Question

My husband and I have been trying to conceive for over a year. Recently, we started going to a fertility specialist, who after many tests, concluded she wasn't sure what the problem was....and so she prescribed serophene (clomid). I am hesitant to take serophene because the one thing that we know about me that is problematic is that I consistently have brown spotting for a few days prior to my period. The fertility specialist suggested this was a sign that my uterine lining was not becoming thick enough to support pregnancy and was being shed prematurely. I have done some reading about erophene, and from all that I have read, it apparently can thin the uterine lining.

So my question is, why would the specialist prescribe serophene?
Does it make sense to take it...if the tests indicate I in fact am ovulating?
I just would like a second opinion. Can serophene perhaps aid with pre menstural spotting.

Thanks

Answer

Serophene would help you ovulate in case you are not in some cycles. Have you checked on ultrasound when you are ovulating? Also, even if you spontaneously ovulating, serophene would help you form multiple eggs , which would increase the chances of conception. Regarding your brown discharge- do you have any erosion or on the cervix? That could be a cause. You can try taking duphaston tablets- one tablet twice a day for 10 days after you ovulate ( as seen on ultrasound). Let me know if the spotting stops. Serophene would cause the uterine lining to thin out in some cases. Serophene would not aid in the premenstrual spotting, though duphaston would. What is your husband's semen report? Are your tubes patent?

Question

I have a vaginal disorder, the doctor say its a severe inflammation, I have a yellowish on my panty with an odor I want to know what medicines you recomend.

Answer

Have a vaginal smear and culture and sensitivity test done. This would determine which type of infection you have- bacterial, fungal or trichomonial and the antibiotics which would be most effective for the bacterial infection, if present. Let me know the results, so I can advice you further.

Question

Hi!! I had precribe narcoult pills from my doctor to stop my periods for a week? I am aware that I should start taking 3-5days ahead. Can you please advise me do I still have to use precautions while sexual intercourse.... thx

Answer

You would need to use some contraception like a condom while on narcolut.

Question

Hello doctor, I am from India, my age is 29 years and I got married before one and half years.by last aug I had severe abdominal pain and I consulted doctor she asked to make scan of my pelvis and the reult is that I had endometriosis and my endometrial thickness is 10mm and she suggested to take leupride depot injection for three months and as she suggested I had taken the injection along with some calcium supplements. I had my last injection by nov and in dec i had taken another scan which shows that my enometrium has reduced to 5mm.My doctor has provided folic acid tab along with i will take clome tab from my third day of my periods to 8th day.my lh/fsh ratio which I had taken shows lh-5.74 and fsh-8.43 and the ratio is 0.68also I had gone dor follicular study which shows by 16th day my eggs had raptured and they had attained a maximum of20*14mm,13*13mm in my right ovary and 23*24mm,21*22mm in my left ovary and endometrium has 11 3 line sign+ my question is that iam I been given the right treatment and iam very desperate to have a baby but it has not turned out. how to get pregnant please doctor u plz send ur suggestion to my mail id allimurali@yahoo.com  <mailto: allimurali@yahoo.com >

Answer

RELAX ! You are ovulating, so that is a good sign.Your ovulation and endometrium are fine. How are your tubes? What is your husband's semen report ? Let me know, so I can advice you further. What was the extent of the endometriosis? If you send me the complete laparoscopy report, I will be able to judge your situation better.

Question

Dear Doctor, Base on my own counting I am 7 weeks pregnant now my last period was on May 20,2006 my period is regular since I got when I was 10 years old never mis out my period i try last May 23rd the home pregnancy test and it comes positive 2nd time I went to Clinic and they take my urine test again and it comes positive again nd again 3rdly I went to OB-GYNE for the reconfirmation they take my blood test and it comes out positive again but on my sonogram they found the sac but they can't see the fetus they told me its to early to hear the hearth beat of the baby come back after 3 weeks and will check again they gave me o folic acid tablet and duphoston also because I got little bit spotting the question is do I have to worry because I didn't hear the hearth beat of my baby? is this ok or normal I just little bit worried please answer my inquiry ASAP. I am base in KHASAB - OMAN

Answer

You should repeat the scan within one week of the previous scan .If there is no heart beat, repeat the blood test. If the level is falling, it is a missed abortion- the baby is not growing. In that case you would require a D& C if you do not bleed spontaneously.If the heart beat is present, that is fine. I will be returning on 12th August. You can phone me on 24563181 and let me know what the situation is , so I can advice you further.

Question

I am 17years old and have had a really smelly discharge coming form my vigina for several years now. I always feel wet down there and it is really uncomfortable. I awlays have to change undies as it soaks through and smells. I have had some unprotected sex a few years back. ABout 6months ago I developed one white spot on my vigina lip. I tried squeezing it but it did nothing. What is wrong down there and what should I do to treat it? Thanks

Answer

Have a vaginal smear and culture and sensitivity test done. This would determine which type of infection you have- bacterial, fungal or trichomonial and the antibiotics which would be most effective for the bacterial infection, if present. Let me know the results, so I can advice you further.
You will have to show the "white spot" to a gynec. as it is difficult to opine on that without seeing it.

Question

Hi Dr., I am 6+ weeks pregnant and have a yeast infection. i have been having brown creamy discharge, that has now turned a runny pinkish brown colour. My dr. has recommended canesten. My questions are: 1. can I wait until I am in my second trimester before I treat myself? 2. Is the yeast infection causing the bleeding, and where is the blood coming from? 3. Is Canesten better than Nystatin in the first trimester? 4. Is it safe to use the applicator in these yeast treatments during pregnancy?

Thank you.

Answer

Canesten is safe during pregnancy, so you can use it now, rather than allow the infection to increase. I prefer not to use the applicator during pregnancy. You can insert the pessary with your fingers. Regarding the pinkish discharge, which is blood- have you done a scan? Is the fetus fine ? The pink should stop, so you should discuss with your doctor regarding that.

Question

Hi, I just got off the ortho evra patch about 3 months ago. And my period has been regular about one month, and now is it irregular. Also, during when I am almost about to start my period,when I have intercourse, I will start bleeding during intercourse. Not alot, but noticable. Is this normal?? And could this be from getting off the ortho patch?? or could there be a problem with me?

Answer

Have a vaginal examination done. This will reveal whether you have a cervical erosion or polyp which is giving you this bleeding. Since you are off the patch , the bleeding should now be regular. if the vaginal examination is normal, have an ultrasound done which would reveal whether you have a fibroid or an ovarian cyst, which could cause intermenstrual bleeding.

Question

Hi i had an icsi done on me after 3 failed IUI i m 28yrs old and have a problem of endometrics and now i had blood test BHCG done which came to be negative after 13 days but i have not got my periods till now. the doc. says to discontinue my crinone gel and has told me to wait for my periods. but i think i should keep appling gel till i dont get my period.kindly suggest the reason for negative bhcg. and is it possible to come to know it can turn positive after few days.my last period was on 12/6/6 and my eggs were removed on 27/6/6 and inserted on 29/6/6

Answer

The beta hcg blood test should be positive 12 to 15 days after the embryo transfer. Repeat the test and if negative, you are, unfortunately, not pregnant. You would not get a period while you are on the gel. So, if the test is negative, stop the gel, so that you get a period. I wish you all the best for the future !

Question

Know that this is probably a common question but, this is driving me insane. I have taken numerous hpt. May 1st was my last period that lasted only 2 days. I went to the doctor for my annual told her about the period she did a test and it was negative. I have been having symptoms, tiredness,sore breast, naseus and of course missed period. i am thinking i could of gotton pregnant when later on when I ovulated at the wrong time. I don't know i am so confused. Can someone help. Do i need a blood test? am I pregnant? what is going on?

Answer

Repeat the urine test. If negative,do a blood test - beta hcg . If this is negative, take duphaston tablets- one tablet twice a day for 5 days to get a period.

Question
I am 37 ,10 year marriage,no pregnancy,prolong periods after 3month ,folicle are forming but not repturing?

Answer

When the follicle is 20 mm, you can take injection pregnyl 5000 units for the follicle to rupture. The best time to conceive would be from when the follicle is around 15 mm till it ruptures.
 

Question

Dear Doc, I am 27 years old and I have been trying to get pregnant for 17 months now. I have been to the Doctor for a thorough check up inorder to detect if anything was wrong.The results showed that I was perfectly fine.My husband's semens have been tested and the result was positive as well.I have missed my last month's period.I though i was pregnant so I took a pregnancy test, but it was negative. I have no idea why i have missed my period and why I am not getting pregnant when i am perfectly healthy. What should I do? Could something be wrong with me? thanking you in advance for your help!

Answer

Are you ovulating? Have you determined that by ultrasound ? That would indicate your most fertile period. Also, have your tubes been checked? Let me know, so I can advice you further.

Question

Hi doc im 27 years of age, im worried, im taking cortal 500mg once a day just to have my menstruation.. my menstruation is suppose to be this 10th day of july..is it possible that i get pregnant..and besides im thínking to much and stress.. i dont want to get pregnant pls give me some advise and what to do..thanks

Answer

Let me know the drug in cortal , as I am not aware of this drug.

Question

Dear Doctor, I am male 48 years old married 1 year pass I am trying to have a baby till today no good news. My problem is that I dont get errection as aften and if I get it is only for some time only could you please give a good Urologist doctor name and telephone number in Oman where I can tell my problems and if you can help me in this matter I will prefer too
Thanks
Zeferino

Answer

You can contact Badr al samah clinic or muscat private hospital for a urologist. Alternately, if your semen count is normal, we can do insemination with your semen, so that your wife gets pregnant, while you sort out your erection problem.

Question

Heloo, Doc I’m a recently turned 30 year old young lady and im trying to concieve a child, i had a misscarriage when i was 18 to 2 nature and had a full check yp and everything is normal so can u give me meds or fertility madicine bto concieve of a child i have taken basal temp method didnt work doc what should i do i need someone to look after me when i get up in age and need help like urgent canb you help me pleasssssse!!!!!!!!!!!!!!!

Answer

Do a clear plan test or ultrasound to determine your most fertile period. This is more reliable than the BBT(temperature). Also, what is your husband's semen report and have your tubes been checked? Let me know, so I can advice you further.

Question

Trying get pregnant basa temp hasnt helped need more options

Answer

Do a clear plan test or ultrasound to determine your most fertile period. This is more reliable than the BBT(temperature). Ultrasound would be the most reliable method. All the best!

Question

Hello, I just had a chemical abortion last month and also got tested positive for chamydia. I got treated and then got a normal period. But then about a week later I started to get a dark brown discharge. I dont know if it's from all the medication I've taken in the past month, or can it be something like PID. I don't know if I should be alarmed? Thanks.

Answer

Do a blood test- beta hcg. This will determine whether the placental tissue is still present and will rule out an ectopic pregnancy also.

Question

HI, MY QUESTION IS,THAT I HAVE HAD A TOTAL HYSTERECTOMY 6 WEEKS AGO, AND I DO UNDERSTAND THAT YOU WILL HAVE SOME DISCHARGE AFTER SURGERY. MY QUESTION IS THAT WHEN WILL IT STOP, THE SMELL IS AWFUL AND IT REALLY SEEMS TO GET BAD WHAT CAN I DO TO MAKE IT BETTER. SOMETIMES IT SMELLS LIKE SOMETHING HAS DIE INSIDE OF ME. NEED A RESPONSE, CAN'T TAKE THE SMELL.

Answer

You must see your doctor to rule out any infection in the vagina or the suture site ( vaginal vault). You might need antibiotics or vaginal pessaries.

Question

Mam, My wife is 7-weeks pregnet, and My wife and I flew from bangalore to sydney last week wednesday. And on sunday after having sex with her she has seen a 2 or 3 blood drops. When I told this to my doctor, she gave susten 100 hormon tablets to use daily twice. Could you suggest why does this happen what do u suggest.

Answer

Susten would help stop the bleeding . However, have a pelvic examination done to rule out any vaginal or cervical infection or polyp. Also, have an ultrasound done to ensure that the fetus is growing well. All the best !

Question

Dear Dr , I have undergone two ICSI procedures , one of which was an ectopic and my rt tube had to be removed. Now our spermcount has improved significantly with regards to motility and morphology and so we want to try IUI. My left tube is open as HSG showed 3 yrs ago . could I get more info about how it is done in your centre ?

Answer

I am going on leave tonight and will be back on 12th august. You can phone the clinic on 24563181 and take an appointment for the 10th day of your period. I will do a scan to determine which side your follicle is developing and when to do an IUI.

Question

I am 38 years old. Last month my period started about 4 days early which is not unusual to start early. The first two days I had pretty heavy bleeding and then I continued through my week of my period. However, I never fully stopped. I continued to bleed lightly. I had a couple days where there was no bleeding and then it continued again. I started taking black cohosh three times a day. I was still bleeding lightly and then had about a week where it was nothing or a little brown. The following month I started to bleed quite heavy and just assumed it was the start of my next period for that month. I would like to take an otc prod or natural remedy before having to resort to my gyn. Is this black cohosh helping? Should I be also taking something else with it or differnt?

Answer

I think you need to do an ultrasound to determine whether you have an ovarian cyst or a fibroid which can cause menstrual irregularities. I am not aware how black cohosh will help you in your menstruation problem.

Question

I took duphaston tab. for 7 days. i took the last pill on 26/6.after stopping the pills 11 days are over but i didn't get periods. Am I pregnant?

Answer

You should get a period within 10 days of stopping the duphaston. You should do a urine test like clear blue to check whether you are pregnant.

Question

I am 38 years old having an ivf and I have a diabetes/ my doctor prescribe me some prednison and I heard that prednison is not good for high blood sugar. Does prednison will not affect my getting pregnant?

Answer

Prednisolone may increase the blood pressure. Why was the prednisolone prescribed ? it will not affect your chances of conception.

Question

Hi Doctor, My wife underwent Hysteroscopy for removal of Cyst one month back on 15 May..Doctor has advicsed CLOME 4th day after period and DUPHASTON 14 day after period.. What are these medicine meant for? Please help

Thanks
Siddhartha

Answer

Was a laparoscopy done or a hysteroscopy? A cyst is usually in the ovary and is removed via laparoscopy. Clomid will help your wife ovulate and duphaston would help in maintaining a pregnancy.

Question

Hi doctor, I've searched and searched for answers, and I just can't seem to find any! I just recently started using the Ortho Evra Birth Control Patch. I was told to start using the patch the first day I got my period last month, which would have been the 19th. I normally get my period in the morning or atleast before noon. So when I woke up that morning and didn't have my period yet, I went ahead and put the patch on. Well, I never got my period for that week. I got scared and took a few preg tests, but they all came back negative. About a week and a half later I start to get this dark brown discharge. Its still going on and I'm not sure what it is. I did some research and I found that the dark brown is typically "old blood". Could this be my "period"? Next Monday the 10th is the beginning of my "off week". Will I get my period then? And will it flush all of this stupid brown junk out? I got really frustrated with it the other day and I douched, hoping it would clean it all out... well it didn't work. It helped alittle I think for awhile but now its back to pretty much normal. What's going on with me? Will this discharge stop? Is it because of my bc? Is there anything I can do to make it stop? Please help! I need answers! Thank you for your time.

Answer

During the first few cycles there might be intermenstrual spotting while taking the pills. If the problem persists you can consider changing the pill. Also, if you do not take the pill at the same time everyday, you might bleed. I presume a vaginal examination has been done and there is no vaginal or cervical infection.

Question

Doctor u were on leave in April when i wanted to see you. i have come back from India , but my problem is to clarify that my Doctor in Muscat coludnt see me pregnant in Scan on 22nd Feb and then told me that i have PCOD. She prescribed me Primolut-N twice a day for 3 days to get my periods. I was so sure that i am pregnant coz of the heaviness and tiredness in my body. After taking the pills on 7th march she told me i am preganant of 8 weeks. She then started giving me Pregnyl injections to sustain the pregnancy twice in a week for 4 weeks. The real trauma was on 2nd April when the doctor detected 3.2 mm of Nuchal Translucency on the back of fetus' neck.

Now I am back from India with all the perfect reports and aminiocinthesis done and am 25 weeks pregnant. my question is that was that increased NT coz of the pills and injections that the doctor gave me? and how is it that i concieved when a week before only the doc told me that i have PCOD and its difficult to con! cieve? Did the pills help me to conceive?
Thanks Payal

Answer

Take an appointment by phone- 24563181. If you are already my patient, bring your file number when you come. . However, I am going on leave tonight and will be back on 11th August. Take an appointment after that ( my receptionist will be at the clinic). Please bring all your reports. The nuchal thickness maybe increased even if the chromosomes are normal , when there are certain other conditions. The medication does NOT increase the nuchal thickness. The pills do not help conceive either. You must have had a delayed ovulation and conception( which is common with PCOD) and that is the reason the test was initially negative. Please bring all your reports when you come to see me.

Question

Dear docter I am 27 years old having 4 years baby, here i am writing my ultrasound report-ultrasonogram of lower abdomen(TVS) The urinary bladder appears normal.The study show normal sized uterus with uniform mymetrial echoes.The endoemtrium appears normal. both ovaries are enlarged showing multiple smallcystic areas in the periphery. the right ovary is measuring about 40X26X20mms which is equal to right 10cc of volume. The ovary is measuring about 43X24X20mms which is equal to about 8cc of volume. No pelvic mass is seen.

IMPRESSION:-The findings are in favour of PCOD plese give me your advice as soon as possible

Answer

PCOD is a condition present in 5-20 % of women. You must have had it even when you conceived earlier. If you wish to conceive now, so a clear plan test to determine when you are ovulating. Also, are your periods regular ?

Question

Hello Dr. U didnot reply my previous Q.Pls reply soon.Now I Am on ovafar from the 5th day of my menses.My & my husband reports r normal.We r among the 10per couple whos infertility cannot be explaine.I'm 36 & he is 38.Last 3urs r trying but fail.one yr before i had an IVF but it failed.immd after I conceive naturally but i couldnot find out as i was not expecting such.at the 7week& 3days i lost.When i consult my Dr she said there is possi of conceiving naturally after ivf due medicine.i bleed for 10days.Till date i could not conceive .what is the reason.Can i could conceive.Desperately i want my baby.Pls pls pls reply fast i m waiting fr u r reply.

Answer

Your question goes to the omanaccess site and is then sent to me . I answer the questions and send the answers to that site and then they send you the answer. I do not know why you did not get the answer. You can write to the website to clarify that. However, if your tubes are patent , you can try IUI with superovulation. Let me know which city you are in , so I can advice you further.

Question

Hi doctor , Please help me. I am 25 years old. I am having PCOD problem. Bcaz of this irregular periods. I went to GY Doc .She suggested TRIQUILAR First registrant to get period and from 5th day onwords use the above tablet. No wi want to Conceive. So is these tablets helpful or please suggest toget pregnant. This is my second mail. At least replay to this

Thank you

Answer

Your question goes to the omanaccess site and is then sent to me . I answer the questions and send the answers to that site and then they send you the answer. I do not know why you did not get the answer. You can write to the website to clarify that. Triquilar is an oral contraceptive pill and will not help you conceive, only to regularise the periods. You must stop the triquilar and then check whether you are ovulating or not. This can be done by the clear plan test. Let me know the result, so I can advice you further.

Question

I had an abortion a month before I got my tubes tied, is it normal to have viginal bleeding after an tubal ligation and when should does yo?

Answer

Your question is " I had an abortion a month before I got my tubes tied, is it normal to have vaginal bleeding after an tubal ligation and when should does you." I do not understand the last part of your question. Please clarify. Regarding bleeding, you can have some bleeding off and on after an abortion, which should settle within 6 weeks. If the problem persists, see your gynec.

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