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Home > Community > Health

Last Updated :Thr 11.05.2006

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 was pregnant but my baby died at 9 weeks I had it removed at 12 weeks.im worried because I live in turkey now and dont understand the doctors. have had a cone biop followed by an in fection of the womb witch was treated and also had alot of problems in that area.However we sent the baby for tests the results come back that it was down syndrome but all organs was formed fine,if this is so why did it die? and is there anything I can do so it does not happen again?

Answer


Sorry to hear about your abortion. However, I am a bit confused by what you have mentioned. Did you have a cone biopsy during the pregnancy or prior to that. A down's syndrome baby has many problems including those of the heart which may not have been detectable at that stage of pregnancy. What is your age ? Also, are you & your husband cousins ? Let me know, so I can advice you further.


Question

I'm trying to get pregnant. My menstral bleeding normally starts about the 25th or 26th day. This time it did not start and I thought I was pregnant but it started on the 31st day. Any advice?

Answer

You may have ovulated late during the last cycle. Since you wish to conceive, start folic acid tablets. This helps prevent certain abnormalities in the child. Also, do a clear plan test to determine when you are ovulating & when your most fertile period would be. If you find you are not ovulating, let me know, so I can advice you further. Has your husband's semen examination been done ? What is the result?


Question

Dear Dr. My wife is pregnant for second time. She delivered our Son by C-section (an emergency C-section due to slow progress). She conceived nearly 19 months post child birth and now in first trimester check up she has identified with Anti-E antibodies (<1:1) and Anti-K (kell) antibodies 1:2 proportion. I am aware that if the baby is Anti-E or Anti-K positive then likely the titres are going to increase and place baby under risk of Hemolytic Disease of Newborn. We however will not be in USA for all the time of pregnancy and wondered if such high risk pregnancy be handled in towns of India. Because we may need to go for routine check up to find titre of these two antibodies once a 4 week in first two trimester and from week 29 may be once a two week. If required delivery might have to be advanced to 36-37th week. Please put your opinion and suggestions for any alternative tests in India or medication?

Answer

I am sure most of the test would be available in cities like mumbai, delhi, bangalore etc. You should check with a renowned lab. in the city you are going to be in regarding the facilities they have. Also, if you are planning a delivery there, ensure that it is carried out in a centre where neonatal facilities are excellent.


Question

I was treated with Fertyl 50, followed by Nugan 3shots, and then I ovulated. Later I was put on HCG 10,000, HCG 5000 and HCG 5000 along with Proluton depo 500, 250 and 250. After this treatment, my gyno told me that if I get pregnant, then I will not have bleeding and if I am not then I will have heavy bleeding. I also used Gestin from the day of ovulation, twice a day. I was on a vacation after this and on my 30th day, I noticed brown discharge for about 3-4 days. now the discharge has stopped but left me confused, all the more since my doctor is out of the town. Am I pregnant now? Your answer will be really REALLY helpful to me. Shall wait for the reply vani.

Answer


Please let me know what " nugan " is , as I do not have it in Oman & I could not find the name on the drug list on the internet either. I presume it was a gonadotrophin. Have you done a pregnancy test ? If it is negative, this is a period. If it is positive, have a scan done at 6 weeks ( since the first day of the last period) to determine whether your pregnancy is within the uterus & that the heart beat is present. All the best !


Question

I was wondering if taking cephalexin have its effect on conception, I took it for a month because of an infection, I want to know if it has effects on my babys development,i took medication on february and missed my period on march, I suspected my babys firstmonth is february, I was confirmed pergnant only this April, will cephalexin affect my baby?

Answer


Cephalexin is a Category B drug and , though no studies have been carried out during pregnancy, its use has not been observed to cause any abnormalities in the baby. So,your baby should be fine.


Question

Dear Doctor, I am 24 years old and its been one year of my mariage . Since first day I am trying o conceive but could'nt. My periods are irregular since the begining.Sometimes I've periods aftwer 3 months. I am diagnosed of PCOD, my doc has put me on half Cabgolin0.5 once a week, with a metformin and M2Tone syrup followed by Duphaston from 15th day for 15 days. Earlier she had put me for 3 cycles on Letoval and Duphaston but it didnt help as in the third cycle my ovulation study did'nt showed any ovulation. Doc pls tell me frankly is it possible for me to conceive and is it the right course
?

Answer

Why was carbogolin given? Was your prolactin high? Metformin is fine. What day of the cycle did you do the scan ? Were you given any injections to increase the size of the follicle? Let me know, so I can advice you further.


Question

My husband and I have noticed that my discharge smells like onion...and sometimes he says my breath does too. Could there be some kind of diffiecency? Or am I just eating too many onions? It doesn't seem like I eat an excess of onions for it to do that. So I thought I'd ask?

Thank, Kelly

Answer

Have a vaginal smear done to determine whether you have any vaginal infection. Let me know the result, so I an advice you further. Regarding your breath, you can see a dentist or an E.N.T . surgeon to determine whether there is any local lesion causing that.


Question

I have 2 puregon injections cycles failed im on the 3 cycle on day 9 I have 4 follicles sizes 1.2,1.3,1.4,1.5 I have pcos is good or can u be send me back or send me email help me Question: hi,i had my period last March 20,2006 then it again came on April 21, 2006.I had unprotected sex on the 6th day of my menstration. Then no sexual contact follows, can I have a pregnancy test on the 10th day to make sure I am pregnant? When is the right time to have pregnancy test? Am I ovulating by the time we had sex?

Answer

I doubt you can be pregnant on day 6 of the cycle, when your follicles were only 1.5 cms on day 9. A urine pregnancy test is positive 15 days after ovulation. You can determine ovulation by doing a clear plan test ( if you are not using any medication ) or by ultrasound.


Question

Hello Doctor, I'm getting Married on 29th of next month.I had my last periods on 24th April.My periods usually falls either 2-3 days in advance or late.So what would you advice me? to pospone or advance the periods. If so how?

Thanks, Geetha.

Answer


It is difficult to advance a period. Which city are you in ? Let me know, so I an advice you the medication accordingly.


Question

Hi I am nikath,and my age is 21 and my husband is 37. Its been two years that we are married and after my marrage I was pregnant for four times and I had 1 missed abortion and 3 misscarrage till now.my doctor said me to wait for 3 or 4 months before getting pregnant again and now its 1 year. I was using novilon tabs to avoid getting pregnant for 2 months. And I stopped them 7 months before and from then I have been trying to concive but no luck. I went to the doc last month she put mt on this tablet siphene from the second day of my period till the 6th day.but still no use.my periods are regular.can u please tell me wat could be the problem with me or my husband?

Answer


You must monitor your ovulation by ultrasound. Let me know the size of the follicles on day 12 of the period and the dose of siphene taken. What is your husband's semen report? Have your tubes been checked after the last miscarriage ?


Question

Hi doctor, I did 2 fresh cycle Ivf and 1 fet but all are fail. I have pcos when I did ivf after tranfer day 7/8 I saw lots of water comming from my virgina and cramping to the utres and something pussing dowm ...so, its all normal please let me know I am 28 yeasr thax?

Answer


Sorry to hear about your failed IVF. You may have had some vaginal infection. When was your last treatment? Let me know all these, so I can advice you further.


Question

Hi, we have been trying for a baby for11months,since dec05 I havent had what I would call a period its been dark discharge,been to doctors he said nothing to worry about what do you think?

Answer

Dark discharge as a period is nothing to worry about. Are you ovulating ? This can be determined by a clear plan test. What is your husband's semen count? Let me know, so I can advice you further.


Question

Dear Doctor, I am 30 yrs old having PCOS. I am trying to conceive for the last year. whenever I take duphaston to get a period, the period comes very heavy with big clots and then I need to take Ponstan to control the flow. This happens whenever I take duphaston and PrimolutN. Pls advise if this could be harming me in the long run. Is there anyway I can avoid duphaston and get my periods through some other method?

Thank you.

Answer

Since you are planning to conceive, you should be ovulating. Do a clear plan test to determine that. If you are not, you will require clomid tablet. However, ultrasound monitoring is essential when you are taking that. Do you get heavy periods after duphaston only when your period has been delayed or even when the cycle is every 30 days? Let me know, so I can advice you further.


Question

Hi doctor I am trying to get pregnant went to a doc in India and did all the tests requierd all was fine y doc gave me sephene tablets to take for 3 cycles so can u plz advise me for what is this tablet and when will I get pregnant? thanx

Answer


Siphene helps you to ovulate. However, you must do ultrasound monitoring to determine when you are ovulating and that you are not forming cysts. All the best !


Question

I am 32 years old I get married since 11 years but I don't have baby I want to concive before I was overweight now I lose my weight now I am fine and I want to concive but little affraid that if I quit my exercise then may be my weight will come back which I don't want so when I am trying for baby what kind of exercise is suit for me pleas answer me I am waiting for reply

Answer


You can continue whatever exercise you are doing till you are pregnant. Are you ovulating? This can be determined by a clear plan test. What is your husband's semen count? Let me know, so I can advice you further. Congratulations on losing weight ! It is indeed very difficult to lose weight & then maintain that !


Question

Madam, I am 29 years old and I am trying for a child. My husband is 31 years. We are trying for the past 6 months but we didnt sucess. What r the precautions we have to take. And also I want to tell that from so many years onwards I feel some cysts in my breasts but I wont feel any pain or fluid coming out of nipples. But only rare times I feel pain. Doctor I want to know what would it may be. Will it cause any harm if I conceive? Plz reply to my questions I will be very thankful to you.

Regards usha

Answer


Are you ovulating ? This can be determined by the clear plan test. What is your husband's semen report? have your breasts been examined by a gynecologist or a surgeon ? Is your prolactin hormone normal? Let me know all these, so I can advice you further.


Question

Hello doctor Thanks for spending time to answer. I am 26 and living in UK. My periods became irregular after marriage (11/2003) I Had a miscarriage in last June at 3-4 weeks (I am sure as my periods were irregular). In Dec 2004 i went to India and gone for test. She tested and said I have very llittle symtoms of pcod. As we r planning for pregnancy she gave me siphene 200mg perday from 3rd-7th day of my period and progynova from 3rd day to 10th day. I have taken the tablets and went for ultrasound every alternative day to study my ovulation. She said I am ovulating on 20th day after my period. I came back to UK in feb and using tablets regularly. I had regular periods from dec-march. My last period was 14th march and I didn't have my period yet. I have done 2 home pregnancy tests they turned back neg. I went to doctor and she repeated the same urine test and came back neg but i am experiencing pigmentation on my nose and cheeks as i experienced in my first pregnancy (ended in miscarriage. Can u plz tell me what could be the reason and what to do next.Waiting eagerly for ur reply. Thanks

Answer

Do a blood test- beta hcg. This will confirm whether you are pregnant or not. Also, are you monitoring your ovulation by ultrasound after taking siphene? This is important to determine your most fertile period. Also, it would ensure that you are not forming any ovarian cysts after the siphene. Let me know all these, so I can advice you further.


Question

I am 41 years old and trying to conceive. I have had 6 healthy pregnancies and have always conceived very easily. My husband and I decided last summer to have one more child. Last August (2005) I experienced a miscarraige at 9 weeks (my first miscarriage ever). I did not have a D&C and everything seemed to pass normally. Since my miscarriage I have been unable to conceive. We have been trying for seven months. I have also been experiencing pelvic pain. The pain seems worse from ovulation to menstration, the second half of my cycle. I have had two ultrasounds which were normal. I had bloodwork to see if i am ovulating or have endometriosis. I am ovulating and endo test was negative. Cycles are normal except periods have been shorter and lighter but right on time. The last few months the pain has grown increasingly worse. Its a dull ache that ocasionally pinches. No bladder or bowel symptoms. Do you know what this might be? What step do you recommend !next?

Answer


The incidence of congenital abnormalities & miscarriage increases after 35 years & is still higher after 40 years. You should keep that in mind when you wish to conceive. How was endometriosis diagnosed? was it by laparoscopy or only ultrasound? Your pain symptoms seem like those of endometriosis. Are you ovulating every cycle ? This can be determined by a clear plan test . What is your husband's semen count? Are both your tubes patent ? Let me know all these, so I can advice you further.


Question

Dear Doc, I was diagnosed with PCO's and the doc put me on Glycomet and I am havin normal insulin levels and after taking glycomet, I feel very weak and faint. I couldnt get 500mg Glycomet, therefore I took 800mg two times a day..

please let me know
zion

Answer


Since you are feeling weak & faint, you can reduce the dose of glycomet to 500 mgms instead of 800 mgms. You can use dialon or glucophage or dimet instead of glycomet.


Question

I am 32 yrs old . I am from pakistan. I have married for almost 03 yrs. I dint get pregnant yet. i have a irregular periods . sometimes I have spotting before 03 days of actual periods than after 03 or 04 days i get usually gets normal periods. i have suggested by a good gynecologist to have prolifen 50 mg and then menogen injection after 02 days of actual periods but i want 2 ask u whether prolifen is safe 4 me and second question is that since spotting starts before actual peroids so whether i should take this tab from a second day of spotting day or actual days when periods starts. plz help me i am very much depressed. i wiil be very much greatful 2 u if can help me in this manner.

Answer


Prolifen is safe and would help you ovulate. However, you should have ultrasound monitoring done to determine your fertile period & to determine that you are not forming any cysts.


Question

Dear Doctor, I'm on a unwanted pregnancy situation now. I have tried using cytotec twice, the first use didn't work, then now, didn't work again. But someone advice me to use duphaston to continue bleeding. I have researched on the internet that duphaston is goin to prevent miscarriage. The one who adviced me used that and said it worked. She even said that a doctor adviced that to her. So im confused if im goin to take duphaston or no. Im afraid that it will help me to continue my pregnancy. Could you please give me some advice.

Answer


Duphaston helps the pregnancy to continue, it will not work as an abortifacient. If you have not yet aborted, it would be better for you to have a curettage done before it is too late to even do that.


Question

I had the prolactine, I am pregnant now 6 weeks and 5 days, i want to know when my ovulation was, last period was on 10 March 2006

Answer

What do you mean by " you had the prolactin"? Were you taking prolactin tablets prior to conceiving or are you taking them now? If your cycles are every 28 to 30 days, you should have ovulated around 25th March. However, if you do a scan by 7 weeks, you will know when you conceived also.


Question

I am 37 years old, I have 2 kids,10 years,14 years, married life15 years, have regular periods, my problem is i have pain and heaviness in right breast 1 week before my period ,which is gone after my period. my husband says that little fluid comes in my breast, Is it ok. I don’t take any kind of medicine, not even vitamin tablets. I am healthy for my age

Answer


Pain & heaviness before a period is common because of fluid retention prior to the period. However, if you have fluid coming out, you should have your prolactin hormone tested. If it is high, you need to take some tablets for that. Let me know, so I can advice you further.


Question

Hi, I m 20, I got pregnant and after a month had a abortion. I had taken cytotec. I felt something pink come out. However sicne then its been 1 1/2 months I’ve been bleeding continously. I know I m not pregnant but the test still comes positive. How do I end my bleeding? Please email me asap?

Thankyou

Answer


If the test is positive, there is still some placental tissue left within you. Have an ultrasound done . Let me know the result, so I can advice you further.


Question

Hi, I terminated my baby on April 20005. Now we are planning for baby. Will abortion effect in conceiving? we are trying for last 5 months. After abortion I feel so guilty. I don't know why? Every alternate month I am getting irregular period. This time it was 38 days cycle. Before my period, this time I was getting light yellow discharge. Please tell me what should I do. Give me reply as soon as possible?

Answer


Many women go through guilt feelings after an abortion. Don't worry about it now and concentrate on conceiving again. Are you ovulating ? This can be determined by a clear plan test . Also, have your husband's semen examination done. Let me know the result. Also, have a hysterosalpingography done. This will confirm that your tubes are patent. Sometimes, after an abortion there may have been infection in the tubes , which then blocks the tube. Regarding the yellow discharge, use polygynax or betadine pessaries. Check with the pharmacist that you do not have any contra- indications to its use. All the best!


Question

I have been having discharge with fishy smell and sometimes it smells like something else. This has been going on for almost 4 years. I have been to two different doctors and I received 1 pack of some kind of medicine to mix with water and drink. The symptoms weakened but never disappeared. I went to another doctors about 3 months later and everything was negative but the discharge was and is still there. I was told by the first doctor that I had vaginitis. The discharge is heavier now and I wear a tampon everyday so that the odor and wetness does not get on my clothes. What should I do? Is there something that i can take to get rid of this?

Answer


You need to do a vaginal smear and a vaginal culture & sensitiivity test done. This will determine what type of infection you have and what would be the most suitable antibiotic for you. Let me know the result, so I can advice you further.


Question

I am taking my contraceptive pills but I m getting very light periods is it normal

Answer


Yes, the periods can be scanty while on the pill. If they are very scanty, you can try changing the pill to a low- dose pill.


Question

Its my third month of taking yasmin contraceptive pills and I have lost 7 kg weight what is the reason?

Answer


Some women lose weight with Yasmin as it does not cause water retention in the body. However, this is the information on weight loss with Yasmin:

"What about weight loss?
Some of the media articles on this new Pill have tended to concentrate on the ability of Yasmin to cause weight loss. While this is certainly true it really does need to be put in perspective. Over a 12 month period studies indicated a 0.7% weight loss compared with women using another Pill brand - so in a 70 kg woman we are only talking of about half a kilogram weight loss. It is probably reassuring for many women however that weight gain was not seen over this 12 month period in the women using Yasmin."

I think your weight loss cannot be attributed to Yasmin alone. Please check your thyroid hormones.


Question

Hi, I am concerned because I had my period about two weeks ago and now I am had a brownish discharge yesterday and it is really faint today barely see it, my last two mestrual period's lasted only one day, my abdomen feels a little crampy but nothing unbarable, I am having a little lower back pain but I have always had back problems.. Also I have been diagnosed with Bacterial Vaginosis a few years back could these sypmtoms be realted or do you have any advice or comment please get back to me I am concerned... Thank you ....

Answer


Brownish discharge & cramps could be due to ovulation around mid- cycle. Do you have an erosion on the cervix? Also, have an ultrasound done to rule out any ovarian cyst or fibroid causing you the abdominal cramps.


Question

I am 26 have pcos I have 1 year clomid 1 Ivf and now on my 3 cycle puregon injections all failed what can I do pls anser me im depressed email me fast?

Thanks

Answer


Sorry to hear about your problems. Relax! I am sure you will conceive.

I need the following information :

º   Are you ovulating without clomid ?
º   How many follicles did you form while on clomid & puregon?
º   How many embryos were formed & how many were transferred during the IVF?
º   What is your husband's semen result? Are both your tubes patent ?


Question

Doctor I had a check up and doctor told that I have enlarged left ovary and PCOD. my right ovary is normal. I am taking thyronorm 25 mg tablet. will I be able to conceive if my thyroid level gets normal? does that mean I don’t ovulate?

Answer


Are you ovulating?
This can be determined by a clear plan test. Many women with PCOD ovulate without treatment, while most women need some treatment. You can conceive even with an abnormal thyroid hormone level, but it is necessary that it is normal to prevent problems in the fetus. All the best !


Question

Hello doctor, I am 28 years old. Now I am pregnant. Dec 10 was my last date of period. So I am completing 3 months now. From the 5th of January, I had a sense of period and it did not happened. Then I undergone the card test for pregnancy, it showed positive results. But there was a pain then and there, sometimes in the lower stomach, sometimes in the left right sides, sometimes in the upper side. Pain is mild and remain for few minutes and vanish. My First ultrasound showed the fetal heartbeat and the result was normal. In the end of second month, again I was asked to take the ultrasound, again it showed normal growth and the fetal heartbeat was normal and I was told that the baby is in good condition. But still the above mentioned pain persists in the same manner. In the third month end there was some viginal bleeding suddenly for two minutes after having a pain for two hours. Immediately I consulted the doctor, and undergone a ultrasound. It showed the fetal hear! tbeat and the growth is normal. Ovaries are closed. Even the blood tests are also normal. After the day of bleeding, there is no bleeding till date, but sometime (once in a day) blood clot (size 5 mm) is coming along with the white discharge. Still the above said pain (mild, migrating here and there about the stomach, persisting for few minutes) is there. We are very much worried doctor. We are in need of your advice. And we thank in advance for your advice?

Answer

Which city are you in? Please let me know, so I an advice you further. Also, do you have any infection of the vagina or cervix? Dear Madam, Thanks a lot for replying us. We are in India.(Salem city, Tamilnadu State). There is no infection near or in the vigina. Madam now this is the 5th month. Now the pain has gone away. No Blood clot release. No Bleeding. Everything normal. Very small fetal movements are there. This happens once in three days. Another thing I have to add is, before I had bleeding in my gums. Still it is persisting. During sleep the bleeding is little bit more. Other times only during brushing. How to go about this problem madam. This is the only problem I have right now. Kindly reply me madam.

Thank you in advance.

Answer

You can use duvadilan( 10 mgm) or yutopar tablets ( available in India) . Use 1 tablet twice a day till 36 weeks of pregnancy. This will prevent the uterus from contracting and prevent bleeding. I presume you do not have any urinary infection , nor do you have any constipation. If you bleed again, you can increase the dose of the tablet.


Question

I have been married many years to the same man have never had sex with any other man about 5 years ago he said he had a problem and could not have sex could not get an erection. I accepted this problem and now he claims I am having sex with another man. Is there anyway a doctor can tell if you have not been sexually active for a long period of time. I am 58 and have had children. Would like to be able to prove to him that I have not been cheating on him with anyone, have not had sex since the last time we had sex together about 5 years ago.

Answer

Sorry to hear about your problem. It is indeed unfortunate that your husband doubts your fidelity. There is no test by which a doctor can tell when a person has last had intercourse( except ,of course, the presence of semen if it has been recent ) . What your husband feels is just frustration and anger at his own condition. You may take the help of any common friend who knows both of you well to explain the matter to him.


Question

Can you get pregnant if you never had sex before please reply thanks

A
nswer

What do you mean by your statement? Has there been a discharge of semen outside the vagina on the vulva? Or do you mean - can one get pregnant the first time one has intercourse?


Question

Dear doctor, I am 25 years old and have very irregular periods on last period was 2 months ago previous 4 months ago. I have ben trying for a baby for years know but am unable to get pregnant. My husbands seman analysis was ok and so were my ultrasound and TSH FSH etc levels. I have a very salty taste in my throat and under active thyroid which is under control taking 75MG thyroxin. I feel very weak all the time and have symptoms such as vomiting, feeling dizzy, exhaustion and after a few months of not having my period discharge from breasts. But when the doctor does the tests after months on waiting list in UK i have a period so all tests ok. But still unable to get pregnant even if I manage to get a period. Please advise as I am very desperate?

Thank you very much for your help.

Answer


Have you had a prolactin hormone test done? This would explain the discharge from the breasts. If it is high, let me know, so I can advice you further. You can determine when you are ovulating by doing a clear plan test. Have your tubes been checked? Are they both patent ? Your tiredness maybe due to your thyroid disorder. Also, are you anemic? That could also cause dizziness & exhaustion.


Question

Hello, I am 16. the first time I had sex was about 5 months ago. I have had for the past week or two a brownish discharge. is isn’t itchy. it has a horrible smell and is really embarassing.. a familymember of mine bought me some nilstat and I was wondering whether that sounds like the right medication to take? what do u think it is? I really do not want to see a doctor!

Answer

You can try nilstat, but that would help only if you have a fungal infection. In that case, the discharge is usually white. You can use polygynax or betadine pessaries. If that does not help, see a gynecologist who can do a vaginal smear and determine what type of infection you have.


Question

Dear Doctor, I had unprotected sex on the 4th day of my menstrual cycle.How safe is this period?My concern is before my period i had norcolut for 5 days because i had to travel. Therefore it had delayed for 7 days. And a month ago, it was not accurate because my period came twice in a month. At 14-15th day after the 1st period came, my second period came. And probably is due to pregnan oral I had to speed up my period because I had to travel too. But my phamacist advise to delay period rather than making it earlier therefore I switched to norcolut. Is it likely I will ovulate during my period? It was never normal case though

Answer

First of all, I think you should not use drugs to delay your cycle so often. It will lead to a hormonal imbalance and the bleeding you have may not be an actual period, but a withdrawal bleeding due to stopping the hormones. You should do a urine test for pregnancy to determine whether you are pregnant. I suggest you use a contraceptive pill ( to prevent being afraid of a pregnancy every month ! ). You can then continue using the pill till you wish to delay your period whenever you are traveling. Personally, however, in this age of tampons and drugs available to reduce the menstrual flow and pain, very few women really should "mess around " with hormones just because they are traveling !


Question

Doctor, I was given clomid from 2nd day of my period for 5 days. Then i underwent a scan on 12th day and when my doctor could see matured follicle she gave me a 5000iu pregnyl injection and asked to have intercourse for the next 2-3 days and then asked me to take duphaston from 15th day for 2 weeks.I did xactly like that. Now its been almost 10 dpo. But what i am experiencing is frequent and good amount of urination from last 3-4 days along with constipation and heaviness in the lower stomach so much so that i have now started to skip one meal in order to keep my stomach light. Are these symptoms normal? can they be due to taking duphaston? I am yet to do a pegnancy test after 4-5 days. if +ve test then his will be my fist pregnancy. please advise.

Answer


You can use duphalac syrup for the constipation and eat bananas, spinach , vegetables and fruits ( except apple).Skipping meals may increase your constipation. If it is already 18 days since the pregnyl injection, you can do a urine test. Frequent urination and heaviness in the abdomen can occur just prior to a period , with or without duphaston or even during pregnancy- so it is difficult to determine a pregnancy by that ! All the best !


Question

I was on the pill and got off it in August 2005 and have been trying to conceive but no luck. Further to that since coming offf the pill I have never had my period, I really want a baby and am really concerned about my health. I have seen a specialist and went for a scan and am awaiting my results. What can I do. Prior to going on the pill I had iregular periods. Please help?

Answer


You have not mentioned your age and also whether you have PCOD( polycystic ovarian disease). PCOD is associated with irregular periods and absent or infrequent ovulation. The periods were regular while on the pill because of the hormones in them. Have a serum FSH done and let me know the result, so I can advice you further. Also let me know the result of the scan.


Question

I'm 28, and I have been in a monnogamus relationship for 7 years. Last summer, I was diagnosed with bacterial vaginosis and my symptoms included a clear, fish-like odor and burning and itching around the vagina. After wearing the same feminine napkin for 8 hours at a time (I know better but time was an issue), and perhaps wiping after a bm too hard, I now have clear liquid discharge and some fissures and skin-colored bumps in the perineal region not the vaginal or vulva itself. Please let me know what I can do before going to the Gyno.

Answer

Do you have constipation ? If yes, use duphalac syrup . Where is the " clear liquid discharge " from? the anus or the vagina? Are the bumps warts ? I think you should see a gynec. as it is difficult for me to determine what those " bumps " are without seeing you.


Question

I have always had a regular period...until now. Instead of regular blood flow I am haivng brown discharge with a snot consistancy and pink blood. Am I pregnant?

Answer

You can do a clear blue test to determine whether you are pregnant. If you are not, just observe how your next period is. If it is similar, have an ultrasound done to rule out an ovarian cyst. If that is normal, have your thyroid hormones examined. Let me know, so I can advice you further.


Question

I am Oct 1970 born (35 yrs). I had conceived in OCt.2001 and underwent an abortion in Dec.2001. For the last 2.5 years, we've been trying to get a baby; out of these total 2.5 yrs, for the first 1.5 yrs. we never timed our sex for the fertile days and I was quite stupid and ignorant to always wash away all the semen after every intercourse as I never thought that it won't happen! But now for the last one year we have been trying seriously, even considering the fertile days. Me and my husband we've made all the necessary tests and every thing looked normal. And yes, I was diagnosed to be hypothyroidic in 2002 and since then I've been taking Euthyrox 75 ug perday. The doctor increased the dosage to 100ug for the last few days as she thought that this might help me to conceive although I was responding quite well to 75 ug (in between she even made the dosage 50ug/day but then my TSH really soared quite high so she increased it to 100 ug).

Now, we are both worried if I'll ever conceive and so we went to fertility clinic where the gynaec made various tests. E. coli was found and so i did an antibiotic course along with iodine suppositaries for more tahn 7days. Progesterone was lower than normal. HSG examination showed that my Fallopian tubes are open. During my March periods I saw an LH surge on day 14th and we had had sex just before and even after the surge. I was expecting my periods this month on 14th april(as I always get it bang on the 28th day) but I saw a single red spotting on 12th morning and felt the movements in my stomach/uterus and the bleeding started thorougly on 13th evening, continued for about 3 days but the similar contractions continued longer than the usual days. On 24th (13th day of my cycle) the doctor made an ultrasound to check if I have ripe follicles and he said that he found nothing ! So he suggested me to take Duphastone starting from the 15th day of teh present cycle and then cl!omid 50mg for 5 days starting from the 5th day of my cycle. Is it OK that I take Duphastone in this cycle and clomid in the next? Another Imp. thing is that whenever we have intercourse, I feel a big pulling inside me...a kind of lump that moves with his movement and its so uncomfortabe that tehn during the act I have to hold my stomach to prevent movement. I have alraedy told this to my Doc(gynaec) but he didn't say much. I just wanted to have your valued opinion and any suggestions or recommnendations. Please HELP! Thanks

Answer

RELAX! An LH surge is not as reliable as doing serial ultrasound to determine when you are ovulating. Do an ultrasound on day 11 of the cycle. The follicle should be around 11 -16mm. at that time. Had you taken clomid tablets during the cycle when no follicle was found on the 13th day? I presume you are taking folic acid and the euthyrox everyday. Let me know, so I can advice you further.


Question

My period has been a normal flow even if i was told i have a 2.5cm fidroid.It usually last until 7 days but last month it came on the 31st of march.The second and third day was normal but the fourth and fifth day,in the morning hours i had no bleeding until about midday.Then on the sixth day it stopped.Also with and without period i have quite a lot of abdominal cramps.What can be the cause.

Answer

Usually fibroids give a heavy flow and abdominal cramps. However, the amount of flow is determined by the location of the fibroid. If you are having normal flow, it is likely that the fibroid is in the muscle of the uterus and not near the uterine lining(endometrium ).


Question

Hi I am 7 months pregnant and I have sores in my vigina, the yellow discharge and the area around my vigina is itching I went to a doctor 2 weeks ago he gave me flygl pills to get rid of the discharge but it still percists do i have an sti if so what can i do

Answer

You can use travocort ointment twice a day for 5 days to reduce the itching. Have a vaginal smear and a culture & sensitivity test done to determine what infection you have and then appropriate treatment can be given.

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