your endometriosis. However, ovulation will not occur during that time and you will not conceive. If your endometriosis is mild, you can plan a pregnancy soon , so as to get the maximum advantage of the ovarian drilling. Soon after ovarian drilling , the hormones are changed to favour ovulation . This effect may not last for a long time. Let me know the extent of the endometriosis, so I can advice you further.

Question

I am 22. I havent had sex in like 1 1/2 months- 2. I just had my period almost 2 weeks ago. I have brow discharge and am bleeding a little and some clotting...is this normal?

Answer

If the bleeding is during mid- cycle, it is due to ovulation. If it is at other times also, let me know, so I can advice you further.

Question

I am 19 years old and recently I have had an itchy vagina with white curdy like discharge with a slight odor and I am pregnant my OB gave me a cream for yeast infection here now a week later I am slightly itchy again and I have noticed a itchy anus and pain while using the bathroom I thought it was hemorrids but this morning I noticed a a red bump that is a lil itchy and I was afraid it was herpes...I have only been with one other guy one time unprotected before my boyfriend and that was about a year ago? Can it be possible that it's herpes? I know I need to see a docter for treatment but in your mind would you say that it's herpes or something else? The one time I went to the ER I asked about herpes and they said it's ALWAYS in a rash and VERY uncomfortable but my ONE bump isn't too uncomfortable...PLEASE HELP ASAP..I am really scared.. EVERYONE tells me that it's NOT herpes, but I am just scared...help me and Thank You...

Answer

Relax ! I don't think it is herpes, but it is difficult to be sure without seeing it. When you for your next check- up, you can show it to your doctor to rule it out, Are you constipated? If yes, use duphalac syrup- 15 ml at night to reduce your pain during passing stools. For the itching around the vulva and the anus, use kenacomb cream twice a day for 5 days.

Question

Hi am 27 years old and began trying to conceive 6 months ago. Had one normal period following this so not pregnant. Then had alternating short and long cycles of 44 and 22 days. This has repeated twice. I had regular periods before I stopped using birth control (condoms). What could this mean? Is this why I have not yet fallen pregnant?

Answer

Since you have irregular cycles, it is difficult to predict when you are ovulating. Have ultrasound done to determine that , so as not to miss the fertile period. If you are not ovulating, you can take clomid tablets and monitor again. What is your husband's semen report? Let me know, so I can advice you further. All the best !

Question

My girl friend had an abortion at 3 weeks child old.
Before she had another 2.
This happened in 3 years.
Now she have for abou 40 days from the abortion and the period is not coming.
It is normal?
Usually she have at 28 days the period.
The doctor who have done the operation saud "to wait".
How much?

Answer

Do a urine test for pregnancy. If it is negative- let her take duphaston tablets- one tablet twice a day for 5 days to get a period. Do you wish to have another pregnancy or do you wish to use contraceptives? Let me know , so I can advice you further.
 

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