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Last Updated : Sat 02.December.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 recently found out that I was pregnant I've probably been pregnant for about four weeks. I havn't seen a doctor yet but until then maybe you can answer this question. I have been experienceing cramps about twice a day they are about 45 minutes in duration sometimes very painfull. Is this normal?

Answer

It is rare to get pregnant after the lupron, specially if it has been taken on day 2 or 3 of the period. This prevents ovulation. However, if the dose was taken after ovulation took place , you can be pregnant. You must do a pregnancy test to confirm that you are not pregnant.

Question

I have extreme dryness in my vigina .which makes intercourse painfull.i have itching after my periods .and the area goes red.i use micpgel to give me relieve.but it is a very temporary relief.and sex is still painfull unless we use a lot of lubrication.what do i do

Answer

Sometimes cramps maybe due to "gas " . However, have an ultrasound done to ensure that the fetus is fine and it is not an ectopic pregnancy. Also, an ovarian cyst or a fibroid in the uterus may also give cramps.


Question

I am a sixteen year old girl and i have not have sex, but i have recently 'fooled around' with my boyfriend (October 13th). I am sure none of his sperm got close to my vagina when he ejaculated, (i had my clothes on) but for some reason today (Oct 19th) i had a bit of bloody discharge that was whitish with some blood in it . I had a bit of pinkish discharge a few days ago , but i thought maybe my period stayed a bit longer. My period came on October 6th - Oct 11th and it is a bit irregular . I have been feeling nauseous also, but this may be due to stomach complications that I've had for a few months now. Also, my vulva has been a bit itchy and uncomfortable lately, with a bit of pain. It doesn't bother me much, but I am wondering if pregnancy is an issue I have to worry about, or should i go see a gynecologist to determine what is wrong with me ?

Answer

You must see a gynec for this who can determine the cause of the dryness and decide what medication you might require. Fear of intercourse is one common cause of dryness, so you must relax mentally and then your natural lubrication might increase.


Question

Hi, I have Genital Herpes and I have High Actice Thyroid. I'm am trying to have a child but my period keeps rolling by every month. Throughout the month I have discharge. Should that be some something that I should worried about? How about the trying to have a child? Could the Herpes and the Thyroid be the cause of me not getting pregnant?

Answer

You can use momenta or travocort ointment twice a day for 5 days to reduce the itching. Do a pregnancy test and if negative , you do not have to worry.


Question

Hi doc, I m 31years old,married5years.i have right tube blocked.but i m ovulating normal and periods are regullar, did iui 2months back but it failed did 2nd iui 10 days back i took injections pregnal and menopur ,follicall size were 18 on day 12 ,2 follicles on the right ,both time .. can u tell me the reason y my iui failed.

Answer

If your thyroid hormones are normal while on medication, you should be able to conceive. herpes , by itself, would not prevent a pregnancy, unless there has been infection of the tubes . For your vaginal discharge, have a vaginal smear and a culture and sensitivity test done. This will determine the type of infection you have and the most appropriate treatment. Have your tubes tested once the infection is cleared by a hysterosalpingogram.


Question

Hi my name is mary.
I have a problem and i am tired of having a long menustral period it's not heavy it's just normal but i been this way for 2 weeks what can be the problem i don't have pain or anything and i have never experienced this long lasting period i knowest it just hasn't stop regulating is this normal or not i am 42 years old is this some kind of pms or what could it be i am concerned. but i don't have no pains just long menustral before i would only finish off in 3 days but it seems like a change now. can you please explain what this problem is all about. and please email me back soon thank you mary.

Answer

Sorry to hear about your IUI failure. There are many reasons- the eggs may not have been picked up by the tube. If your tubes have some adhesions around them , the chances of this would be high. Secondly, the sperm may not have been able to fertilise the egg . Even if the fertilisation did occur , there maybe failure of implantation of the fetus in the uterus. Did you form one follicle or more? The chances of IUI increase when there are more follicles. I presume the eggs were forming in the left ovary when you did the IUI.


Question

Hello Doctor im having irregular periods, i get my periods 2 - 3 months but sometime i get it normal i consult a gynecologist, she gave me birth control pills for one month, after that i got my periods then the next month i didnot get my periods then she prescribed me duinum. isthere any chance for me to get pregnant?

Answer

Have an ultrasound done to rule out a fibroid or an ovarian cyst . Both these can cause excessive bleeding. Also, have a pelvic examination done .This will determine whether you have a vaginal or cervical infection. In the meantime, you can use dicynone tablets - one tablet three times a day to stop the bleeding. Also, have a Pap smear done. These changes could be due to the above causes or also if you are in the peri-menopausal state.


Question

I have irregular periods. Had a coloposcopy w/ biopsies. The results were haing to have a piece of my cervix removed. I aalso been suffering w/ ovarian cyst.My question is why do i get nausiated,have severe pain in abdomen,breast hurt and swollen. Can You please help

Answer

Have you had an ultrasound done ? Do you have polycystic ovaries? Have your thyroid hormones been checked ? Let me know the results, so I can advice you further.


Question

DOES CLOMID BRINGS ON OVULATION EARLIER

Answer

If clomid has caused an early ovulation , yes . One usually gets a period 15 days after ovulation.


Question

Hi Doctor, I wrote to you before but I didnt get an answer.Hope you will reply to my mail this time.

I am 24 years old and my husband is 30 years old.We got married 1 and 1/2 years ago.

We are trying to have a baby from the past one year but it is not possible.

My periods were regular before marriage but from the past 8 months it has become irregular.

I am pretty plump from childbirth and now my weight is 96Kg.

When I consulted the doctor she took an hormone test and an ultrsound.She told me my hormone levels are normal and even there was no problem seen in my ultrasound as such.

But she told me that there was no dominant follicle seen and I might be experiencing annovulatory cycles.

Even my husband took an semen test and he has a 90 million sperm count with 60% normal morphology,and his sperm motility value is 30% normal and 30% sluggish.

The doctor told this was normal.

She told me that if I reduce my weight my cycle will come back to normal.She has not given me any medication.

Is it true?She tells me I cannot have PCOS since my hormone levels are normal and this is all because of my weight.

Now since the past 2 months I have not had my periods.

I feel very depressed and feel like ending my life.

Will I ever be able to conceive.What should I do?Please help me...please

Answer

Your questions go to the Omanaccess sit . I answer them & send them to the same website. If you go through the website, you will find your answer there. Do you have polycystic ovaries ? Are your thyroid hormones normal ? Both these conditions maybe associated with an increase in weight. You must lose weight by diet and excercising. Sometimes, one does have polycystic ovaries even with normal hormone levels. Were your FSH and LH done on day 2 of the cycle ? This gives the reliable levels. What is your testosterone level? I think you should be taking medication like clomid to help you ovulate , together with losing weight. However, clomid should be taken under strict ultrasound monitoring. Your husband's semen is fine. Have your tubes been checked ?Which city are you in ? Find a good infertility specialist and I am sure you will conceive soon. Let me know the results, so I can advice you further. All the best !


Question

Is it normal to have more than one boil on the inside of the vigina?

Answer

What do you mean by "Boil" ? Any boil is not normal. If you are referring to something firm inside the vagina, it would be the cervix. Please specify, so I can advice you further or see a gynec who can clarify this issue.


Question

I have symptoms of Polycystic overy formation and the doctor had suggested me to take Diamet SR-1000 tablets for 1 month along with the fertilization pills.Can I know why is this tablet taken.As it contains insulin.

Answer

Diamet is given for women with PCOS . It does not contain insulin. However, PCOS is associated with insulin resistance and diamet can correct that. Have you been given clomid as the" fertilisation pills "?. If yes, please ensure that careful monitoring of ovulation is done on ultrasound to determine the most fertile period and also to ensure that the ovaries are not getting unduly enlarged.


Question

I have a facial and even a lot of hair growth on my body since i was 16, the problem is increasing now. help!

Answer

You may have a high testosterone level. Check it and let me know . Also, have an ultrasound done to determine whether you have polycystic ovaries. These are associated with a high testosterone and increased facial hair.


Question

I'm 40yrs girl with regular monthly period.Ultrasound report shows multiple fribods, what to do?

Answer

Do let me know the size of the fibroids. Since you are not having any problems with the periods and if they are not increasing in size, you do not need to do anything.


Question

I am 26 year old and I am marrid last two year but I have no child I go to labartre for semens test and I found the rasult is very poor only 7% active cell .. I am from pakistan can u tell me which madicine I can use for increes the semens I will very thankfull to u bye

Answer

Please let me know the complete semen report. In the meantime, if you are smoking or drinking alcohol, stop it as that may also reduce the semen quality.


Question

I had flank back pains and a pressure when I peed. I figured I had kidney stones. I have been drinking only water for a week now. Every now and then the back flank pain comes back. The pressure and urge to always have to pee is still there. Tonight when I was taking a shower I noticed my uters is sitting almost at the opening of my vigina. I have two kids, my youngest will be 1 next month. What could this possiabley be?

Thank you.

Answer

You must have your urine checked- routine and culture and sensitivity ( if the routine test shows infection ) This would determine whether you have any infection and also the presence of certain crystals indicative of kidney stones. If your uterus has descended, you must see a gynec. who can advice you regarding perineal exercises to reduce the chances of it descending further.


Question

1) Currently Im taking Norcolut to hold my period. Its been 5 days already. If I stop taking it today. How many days do I need to wait for my period to come.

2) For your information, Im very seldom taking Norcolut, about once a year if need to hold my period for a purpose of vacation. Same goes for this time, for vacation on November (need to delay the period naturally to avoid period pain). However, I would like to conceive after having period on November. But, after calculating estimate delivery date, it falls on the 2 days before wanted month. So, can I take Norcolut again to delay my period for 2 days? Will the contains effect my fetus?

Answer

The period can come within 1 to 10 days of stopping the tablet. It is different in different women. Usually, we advice at least one month's gap between taking any hormones like norcolut and conceiving. Also, your delivery date would be approximate, so I think 2 days should not matter !


Question

Hi Doctor, I have recently ndergone HSG test and result was bilateral tubal block, fimbrial block on left side and cornual block on right is found.what r my chances of concieving naturally.my doc said there r chances sometime the block may open up after hsg is done.pl reply.thanks very much.

Answer

Which city are you in ? let me know, so I can advice you further. The fimbrial block may open sometimes.


Question

Hi. I am 25 years old and had my tubes cut and tied last May after my second child. Since then, my periods are far and between. Is this normal? I have been to my doctor and I am not pregnant. Should I be worried? Thanks

Answer

Are you still breast feeding ? This can cause irregular periods. Also, have an ultrasound done to rule out the presence of an ovarian cyst . Usually, sterilisation does not cause delayed periods.


Question

My period was 2 weeks late and when it fimally came it i would only bleed in the morming for a bout 3 days now my gynera shot is due but i think i am having symptons of pregnancy like nausea and spitting. today i went and got my shot regardless. if i was pregnant would this stop the pregnance. i want the baby but didnt know what to do?

Answer

What do you mean by the gynera shot ? As far as I am aware gynera is an oral contraceptive. Anyway, do a urine test for pregnancy . If you have taken the "shot " while pregnant there could be some side- effects to the fetus. You will have to discuss that with your doctor.


Question

Can I still get Pregnant if the seminal fluid falls out after intercourse?

Answer

Yes. As long as some sperms are in the vagina , you can get pregnant.


Question

It's my first time to take the pill and i have had some mild stomach upset the morning after the first night i took it. Although it was mild diarrhea,would the pill still be effective? thanks for the help

Answer

If it was mild diarrhea , it would be effective. However, to be on the safe side, you should use an additional contraceptive like a condom for the rest of the cycle.


Question

I m 27yrs old.ihad one abortion at 7weeks(conceived with clomid)after 6months i took clomid again..on october5...2006.and they r planning to do iui also.what all test and drugs i have to take to support conceive

Answer

Which city are you in ? Let me know, so I can advice you further. Please mention again regarding your previous abortion and whatever test you have done , so far.


Question

I have noticed a little pink on the toilet paper for the last 2 days. I've been on birth control for over a year but 3 months ago my Gynocologist suggested I change and it made me very sick and so I went back to the previous brand of pill. Anyways, I am due to start my period next week, took my last pill in the pack today. I took a HPT today and it came out negative. What should I do??

Answer

You may have taken one of the pills a little later than usual or missed on. However, do a urine test 6 days after the last pill if you have not got a period. If the problem of spotting continues during the next cycle, consult your doctor.


Question

Hello Doctor, I m 29 yrs old diabetic(since july'04)married(Jan 04)woman.I had 2 miscarriages 1st in Aug'05 & 2nd in April'06 though blood sugar level was quite normal during that time.Both the pregnancys came after taking Ovofar(frm day 3 1 tab twice for 5 days ) & Duphaston(frm day16 1 tab daily for 10 days)for 2 cycle.After 2nd miscarriage another doctor prescribed Ovofar(frm day 3 1 tab twice for 5 days ) & maintane(frm day16 1 tab twice for 10 days)for 3 cycle. Today 3 cycle is over and got the period& didn't concieve.Can I continue the same course for the next cycle(4th cycle)?

Otherwise please suggest any other medicine for pregnancy. Now I am taking Insulin(Human mixtard)30/70 and bl sugar fasting 105mg/dl,PP 131mg/dl.

I m eagerly waiting for your valuable suggestion.You can send ur suggestion in my mail id : bsnl_arupa@yahoo.co.in 

Answer

I am sorry, I have to send the mail to omanaccess and your answer will be mentioned there. I presume you are on folic acid. Your blood sugar level is fine and should remain absolutely normal while you conceive. This would reduce the chances of certain abnormalities in the fetus. You can continue the same treatment , as long as your ovaries are not getting enlarged. This can be determined by ultrasound. You can discuss with your doctor regarding the use of aspirin or progesterone suppositories to prevent another miscarriage. Have you checked for anti- cardiolipin antibodies or toxoplasmosis? Which city are you in ? Let me know, so I can advice you regarding further treatment. All the best !

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