Question

I was diagnosed endometriosis. I had a laprascopy to treat it and after that my doctor put me on 3 doses (3 months) of Zoladex. My last Zoladex injection is on July 1st. I would like to know when will my period resume? Is it possible to conceive before my period resumed? Is it safe to conceive after 4 weeks of the last Zoladex injection? Please help to answer.

Thanks.

Answer

You should begin to ovulate by now. It is safe to conceive now.If you have not yet got a period, do a urine test for pregnancy. If negative, take duphaston tablets- one tablet twice a day for 5 days. Later, do a clear plan test to determine whether you are ovulating or not. Let me know , so I can advice you further.

Question

I'm 24 yeard old not married by I'm sexually active. Two years ago I started to feal some strange prich like a pin in my stomach some time up sometime in lower stomach and more often in my vaginal.I got urine test same litle infection was found and a got some tablet.Few years back I steal face the same prob know my vaginal area is eaching aswell.Plz let me know if it is a serouse or it me be because of gas problem.

Answer

You can use momenta or travocort ointment twice a day for 5 days for the itching.Have an ultrasound done to determine the reason for your pain. You could have an ovarian cyst or a fibroid giving you the pain. Let me know the result, so I can advice you further.

Question
 
I am 44 yrsv had one child in 1982 one abortion in 1991 and one miscarriage in 2004. I Have been ttc from October 2004 after the miscarriage. Had my last period on 12/6/06.Pregnancy test showed positive and a scan was done and shows that the feotus inplanted intrauterine and heart beat is seen. The doctor put me on Duphaston on 18/7/2006 for 30 days which I have been taking since 18/7/2006. Is it safe for my baby considering my age and taking duphaston?

Answer

Duphaston is safe during pregnancy. However, because of your age, you may have a higher risk of certain chromosomal abnormalities in the fetus. Have a detailed scan done at 12 weeks, including a nuchal thickness. This would determine whether you would require amniocentesis.I presume you are taking folic acid tablets even before you conceived and even now. All the best!

Question

I had a tubaligation after my 3rd child in 2004. My periods are not regular anymore. So far I am 10 days late. I feel many menstrual cramps but no bleeding is it normal for one to have irregular periods after a tubaligation?

Answer

In some cases, yes. You can take duphaston tablets- one tablet twice a day for 5 days to induce a period. After that, have an ultrasound done on day 4 or 5 of the period to determine whether you have an ovarian cyst which is causing the irregular periods.If the scan is normal, have your thyroid hormones checked, as an abnormality in these can also cause irregular periods.

Question

I am 23. Up until now i have had fairly regular periods. This month i haven't had one all month. is this something to worry about?

Answer

The period could be delayed due to stress, change in climate, traveling, any infection or due to ingestion of certain medication. Since this has only occurred once, you do not need to worry. Take duphaston tablets- one tablet twice a day for 5 days to induce a period. If the problem persists, have an ultrasound done and let me know the result.

Question

I have a yellowish-green mucas discharge comin my vigina. It has no oder, i have no idea what it is ive had it for about a year. It comes and goes I go to the ob-gyn but they never find anything. im kinda scared cus i dont know what it is. i have had an abortion in the past, right before this started. i know that i need to go to the doctor but do you have any idea what is/could be wrong with me?

Answer

It maybe trichomonial or bacterial infection. Use betadine vaginal pessaries. Ensure that you do not have any contraindications to its use. If the problem persists, you need to do a vaginal smear and a culture and sensitivity done to determine the type of infection you have and take appropriate treatment. If you are sexually active, your partner might also require treatment.

Question

Dear Doctor, I am 35 female trying to get pregnant since 2 yrs i've 5 yr old daughteri am not ovulating after thyroidectomy(total)done on May 15th 2006. My hormone levels are 17-Beta Estradiol is 41,5, progestrone 0,29, FSH 6,1, LH 8,6 Prolactine 15,3. My TSH level 33,12. My doctor told that she will start with hormonal therapy as i am not ovulating. Is this a serious problem. Please advice me. Is it advisable to take hormones? I want to have a second child desperately. Thanking you and awaiting your reply

Answer

RELAX ! Are you on any thryroid medication? What is the normal range of the TSH in your lab. ? Also let me know your T4 levels and the range, so I can advice you further. You can take clomid tablets to help you ovulate. However, this should be taken where ultrasound monitoring is possible. Let me know the results, so I can advice you further. All the best !

Question

I'm 24 yr old mother of 4 i had my tubes tied in 2004 my perion has been regular since. now my period is a mothly late. I took a pregnancy test. and it came up negative. i wen to the emergency room and they said i had a urinary tract infection. I want to know would the UTI make the test read negative. Could I be pregnant? What is the Next step I should take.

Answer

A urinary infection would not change the result of the pregnancy test. However, that may , sometimes, cause a delayed period. Take duphaston tablets- one tablet twice a day for 5 days to induce a period.If the problem recurs, have an ultrasound done and let me know the result.

Question

I've known that Primolut N can delay the period. My question is that if I have a period next time on 25 august 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?i already have a loop but does this medicine make fertility more?

Answer

I was out of town, so could not answer your question earlier. You need to start primolut one week before the expected period. By the time this reaches you it would be late. Primolut is NOT a contraceptive, so you would need some contraceptive use while on it. It does not increase fertility either!

Question

I have a problem when I AM about to receive my period my back get so sore and RECENTLY I had a yellowish discharge and it had a little bit of water.Need advise what to do?

I went to the doctor and the told me it was a fungal infection and I am so confused is it curable?Please advice

Answer

Fungal infection is curable. I presume you have received treatment for that. Regarding your backpain before the periods, this is common and you can take ponstan or cataflam for that. However, have a an ultrasound done to determine whether you have an ovarian cyst or a fibroid which maybe giving the pain.

Question

I went to get a pelvic sonagram and the nurse told me that i had 4 eggs but one was a little bigger then the others.It was 1.8cm as the other 3 were 1.5cm could i get pregnant

Answer

!.8 to 2 cms. is fine, so you should get pregnant. Did you check whether the follicle ruptured ?Sometimes the follicle does not rupture and you may require an injection for that. All the best !

Question

Hello Dr., Doctor had given me Duphaston, Folic acid tablet and Ecosprin tablets.I was taking these medicines from past 30 days. On the 31st day, i could find some spotting and no heavy flow. Is there a chance that pregnancy could have happened or is it a regular period. I normally have 25-28 days cycle.

Answer

Do a urine test for pregnancy. Why were you given duphaston for 30 days?

Question

I have been having very bad pain in my right ovarie for the past three days and it started after i used a monastate 1 day ovual pack i have only had one yeast infection befor due to antibiotics and i wa spretty sure that's what the problem was so i used it and the next day i had really bad pain in my legs andin both of my ovarie's but now it has settled into my right one and i can feel a not tottaly round bump on it through my skin i am very worried about it and i can not get to the doctor's any help would be greatly appriciated thank you

Answer

You can take cataflam tablet twice a day for 5 days to reduce the pain. However, you MUST have an ultrasound done to ensure that you do not have an ovarian cyst. Let me know the result, so I can advice you further.

Question

Dear Dr... I have wrote to u... before. a brief history of myself and my husband.
i am 30 yr old, have pcos and my hubby sperm count is ok.

1 yr back, i took contraceptive pill for few months and went off, and i got pregnant. but the gyni could not detect a heart beat at 6 weeks and i did a DNC in june 2005. rested for few months, and try clomid... i took 4 pills a day for 5 days and the ultrasound only reflect 1 egg. try IUI last dec05 butit did not works.

i went to see chinese physician this feb06 to may06 but i stopped as the menstruation is still bnot regular.

i went back to my gyni and i took the clomid again in july06.this round, the gyni detect a egg ( about 20mm)on day 13 and she say it is good. i try IUI but still it did not works.

she told me that if i try few more rounds and it dun works, i should do laproscopy to check the tube, womb and ovary but the ops is expenseive.i really hope not to go for this.

u might ask have i check the tube. no i did not... and i was thinking if i should check the tube first... if it is ok, can i actually take the contraceptive for few months and went off... to try for pregnancy? (since i got pregnant the last round)

pls give me your advices.... i am really desperate to hope for a baby but everytime i see the mense coming,i always feel sad and useless.

pls help.

Answer

Sorry to hear that you did not conceive. You can have an HSG ( hysterosalpingography) done to check the tubes. This is less expensive than a laparoscopy and it can be done in certain clinics. Let me know the result, so I can advice you further. All the best !

Question

Hello doc.., im 12 weeks pregnant. The problems is im leaving my country to work abroad. It was a bad news when i ome to know about my situation. Now i want to terminate this as soon as possible. What should i take to terminate it? My country dont allow abortion so i cant buy mifepristone and misoprotol. Is there any medicines that can subtitute?? Please help me... Thank's and more power!!

Answer

Sorry, I cannot help you regarding this.

Question

Hello. I am 23 weeks pregant, and have been having back pains in the lower back. I called my doctors office, and the nurse perscribed me Nitrofur. She said it could be a bladder infection. Is Nitrofur safe for the baby?

Answer

Nitrofur is safe. However you could have backpain because of calcium deficiency. Are you taking any calcium supplements?

Question

Dear doctor, I'm having an IVF. Two embryos have been placed back yesterday. The doctor prescribed me prednisolone 5 mg and cardiprin 100 mg because of possible formation of antibodies, due to irritation of the uterus during the procedure. Do those medicins effect the embryo's or the possible pregnancie? Is there a higher risk of miscarriage? Please answer, as I feel extremely uncomfortable taking these medications!!!!

Answer

Both these are safe during pregnancy . However, I prefer to give upto 81 mgm of aspirin. (instead of 100 mgm). These would reduce your chances of miscarriage. All the best!

Question

Hi Doctor, I wrote to you 2 times before and never got an answer. I'm 41 yrs old and I do have fibroids in my breasts, but I did notice lately that I have some pin drops of puss and blood coming from my right nipple. Any ideas what this could be?

Answer

Your questions go to the omanaccess website and are then sent to me. I send the answers to their website and they send the answers to you. Regarding your problem , you MUST have a breast examination done as fibroadenoma of the breast would NOT cause the pus or blood from the nipple. It is essential to examine you and determine the cause and take appropriate treatment.

Question

Hello, I have pcod, first pregnancy was with iui, 2nd pregnancy was natural however i misscarred in nov i was 10 weeks the sono measured me at 5 weeks i had a sac and no pole..i am pregnant again according to my calculation i am 6 weeks my lmp 6-28-06 my hcg on the 8th was 51 and again on the 10th was 167 progestrum levels was 33 my sono showed no sac it did show a corpus lutuem cyst and my endometruim was thick, should i worry about another misscarge?

Answer

Repeat the scan. If no sac is seen and the hcg is rising, one has to consider an ectopic pregnancy. Let me know the results, so I can advice you further.

Question

What are considered high levels of PGH at 6 weeks, and do these high levels indicate twins?

Answer

Could you let me know the full term for PGH ? Is it progesterone hormone? If yes, different labs. will have different ranges and only an ultrasound would confirm whether you have twins.

Question

Hello Doctor, I was diaognized with PCOS last year. But now my periods have got regularized but I have lots of menstural pain. Me and my husband have been trying to conceive from past 5months but no success yet. Last month doctor did transvaginal scan and found a follicle and gave HCG injection 5000 units on my 18th day. She suggested intercourse for 3 days after that. Still I could not get pregnant. What could be the reason. Pls help.

Answer

Menstrual pain occurs in an ovulatory cycle- so you do not need to worry about that. You can take cataflam or ponstan for the same. What is your husband's recent semen report? Have your tubes been checked ? Let me know the results, so I can advice you further. All the best !

Question

I am 29 years old and married on January 2005. We are trying to have a baby. But I am having PCO and thyroid problem. I am taking one Altroxin 100 mg each morning. I have taken duphaston for 1 months and after that ovofarm (from day 3) and 20 duphaston (from day 16) for 3 cycle then an injecton also taken. No pregnency occured. then ovarian drilling has been done and now i am suggested to continue the medicine as prescribed earliar. will it help me to conceive? if helps then how many months it will take?

Answer

What is your husband's semen report? Are both your tubes patent after the ovarian drilling? Which city are you in ? let me know, so I can advice you further.

Question

I am 29 years old and married on January 2005. We are trying to have a baby. But I am having PCO and thyroid problem. I am taking one Altroxin 100 mg each morning. I have taken duphaston for 1 months and after that ovofarm (from day 3) and 20 duphaston (from day 16). then an injecton also taken. No pregnency occured. then ovarian drilling has been done and now i am suggested to continue the medicine as prescribed earliar. will it help me to conceive? if helps then how many months it will take?

Answer

How many follicles did you form ?What is your husband's semen result? Let me know so I can advice you further. As long as you are ovulating, you can conceive with the same treatment.

Question

Doctor I am 24 years old and have been married for 2 years. My husband is also 24. We have been having trouble beginning a family and have been pregnant (officially) twice since we wed. However, both pregnancies ended in miscarriage. The first pregnancy happened easily and with no problems until I was 11 weeks pregnant and noticed some light spotting. An ultrasound revealed a missed miscarriage and the baby had no heartbeat and was measuring just over 9 weeks. A D&C was performed about four days later and no reason was detected. We waited about three or months later and got pregnant rather easily again. However, I noticed strange spotting and clots from the beginning. However, HCG levels were increasing as normal so the doctors weren't worried until one HCG test came back and the levels were extremly high. My thyroid levels were tested also and they were at 21.5. I was diagnosed as hypothyroid and sent to a specialist. The doctor did an ultrasound and only a sac and placenta were found (there was no baby). I was placed on Synthroyid and a second D&C was performed. The tissues were tested and it was determined to NOT be a molar pregnancy. My husband and I decided to wait for my thyroid to normalize before trying to get pregnant again. My thyroid levels went to a normal level rather quickly (within just about two months) so my husband and I began trying again to get pregnant. However, my periods have never returned to normal since I began taking Synthroyid. All of my blood tests for common disorders and my thyroid hormones (Free T3 & Free T4) are normal but my periods aren't regular. I always had a 28-30 day cycle but my periods are anywhere from 36-45 days apart. My last cycle was 48 days apart. I take pregnancy tests often since my husband and I don't use protection but they are always negative. I finally went to see my OBGYN to discuss this matter with her and she cannot determine why my periods are not regular despite all of my normal test results.! She suspects that I am not ovulating and does not think my husband has any fertility issues. She also believes that I am capable of getting pregnant since I have been at least twice before. She is placing me on Clomid. I haven't taken it yet since I am waiting for my next period to start. However, I have begun having strange very light and almost clotty like spotting. I am currently at cycle day 24 and should not be bleeding at all for at least 4 more days. I took a pregnancy test today just to see but it was negative. Could I be pregnant? I am not cramping and not bleeding. Just spotting barely enough for a pantiliner. The spotting began on cycle day 21 and was pale pink. The following 2 days it was tan spotting and today it is a dark brown spotting. The spotting is incredibly light and I am not sure if it is a period or implantation bleeding or what. Before this, I was having my periods incredibly far apart. I had my last period on July 18th and it lasted five days and was actually very normal. I am SO confused and feel helpless. My husband! and I are young and healthy despite my thyroid which is under control. We don't drink, smoke, or do drugs and we have no history of any severe medical conditions in our family. We are active and have never had any STD's (we have only been with one another sexually). We aren't sure what is causing our struggles to get pregnant. Do you know what might be our fertility problem? Could I be pregnant now? If I am not pregnant, should I begin taking Clomid or are there other things I should do first? My husband and I are desperate to begin a family. Please help us.

Answer

RELAX! I am sure you will have a baby soon ! You must ensure that your thyroid levels remain normal, so continue to adjust the dose of the synthyroid accordingly. Secondly, have your tubes been checked after the last miscarriage? Have you done a PCT ( post- coital test ) This would determine whether the sperms are dying in the cervix and whether you require IUI ( intra- uterine insemination ) What is your husband's recent semen result? Let me know all these, so I can advice you further. I presume you are taking folic acid tablets. If you have not yet got a period , do a pregnancy test . if positive, let me know so I can advice you further. Which city are you in ?

Question

I have been experiencing light periods for the past few months. They have lasted for 2-3 days raher than the 5 days. I also have feeling of nausea, bloating, constatpation and fluttering movements in my stomach. I have done 2 Hpt but both are negative. What is going on with me?

Answer

Have an ultrasound done to determine whether you have a an ovarian cyst. You can take duphalac syrup for your constipation and eat a lot of fibre. Avoid apples. Once your constipation is cleared, your nausea and bloatedness should disappear. If not, let me know, so I can advice you further.

Question

Hi: I stopped a monthly cycle when I was 47 years old. I am 60 years now. I was divorced for 12 years until a new marriage of 2 1/2 years. I've noticed for the past few months, that at certain times of the month, I have mild cramping in my lower female region mainly my left ovary. Sometimes I have hard pain in my left ovary. I have pap smears once a year. The pain feels like someone is sticking a pin in it every so often. It's a pulsating striking pain. I've noticed since I have turned 60, I freguently urinate throughout the day and at night. This is annoying. I don't have any kind of vaginal discharge and no vaginal ordor. Can you give me some advise as what you think the pain might be or what to do at this point. Thanks for your help.

Answer

Have a pelvic ultrasound done and let me know the result. Recurrent urinary infection or frequency can occur due to the estrogen deficiency associated with menopause. Using HRT ( hormone replacement therapy ) may help. Is there vaginal dryness also? Let me know , so I can advice you further.

Question
 
I am 38 years old and was diagnosed with POS about 4 years ago. In 2004 I had a dermoid cyst removed from my right ovary and also lost my right ovary. Tried to get pregnant for several years. Doctor first put me on Metformin, but also have to take Provera as needed. In Aug 2005 I became pregnant but miscarried at six weeks. My first real period was four months later in Jan 2006. The months following that had to take the provera. April of the same year underwent fertility tests which came back fine and my husbands test was also fine. Started my period in May w/o provera and started taking 50 mg of Clomid, on 3rd round of Clomid my doctor increased the dosage to 100 mg and each month I was on the clomid I tested with a ovulation kit and found I was ovulating. Started having alot of pain in pelvic area and an ultrasound found that I had a cyst on my ovary. My blood work showed that the prev month my levels were 9.2 and once the 100mg dosage it went to 34.4 which I bel!
ieve is why the cyst developed. Had one doctor tell me you cant take Clomid while you have a cyst, another said you can. Is this true? Since I only have one ovary I declined to keep taking the Clomid. Are there other fertility drugs that might help me?

Answer

Sorry to hear about your cysts. You can take a combination therapy. Take clomid as one tablet a day . Monitor on ultrasound on day 9 . If the follicles are small, take fostimon or puregon or gonal - f injections till the follicle reaches 18-20 mm. Then take pregnyl injection 5000 units to help you rupture. This may reduce the chances of the cyst increasing in size. Careful ultrasound monitoring is essential for you. Are your fallopian tubes patent ?

Question

Hi I have the problem the white jelly like fluid comes out from my vigina is that normal.

Answer

If this is only around mid- cycle and does not have any odour or associated with itching , it is the normal vaginal secretions due to the hormone changes associated with the menstrual cycle.

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