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Last Updated : Sat 28. October. 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

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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