Question
Hello doctor, I am 26 years old, married for 1 year. My husband and I
are trying to conceive for quite some time now. I have gone to the
OB-Gyne last Aug. 3, 2006 where I found out that I have PCOS. I took
clomid Aug 3-7, 1 tab/day. Also, duphaston, 1 tab 3x a day on Aug.20-24.
I took pregnancy test sept. 4 and it was negative. However, i haven't
got my period yet so my OB advised me to take again Duphaston 1 tab/3x a
day on sept 5-9. Sept. 13, I think i got my period. I took pregnancy
test and im not pretty sure of the result. One dark red line and one
faint line. I was just so disappointed at that time because of my
delayed cycle considering the duphaston tabs ive taken. Now, Im taking
clomid 2 tabs/day for 5 days, sept 13-17 and progynova 1tab/day starting
sept.16 per instruction of my OB. I just want to know why is my cycle
still delayed after taking duphaston? What does my pregnancy test result
mean? Is it possible that I may be pregnant but had an early
miscarriage? Pls help. !
I need a second opinion. Thanks!
Answer
Sometimes, one gets a faint line on the urine test just prior to the
period. To confirm a pregnancy , you can repeat the test a week later or
do a blood test- beta hcg. .during the next cycle have an ultrasound
done on day 11 of the cycle to determine the size of the follicle and
your most fertile period. This will also ensure that your ovaries are
not getting enlarged due to the clomid.
Question
Dear Dr, in the month of August, my menses lasted for about 13 days. i
met a Doctor and he said i had hormonal problem he now placed me on
primolut. two tablets from 6th Sept to 16th sept. For about two weeks
now, i feel pains on my nipples. i am expected my next cycle on the 18th
Sept. what can be the problem. i have not been able to conceive too. i
want to go for womb xray on the 10th day of my menses if it starts
please advice.
Thank you
Answer
Primolut may cause water retention in the body and therefore the cause
of the breast pain. If the pain persists after the period, have your
breasts examined. You have mentioned " womb X- ray " Is it
hysterosalpingography to check the tubes ? Let me know the result. Also,
are you ovulating ? What is your husband's semen report ? Do you have a
fibroid or an ovarian cyst? Let me know all these, so I can advice you
further.
Question
I had an i ud removed about two months ago. i had the iud in for about
four years and never had a menstral cycle with it. so i had it removed
for some medical reasons such as weight gain and acne. my husband and i
have been using protection such as condoms and spermacide films. but
since the removal of the iud i havent had a period is this normal or
could there be a serious problem?
Answer
Was your IUD a hormone IUD or a copper one? Usually, the copper IUD
would not cause weight gain , delayed period or acne. If you have used
the hormone IUD ( containing progesterone ), these could occur. Let me
know which iud you have used. Also, do you have polycystic ovaries or
any other ovarian cyst (seen on ultrasound) ?
Question
I posted a question to you some times back. I had said that I am 44
yeaars and had one child in February, 1982, an abortion in April 1991, a
miscarriage in October, 2004. Had my last monthly period on 12/06/2006.
A pregnancy test on 18/07/2006 showed positive and a scan done and
showed that the fetus inplanted intrauterine and heart beat seen. The
doctor put me on Duphaston on 18/07/2006. On 22/08/2006 when I was due
to see my doctor in morning I was alright but in the evening I started
spotting and within two hours I miscarried again. The doctor told me see
him after six weeks which will be on 5/10/2006. I really desire to have
a baby. Will it be really possible considering my age. What may have
caused this miscarriage again? You had asked me if I had started on
Folic Acid tablets before and after being pregnant.NO! The doctor did
not tell me to use these tablets. I will still try again to get
pregnant. I have not seen my periods as yet. Please advice me on what
tests to take and more so if I become pregnant again.
Answer
You must continue to use folic acid. You must keep in mind that the
chances of chromosomal abnormalities increase after the age of 35 as
also the incidence of miscarriage. However, you can still have a child
!. Check your thyroid hormones, blood sugar and toxoplasmosis IgM.Let me
know the length of the cycles and whether you are ovulating regularly or
not.
Question
I am 7 months pregnant but i have yellowish discharge and inching what
can be the problem?
Answer
You need to check for the type of vaginal infection you have. This can
be done by a vaginal smear and a culture and sensitivity of the
discharge , if required. Depending on that , vaginal pessaries can be
advised. For the itching, you can use travocort ointment twice a day for
5 days.
Question
Dear Doc Please advise....
I went off the patch on May 14th and fell pregnant sometime in June. Did
a preg test June 26...was postive but had a miscarriage the following
week (5-07-2006). Had a period till 08-07. Then got a normal period on
the 08-08. Lasted till the 12th of Aug. Since this was a 30 day cycle, I
calculated my next period for the 12-09....nothing yet. I purchased
Clear Blue ovulation sticks and used them from the 20th to 24th of Aug
but it didn't show ovulation.
Now I am scared to do a pregnancy test because I don't want to be
disappointed but I don't know whether I could be pregnant. I don't have
any other signs expect for the missed period and occassionally feeling a
little nauseas. I also have a yellow discharge on occassion when i wipe
myself after urination.
Please help
Answer
You have mentioned clear blue ovulation sticks. I presume you mean clear
plan ovulation sticks. If you still have not got a period, do a clear
blue test again. If negative ,
take duphaston tablets- one tablet twice a day for 5 days . If your
periods are always irregular, you may not be ovulating every cycle or
ovulating late. Do a clear plan test to determine that. If you are not
ovulating, you would require clomid tablets to help you conceive. All
the best !
Question
Hi Doctor, My husband and I have been trying for a baby since April
2005. I was diagnosed with PCOS last year. I had a laparoscope Ovarian
drilling done on the 30th Aug 2006. I am on Metformin (glucophage 500mg
X3 daily). Before the ovarian drilling I had my period on 13th July
throu the help of Provera. I had a bleeding (like periods) after the
ovarian drilling. When do I have my next periods,please help.
Answer
You should have got a period by now. If not, do a pregnancy test . If
negative take duphaston tablets- one tablet twice a day for 5 days .
Once you get a period, take clomid tablets - one a day from the third
day of the period for 5 days. Have an ultrasound done on day 11 of the
period to check the size of the follicles. All the best !
Question
I have been married for 2 yrs now. i was diagnosed with PCOD since i was
16yrs old. and my periods and nil. i somtimes get it once a year. i am
trying to have a baby.but till now no sucess. i had checked my hormon
levels and it is 2.95. my husband has diabetics will this affect? i dont
knot what to do. im a resident of dubai. want to concieve as soon as
posible as its puting strain on marriage. please help.
Answer
Which hormone is 2.95? What is the normal range of that hormone in your
lab? I require to know the FSH & LH hormones tested on day 2 of the
period. What is your husband's semen report ? Have your tubes been
checked ? Are you ovulating ? This can be checked by the clear plan
test. Let me know all these, so I can advice you further.
Question
I recently noticed a white oderless discharge. I have been taking a new
birth control Lostrin for about 2 months and I also have what seems to
feel like alot of presure down there. Should I be concered or is it
possibly from the birth control or from pain medication?
Answer
This is probably form the pill. However, if it increases or you have
itching on the vulva, see a gynec. who can determine the reason for the
discharge and treat you accordingly.
Question
HI Iam 22 and am married I have PCOD since i was 16 and want to have a
baby. I dont get regular periods. It comes when it wants. (i havent had
one in 5 months) my doctor had put me on the pill but i gained weight on
it so i stop is there anything I can take with out prescribtion to have
regular cucles and to get pregnant? Any help would be greatly
apprecaited
Thank you Erika
Answer
I require to know the FSH & LH hormones tested on day 2 of the period.
What is your husband's semen report ? Have your tubes been checked ? Are
you ovulating ? This can be checked by the clear plan test. If you are
not ovulating, you would require to take clomid and then monitoring on
ultrasound is essential. Let me know all these, so I can advice you
further.
Question
I have been geting these hive type bumps aroud my vigina and if i dont
itch them they just turn it to like a pimple at first the skin around my
vigina was just kind of itchy an dry then i started to peel and now i
have these hives that turn into like a lil white head What is this?
Answer
It is difficult to determine the exact cause of this without
examination.You can use momenta ointment twice a day for 7 days. if the
problem persists, see a gynec.
Question
I am 32 years old and have had three children by C-Section and one
etopic pregnancy. I was advised that I should not have any more children
due to the three C-Sections so I had a tubaligation to my only working
f-tube. I am a little worried because for the past two weeks I have been
experiencing consistent movement in my lower abdomen above my pelvic
area that feels like a baby kicking me. It dosen't hurt but it does last
a while and sometimes I can put my hand on the spot and actually feel
the movement. I have not had any changes to my period but I did take two
pregnancy tests to be safe...you never know , right. All were negative.
Do you have any ideas because the movement is driveing me crazy beacuse
it is happening all the time.
Answer
This may not be fetal movement, but "gas ". Take disflatyl tablets-
three times a day for 3 days. If the problem persists, have an
ultrasound done to rule out an ovarian cyst. Let me know the result, so
I can advice you further.
Question
Dear doc i ovluate on31july 2006 n till now my period not come i took
1steppregtest that is neg on 13 sep wats the reason
Answer
Did you mean you got a period on 31st July or ovulated then? How did you
determine ovulation ? Anyway, do a pregnancy test again . If negative
take duphaston tablets- one tablet twice a day for 5 days to get a
period. Then have an ultrasound done on day 4 or 5 of the period to
determine whether you have an ovarian cyst.
Question
I want to stop my periods from coming will primolut help me
Answer
Yes, if you start it around one week prior to the expected period.
Question
My girlfriend and I had unprotected sex when she had her period. Several
weeks later, she started getting symptoms of pregnancy: swollen breasts,
nausea/vomiting, and fatigue. The initial pregnancy test came back
positive. However, three other tests came back negative including one
administered by a doctor (1 week after the initial positive test). She
still has not had her period, but has noticed some dark brown spotting
in the last two days, accompanied by cramping and pain in her abdomen.
The doctor today told her to come back in a week if she still has not
had her period. I am worried that the condition might be more serious.
Answer
The bleeding you considered as a period may not have been a period, but
pregnancy bleeding. Since there are different urine test reports, do a
blood test- beta hcg to determine whether there is a pregnancy or not.
If that shows a pregnancy, repeat the test after 48 hours and let me
know whether the value is increasing or not. This will rule out any
possibility of a tube pregnancy.
Question
I have been on the ortho erva patch for three years but now on the 4th
week when I take it off I am having a brownish discharge. What is this?
Could I be preg?
Answer
Did the patch loosen during that time or did you take any other drugs
?However, it would be advisable to do a urine test for pregnancy .
Question
I am pregnant of about 28 weeks, so far I have undergone ultrasound
scanning four times, is it advisable to take frequent scanning? my
doctor is also advising me to take another scanning, is there any
restriction on the frequency of the scanning
Answer
Scanning is absolutely safe in pregnancy, The frequency of scanning
required would depend on many factors. If the growth of the fetus is
reduced, you may require frequent scanning to assess the growth and well
being.
Question
Hello Doctor, I took duphaston for 10 days as per doctir advice. After
completed 15 days of my tabs i did not get my periods. My periods are
irregular and i have PCOS problem. Doctor did a laproscopic surgery to
remove cysts, but he was telling like it is not success full 100 %.
Still hy hormanl values r high. What shoud i do now. Plz advice me
Answer
Please let me know the hormone levels of FSH & LH done on day 2 or 3 of
the period. Did you take duphaston twice a day ? Let me know, so I can
advice you further.
Question
Hi, i have just started ovulation induction. i responded really well to
the injections i had the pregnyl injection as one follicule was 20mm 3
days later i flooded everywhere really heavy bleeding and period pain
and a week later am still bleeding heavy.Is this normal? not having much
feedback from the hospital im under thankyou Paula
Answer
Sorry to hear about your bleeding. I presume you have done a pregnancy
test and you are not pregnant. If this is negative, you can take
dicynone or cycklocapron tablets- three times a day for 3 days to stop
the bleeding. Do you have a fibroid in the uterus ?
Question
Hi, I was diagnosed with a yeast infection about a month ago. I was
prescribed Diflucan and Nystatin cream. I used both and at the same time
started what I assumed was my period, I always got it around the 30th or
the 1st of each month, it was the 26th so I didnt think any different.
But I started getting symptoms of the yeast infection again a week ago,
I don't think I used the cream long enough, even after the symptoms were
gone. So I started using the Nystatin cream again, but I started
bleeding again on the 12th which is not normal. It really looks like
menstrual discharge but it seems too early. I was wondering if the
treatments could induce menstrual bleeding, or is it some kind of
allergic reaction? Your advice would be appreciated. Thanks.
Answer
The treatment does not usually induce the bleeding. Have you done an
ultrasound ?Since you have a recurrent problem, you need further
investigations. If you are in Oman or UAE , take an appointment with me
on 24563181, so I can evaluate you further.
Question
Hi Doctor, yesterday my hCG pregnancy home test came positive.I am 5
week pregnant, and experiencing light bleeding(Dark Brown color)with
mild pain as mensural time from 12 Spet, that is after 6 days after the
period date 6th Sept.I consulted a gynecologist and she prescribed
Susten 200 (Progesterone Soft gelatin capsules)for 5 days(twice). Is it
safe to take these tablets for me and my baby. Is the bleeding normal,
Does the bleeding harm my bay? Please Help me.I am really worried.
Answer
Bleeding is not normal. You have threatened abortion. Susten is safe.
Have you done an ultrasound ? What is the result? Let me know, so I can
advice you further.
Question
Am 21 yr old , i have pco sice 7 yrs , plz i wanna get rid of pco,i get
erods only wen i eat tablets diane 35 , i even use rimlute N and
premarine after using diane for 3 months, recently premarine is not
available , wat alternate can i useinstead of premarine , ,ma weight is
100kgs ,plz tell me the medication for it , i have had my hormonal tests
, my testesterone level is high , otherz r normal, plz also tell me how
to use premarine n prmlut n , ishould take primlut n first or premarine
,
hina
Answer
You cannot get rid of PCO ! it is a condition present in 20 % of women
and is not " dangerous ". You have to lose weight. Once you do that,
your periods will be more regular .Premarine and primolut might increase
your weight. I suggest that you take duphaston tablets- one tablet twice
a day for 5 days every 35th day of the period (if you have not got one
by then ), rather than premarine , primolut or diane throughout the
cycle. This would cause less weight gain. When you plan to conceive ,
you might require further medication.
Question
My daughter has been on the pill for about a month now (see has a icst)
and she started her period and when she had a non bloodly white mussy
blob came out. What could this be?
Answer
Did she get a normal period or only the white discharge ? Also, have a
scan done on day 5 of the period to determine that the cyst has
disappeared.
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