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Home > Community > Health

Last Updated : Sat 16.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 have already undergone laproscopic removal of endometrial ovarian cyst &wants to get pregnant as soon as possible should i take duphastone how &when

Answer

Duphaston alone does not help you conceive. You have to know whether you are ovulating or not. Do a clear plan test . If you are not ovulating, you would require clomid . Once you are taking clomid , you need to be monitored on ultrasound to determine your fertile period.Are both your tubes normal ? All the best !


Question

I am a 40 year old woman from delhi. I have recently been having a white discharge and its smelly. It usually happens before i get my periods.. could u please let me know what i shd do abt it.

Answer

Use candid V 6 vaginal pessaries. If this does not help, see a gynec who can do a vaginal smear and culture and sensitivity test to determine the type of infection you have and to take the appropriate treatment.


Question

Hi doctor, I am 23 ,married since one year ,i have polysistic overies,but regular period for the past one year,i have my menstrul bleeding for about 6-7 days .i want to consive .i want to know whether i am ovulating, can i consive naturally,is regular period and normal menstrul flow is the sign of proper ovulation.

Answer

Do a clear plan test . If you are not ovulating, you would require clomid . Once you are taking clomid , you need to be monitored on ultrasound to determine your fertile period and to ensure that your ovaries are not getting unduly enlarged. Since you have regular periods, you maybe ovulating well , so should be able to conceive without any medication.


Question

Dear Doctor I am writing this the first time .I am from Qatar. We are married since 1year 10 months and trying for a baby for the last 8 months but no result.we consulted a doctor for infertility in kerala and checked my husbands sperm count ,the result was that the sperm mobility is less and the active sperms which are able to enter the egg is less. The doctor made scan and said he is having a probs of varicocele and gave some medicine named adyzova and eubifin. Doctor,can this be treated with medicines. I am having my ovulation all in good way we made a scanning for the follicle and it ruptured in the 14th day.I am having metformin 500mg. What more treatment can we do here in Qatar. Is it good to take duphastone from the 16th day to the 28th day?

Can our problems be solved if medicines are taken. Please advice us

Thanking you

Answer

Please let me know your husband's complete semen report, so I can advice you further. Also let me know the contents of the medication he is taking, as I am not aware of these medicines. You can take duphaston once you know you have ovulated.


Question

If you have a fungal infection is it safe to conceive?

Answer

It should not be a problem. However, it is advisable to clear the infection, as the chances of it recurring during pregnancy is high and it may not be possible to give certain medication during pregnancy.


Question

HI, I have very regular period cycles and take birth control, but in the last 11 days I haven't had my period. No stress, or change in my diet. I had sex on the 4th or 5th of November, had a few drops (nothing noticable) of brown discharge one time after peeing on the 12th was suppose to start my period on the 14th. Took a birth control test on the 18, and then two on the 21, they came back neg. What else should I try, how long do I have to wait to know what's wrong? The place under my belly and above my crouch always feels like it has butterflies, and that area hurts during intercoarse(feels tighter), and I am crampy (mild) My boobs didn't swell like they usually do before my period, but they feel squshyer not soar but more like water filled (I can't really feel the tissue), I have been more hungry, but not tired, no bumps around the niples, I have been discharging a lot more of that clear vagina stuff than normal, what should I do? What are the different things this could be?

Answer

Did you take the pill during the last cycle? If your urine test is negative, and you had bleeding after stopping the pill, the bleeding you had on 12th maybe your period. You probably have got another period by now. If that is also scanty, have an ultrasound done to determine whether you have an ovarian cyst. Which pill are you taking? You may have to change your pill if you keep getting scanty periods. If your discharge is clear and not accompanied by itching, it is normal and you do not need to do anything about it.


Question

Dear Dr. Lulla: I started taking Minulet pills 2 months ago. I had no problems in my first month of taking them, but now I am on the middle of my cycle, I still have 10 pills to take and I have very painful cramps that started 5 days ago with my period (that of course I wasn’t supposed to have in these days). I don’t know if I should stop taking the pill and make the pain disappear. I also took a lot of painkillers like Postan or Syncol, that didn’t help me. I don’t know if should continue and let my body get use to them or stop with the pills. I have never had these pains before. I would be thankful if you could help me with this, before consulting a doctor. Thank you very much for your time and attention.

Andrea

Answer


Your questions go the omanaccess website and then come to me once a week,so I could not answer you immediately. However, you may have had bleeding because you forgot the pill or did not take it at the correct time or had diarrhea which then could have reduced the efficacy of the pill. In future, if you have forgotten a pill, you should take an extra one within 12 hours and try to take the pill at the same time everyday. Regarding your pain, have an ultrasound done to rule out a fibroid or an ovarian cyst. if you are in Oman , you can come to see me , so I can determine the cause and advice you further. You can take an appointment - 24563181.


Question

Hi.. plz help me soon.i did a iui on 6 and 7 th of nov.and had a progestron and hcg inj on 17th.but when i tested on 22 .hpt was neagive.they did a blood test and called me today saying the beta hcg level is little above normal ie8.3miu/ml..and asked me to est after 2 days..does this level of hcg indicate preganacy..

Answer

Anything above 5 indicates pregnancy. However, it is low. Also, since you had taken hcg injections , the level might indicate the hormone from the injection and not a pregnancy. You should repeat the test and it the level is rising, it would indicate a pregnancy. All the best !


Question

Hey...I think I may be pregnant. I have a few of the symptoms sore breasts, blue veins, light cramping. I was bleeding very light off and on then got very heavy.. could I still be pregnant

Answer

Do a pregnancy test like clear blue to determine whether you are pregnant. You can have some bleeding even while pregnant, which might require further treatment or investigations.


Question

I am 35 years old, married for 10 years and childless so far (going for IVF)I have regular monthly cycle of 28-30 days. Usually, after 5 days of the ovulation, my breasts will start paining till the periods. (I have heard that it is because of hormonal changes after ovulation) For the last four months, there is no pain. But, I am regularly getting my periods. What could be the reason? I am worried. Will it be OK if my breasts do not pain?

Answer

In some women there is no breast pain even after ovulation, so do not worry about that. However, are you ovulating ? This can be determined by the clear plan test. All the best!


Question

Hello Dr, I have PCO and I was in treatment by Gonal F and then I have got an injection (Predalon) for ovulation. I had 2 rather big follicles (17mm and 14mm). 2 other smaller ones. I have since the Predalon injection a lot of ache especially in abdomens. I've never experienced such a thing before. I went to my DR and he said that it is normal. It is due to the yellow body. He asked me to take 3 Utrogest pills daily. I am still weary about this ache because it is very stark and I'm in this situation since Sunday (about 5 days). Can I hope that this ache might be a symptom for pregnancy?

Answer

The pain might be because you ovulated .. Have you done an ultrasound now? The ovaries may have got enlarged and formed cysts and the pain is due to that. The pain maybe related to ovulation, but not necessarily ovulation. All the best !


Question

Hello doctor, i am 26years, and i have been married for 2years, trying to concieve from 6 months, no results. so met a gync, they diagoinsed that i have PCO, they have asked me to take Metformin and folic acid tablets for 3 months. is PCO a serious problem, will i be able to concieve, pls reply.

Answer

PCO is present in 10- 20 % of women and is associated with irregular periods and infrequent ovulation. Check whether you are ovulating or not by doing a clear plan test. If you are not ovulating, you may need to take clomid tablets, under supervision.


Question

Hi Doctpr I am 26 yrs old an am married for the past one and a half years.Initially we didnt plan for a baby ... then i went for a routine gynaec check up after 6 months. During this 6 months , I was not aware of the fertile days concept and also we didnt have regular intercourses. When I went to the doctor, I didnt mention to her this fact .. and se prescribed me Siphene and asked me to start from the 3rd day of my periods upto 5 days.Then I immediately conceived the next month (January 2006) , but unfortunately this pregnacy resulted in miscarraige when it was 7 weeks. The doctor didnt do a DNC but she cleaned up using Vaginal tablets.

Its going to be 10 months now, and we are planning for ababy now. Again, we are not able to consistenlty try for the baby as one month we try and the next month circumstances are such that we miss the fertile period. I am very much disappointed on this. After my miscarriage, I am having pain in my left hip bone (which generally comes 3 days before the onset of my period an subsides). I was worried and I checked with the Doctor in Denmark ( as am currently in Denmark now). He did a pelvic examination and confirmed that this pain is very normal I didnt feel any pain when he checked my ovaries.He also suggested me to try for baby for another 6 months .. and then go for other tests.

Before my miscarriage , my periods were very regular, the cycle lenght was 29 days, after this miscarriage ... this has got shuifted between 31 - 33 days.Is it Normal ? or is there any problem. Earlier I was in India and now we are in Denmark, Is this shift due to the changes in climatic conditions?

My question is why was I prescribed Siphene ? ( I was told it was aVitamin by the docotr, but later realized it was for anovulation) . I consulted with other gynaecs and they say as far as you have regular periods.... you ovulate.

Am very confused Doctor ... and I dont know with whom I shoud discuss this tooo ...

Please enlighten me on the Fertile days .... the length of my cycle falls between 31 - 33 days .. and is it something like we need to consistenlty try for baby all months to acheive success.

Please reply for these queries Doctor as it will be very helpful for me to regain my confidence level.

Thanks
Shri

Answer

RELAX ! First of all, check whether you need any medication for your hip pain with an orthopaedician. Start taking folic acid tablets. Check whether you are ovulating or not by the clear plan test. This would also indicate your fertile period. If you are not ovulating, you would require clomid again. What is your husband's semen report? The change in cycle length is not worrisome as long as you are ovulating.


Question

Dear Doctor I am married for 1.5 year and already had 3 abortions, The first one was on my 3rd month ( missed abortion ) as there was no grow since the 2nd month as the doctor told me,this was on 25-Jan-06- I had no bleeding at all during this pregnancy and The 2nd one was on my 4th week and was on 23 of may-06 and in this pregnancy I had beeding from the 1st week and I took duphaston but it did not work!!

I started then taking multi-vitamins( including Folic Acid) and Aspirins as per the doctor advice,

The recent abortion was on 19/11/06 on my4th week, also had bleeding from the 1st week and when I went for sonar check up the doctor couldn’t see the pregrency sack!! Although my home urine showed positive result!

Kindly note that after my 2nd abortion last may I had many tests such us : thyroid gland hormones level+ toxoplasa + antiphosphous and it all showd normal results,

Kindly advice me what other examinations I need to go through and what I need to take or do in my next pregnancy as I am planning for that soon!!

Kindly also advice if you have any clinic in Dubai!!

Answer

Sorry to hear about your abortions. I do not have any clinic in Dubai, but it would be advisable if I see you once with all your reports and then I can determine what to do for your future pregnancies. My tel. no. is 24563181. You can take an appointment to see me around day 12 of the cycle. I will be out of town from 30th Dec. to 2nd January. Continue your folic acid tablets. You would need treatment even before you know you are pregnant( peri- conceptional treatment) , so I can advice you when you see me .


Question

Hallo, Two years ago after acute cramping (not during period) the GP sent me for an ultrasound. They found Adnexal Cysts and intraperitoneal fluid in the pouch of douglas. GP found no cause to be concerned. The weight gain he passed off as "your age". His opinion : Irritable bowel syndrome. Since then I always have severe cramping / stiches / bloating / heavy periods. Nothing seems to work. Pain gets worse each month. The stitches come and go during the month. Sometimes only seconds long, othertimes longer and then disappear. Have never been to a Gynae. Should i be concerned ?.(Age 39, no children)

Thank you for your time

Answer

What was the size of the cysts ? Have an ultrasound done on day 5 or 6 of the cycle and let me know , so I can advice you further. Also, did you have any fibroid in the uterus ? Do you have constipation or urinary infection also ?


Question

I have a son aged 8 yrs and am trying for second child for the last two yrs but not successful due to irregular periods. My doctor has prescribed me letroz for ovulation. I searched thru net and found out that it is a cancerdrug and may be used for ovulation induction also which is illegal. Would like to know is it safe to have this drug?

Answer

Many doctors are using letrezole. However, have you tried clomid tablets to induce ovulation. This has been used for many decades and is safer than letrazole. Have an ultrasound done on day 12 of the period after taking clomid tablets once a day for 5 days from the third day of the period. This will determine the size of the follicle and your fertile period.


Question

Hi Doctor, I was detected of ovarian cyst last month thru pelvic ultrasound.My doctor gave me metrogyl tablets for 10 days. I took it for seven days as i was feeling weekness.Now I was expecting my period on 15th of Nov but its delayes and not started yet.Is it a cause of concern or its a symptom of ovarin cyst.

Thanks you so much !

Answer

The period might be delayed due to the ovarian cyst. What was the size of the cyst. Repeat the scan on day 5 of the period and let me know both the sizes ( previous and recent ) .


Question

Hi I am 17 and since I can remember I Always have a discharge .. is this normal.. I mean I personally think its gross.. I'm not sexually active I haven't even had oral.. I m too scared to ask my mom it would just be weird..  I've talked to a friend about it and she told me its completely normal.. but I think its different I mean its a lot of discharge.. its always in my underwear and I feel embarrassed by it.. like I'm not even horny or anything. I just please can u tell me why and if its normal or not. its usually a whitish yellow color.. I don't know if that helps or not.. please write me

Answer

You can use diflucan tablet as a single dose. This would get rid of any fungal vaginal infection that you may have. Since you are not sexually active, I am not advising any vaginal pessaries. If your problem is not solved, see a gynec who can examine the discharge and advice you accordingly.


Question

I m 26 yrs married women. I was having irregular periods even in my unmarried time. I m not able to conceive ,inspite of not using any birth control pills. I am having imbalance of thyroid harmone, and I m taking medicine for it .does harmonal imbalance prohibits pregnency?

Answer

Do a clear plan test to determine whether you are ovulating or not. Ensure that your thyroid hormones are normal with medication. Start taking folic acid tablets. An imbalance in certain hormones may prevent ovulation. If you are not ovulating, check your FSH, LH and Prolactin hormones on day 3 of the the cycle and let me know all the results, so I can advice you further.


Question

I have been trying to conceive for the past 3 and a half years. I had a child in 1998, she is now 8 years old. My local OB/GYN send me to do an Hysterosalpingram and this test came back negative. I have been taking clomid now for 3 months and this still has not worked. My menstual cycle is consistent every month (21 day cycle).

Could there be other underlying factors to consider?

I appreciate your help.

Answer

When you say your hysterogram came back negative, I presume you mean that both the tubes are patent.What day of the cycle did you form the follicles with clomid ? I presume that if you have a 21 day cycle , you maybe ovulating early and may sometimes miss the fertile period. What is your husband's semen report ?


Question

Hello Dr. couple a weeks ago I've been having this problem with the area around my penis when enlarge the shaft of the penis always get red and then skin cracks and opens up and start to bleed is there something I could do to help heal this. Thanks

Answer

You would need to consult a general surgeon or an urologist for this.


Question

Dear doctor,i got married about one and half yaer ago in 2oo5.i had my first abortion right after 3 months.it was of 7 weeks and i had the procedure done through the tablet cytotec at 6 hours for two days.i again concieved after 6 months and again had an abortion of 5 weeks. i had my dnc done.The biopsy report said ''late secretory phase embedded".after 3 months gap i started taking cerophene 50 mg twice daily from second till 6th day of my periods and had an intercourse from the 10th day alternatively.i had my follicular dtudies done.the findings were excellent.endometrium thickness wea 0.9.eggs were good.i was injected on my day 14th with 5000mg of progestrone iv. i have been taking clomid since last 3 months follicular studies were satisfactory but dont know why i started having periods wvery time.plwase guide me where the problem is?advice me the treatment.thanks a lot.plz do reply.regards

Answer

If the biopsy said late secretory phase , you were probably not pregnant. Had you done a urine test for pregnancy and was it strongly positive ? Were you given 5000 units of progesterone or pregnyl ?What was the size of the follicle when the injection was given ? Have you had your tubes checked ? Let me know also your husband's recent semen report, so I can advice you accordingly.


Question

My period usually lasts for about 4 to 5 days however last month it lasted 8 days and this month it lasted 6 days stopped for one day and started anew.. very light bleeding but I'm on my 10th day now with small cramps once in a while and a few blood clots...am I pregnant or have fibroids?..im very worried... I have been on orthotricyclen lo for almost 6 months now and this has never happened before..can you please give me a clue as to what might be wrong?

Answer

Have an ultrasound done to determine whether you have a fibroid or an ovarian cyst. It would also be advisable to do a urine test for pregnancy as you could be having a threatened abortion or an ectopic pregnancy. Let me know the results, so I can advice you further.


Question

I had my last period on 26th october and we had intercourse from 4th till 16th november on alternate days and daily on 10, 11 and 12 as I was suppose to ovulate on 11 as per most of the websites. Please suggest when is the soonest I can do a pregnancy test.

Answer

The day of ovulation changes from person to person and also in the same person during different cycles. You can use the clear plan test ( available in pharmacies ) to determine when you are ovulating and what is your most fertile period. If you are not ovulating, consult a gynec. 


Question

Hi I m 20 I m three years married patient of pco I concieved this june but had a missed abortion I concieved through medication of prolifen for five cycles and menogan injection from the sixth day my follicle size and endometrium thickness was pretty good I concieved and waz given glucophage 500mg twice and vaginal pessaries ...........I had a d&c I have not concieved yet my history is tht I waz given 6 cycles of prolifen no result then had a laproscopy and drilling of ovaries my fallapion tubes are open and I m on glucophage since one and a half years...........again I m trouble of irregular periods doctor plzz help me and tell wht should I do next to concieved I m now with very low self esteem help me soon tell me tht wz my tratement ok and when should I stop glucophage

Answer

Sorry to hear about your miscarriage. Miscarriages are more common in women with PCO, but you can conceive again. You may need prolifen and menogan again. Treatment, however, must be closely monitored on ultrasound to determine when you are ovulating and that your ovaries are not getting unduly enlarged. You should discuss with your doctor about cyclogest suppositories or duphaston tablets to prevent a miscarriage.


Question

Hi, I need some advice. I am 26yrs and have 1 child age7 i had an miscarriage 4yrs ago.My husband and i have been ttc for 2yrs and unsuccessful.I was diagnosed with PCOS 09/06.Had 2 proverva cycles since then,Dr. prescribed clomid 1ST cycle clomid AF 25/10/06 clomid 100mg cd2-6.No follow up by Dr.,i have no clue if i ovulated with the 100mg clomid.Today 21/11/06 AF due.A lot of cramps lower stomach,tired,tender nipples for the past week.Don't know what to expect.When would be a good time to test for pregnancy if no Af.

Answer

You should have ultrasound monitoring while on clomid. Ensure that during the next cycle you have at least one ultrasound done around day 12 of the cycle.

Your questions go the omanaccess website and then come to me once a week,so I could not answer you immediately. By now, you must have done a urine test or have got a period. A urine test is positive 15 days after ovulation or around day 31 in a regular 30 day cycle.


Question

Hello Doc, My wife had a baby almost 5 months ago, she had to be induced and the baby came out pretty fast. During the delivery they had to make a little cut so the baby had more room. Since then she has gone to her doc and they said everything healed good. The problem is she has viginal pain after she stands for a while and she is not able to have intercourse because of the pain. She says that it feels like there is not enogh room. She also has viginal discharge every day. It is not bleeding. My wife is on birthcontrol pills and brestfeeding. I am trying to help but I dont know what to do....any help would be great. Thanks, Joe

Answer

The cut made is on the perineum , so usually the space of the vagina is not reduced. However, she must see her gynec . and explain regarding the pain to determine whiter there has been any narrowing of the vagina following any infection after delivery. A pelvic examination will also reveal whether she has a vaginal infection or a cervical erosion or polyp. In the meantime, you can use a lubricant jelly- like KY jelly to ensure that intercourse is less painful. There maybe dryness of the vagina because of the pill.


Question

I'm taking duphastone taplet daily for 4 months now becouse I got endometrioses case and adheshion so is there any side efects beside I feel bad apetite and sleepy

Answer

You may get nausea with duphaston which may reduce your appetite. However, I do not think the sleepiness is due to duphaston.


Question

Dear doctor, My husband and myself, we are both 36 yrs. of age and have been trying for a baby for the last 2 yrs. My husband is often travelling for business and in the first year we never even bothered to ‘time’ our sex (it could be that my husband used to be away on those fertile days). Since in 2001, I had conceived accidentally and had to abort, we never thought that it won’t happen! I was quite naive (rather stupid!) to always wash myself immediately after having sex. But in the last year we really tried taking care. We even seeked help from a gynaec. HSG was normal. So I was given 3 cycles of clomid (5th to 10th day) and two cycles of Gonal 75. As the doctor said, every time I responded well, always had a single good sized follicle (more than 21 mm). At that time points he used to give me Ovidrel and told me to have sex around 36 hrs. So we did it around that time and then he said it could have been too late. In anotehrcycle I had bad allergic asthma and had! to go in for inhalers (even steroids). Also, once with Gonal the follicle had disappeared unexpectedly on the 10th day itself (it was around 19mm 2 days before). We are both now very worried and would really like to have a child. My husband's sperm report is fine. I am taking a multivitamin everyday (recommended for lactating and pregnant women) besides Euthyrox 100 ug per day and am regularly going for controls. Initially I was taking 75 ug euthyrox each day but then the dose aws increased to 100 to ‘help’conceive,and then the levely changed so much that she asked me t make it 50 ug per day and then again made it 100 now! I know that the doctors do their best but I just feel awful and am confused. Plaese help me. In acse u’s like to know, my hormone levels were also checked and acc. to the doc. everything seems to be fine. Though when ia sked him if the progesterone levels were on borderline, he said that we’ll do duphastone compensation (which I always did for the 3 cl! omid and 2 gonal cycles, taking 2 tablets per day from 2 days after ovulation till I got my bleeding) Doctor I need your sincere advice and help in deciding my next course of action.

Also, Doctor, I'd like to ask you these general Question21s:

1) If the follicle size is very ripe (app. 21 mm) and one gets an Ovidrel injection, then can't it happen that the follicle ruptures naturally even before 36 hrs. ?

2)After the 'timed' sex and while waiting for implantation/conception, is it OK to have sex in teh 2nd half of teh cycle? Is it OK to go on long drives, hiking etc.

Doc., I know my mail was too long,a nd that u’ll tell me to relax but its becoming quite difficult ….. Sorry to have taken so much of your time and thanks, too. Please help!

Answer

Sorry to hear about your problems. First of all, just relax mentally and you should conceive soon as everything is normal. Continue your vitamin and euthyrox. However, the dose of euthyrox should be adjusted according to the level of the hormones. Do check the level again 3-4 weeks after you have increased to 100.Usually, one ovulates 36 hours after inj. ovidrel. Also, if you are having intercourse on alternate days from around day 11 of the cycle till 36 hours after the injection, it would not matter even if the follicle ruptured after 24 hours. This is because the sperms stay alive in the cervical mucus for 3 to 5 days . So, that should not be a problem. Regarding your second question, you can continue your normal activity and intercourse even during the second half of the cycle. Have you done a PCT ( post coital test ) ? This would determine whether the sperms are staying alive in the cervix or not and whether you require to do IUI. Let me know , so I can advice you further. Is your prolactin level normal? .


Question

I took clomid how many eggs ovulate in whole month

Answer

This changes from person to person and the dose of the clomid. You need to do an ultrasound on day 12 of the cycle to determine that.


Question

If man have motality 30% it possible to concive

Answer

Yes, but it also depends on the total semen count , the number of abnormal sperms and the number of actively motile sperms.


Question

hello. I am 27 years old female from pakistan.. I had 2 miscarriages in last one year.. I got married on 24th sep.. then I had periods on 28th... I was taking primolut.n.. for 3 days. n then left after wedding... after my periodsi got pregnant in next cycle.. I had very heavy cramping n pain like periods in my uterus.. I had light brown bleeding on 27th oct.. then I had hcg n urine test it was positive but I couldn't bear the pain.. in ultra sound nuthing could be seen .. so dr advised me to get it done after 10 days.. but after few wweks wen I again had this done.. it showed 6 n half week.. but according to dates it shud be around 8-9 week.. so they asked to wait for another 2 weeks..a she couldnt hear the heart beat.. but next week i had spontaneous miscarrige..with proper labour pain.. i could see the small baby just like big clots..n the placenta was out too... so there was no need to had DNC.. it happedn on 18th december.. then again i got pregnant in april..ik! e i missed my periods on 27th april.. n i had urine test n blood hcg test it showed around 2 week.. i got it done on 11th may..n i again had beelding n cloting on 14th may.. it wa sso soon that was not that painful as the previos one was.. this time i didnt see the dr before that... n had no medications except for folic acid.. now i want to conveive ..dr has told me to had prolifen... i had periods on 11th nov.. n i took prolifen 50 mg for 5 days strating from 2nd day.. now she said to have TVS on 12th day to see my folliciles.. n if its around 18-20mm i ll have to stat of pregnyl injection... tell me it should be the procedure for me.. as i dont ve any comliaction in conceiving but in the growth of baby/..my prolactin was also high n i took dopergin..4 a month but my cycle got irrregular n wen i left it ..t became normal.. i have cycle of around 30 days. also tell me can throid cause miscarriages.. coz i had no dnc but spon..miscariages..n wen i concieve wat precaution n meducations to be used to have safe preganancy?

Answer

Sorry to hear about your miscarriages. First of all, maintaining your prolactin levels in the normal range is important. The irregular periods are not because you took dopergin, but because of the high prolactin itself. Check the level and ensure that with the dose of dopergin you are taking, the levels are o.k.Are your thyroid levels normal? Discuss with your doctor about giving you duphaston tablets or cyclogest suppositories after ovulation, to help prevent a miscarriage. I usually give either of these .. All the best !


Question

I give birth on 24 June 2006 through cesearean. I have just found that am pregnant exactly after 4 months. my Question21s are? is it a risk to carry another pregnancy too soon? what are complications related to such an early pregnancy. can I carry it through/ should I have an abortion

Answer

Usually we do not advise a pregnancy for 2 years after the Caesarian. However, if you did not have any complications during the surgery or after that, it would be as safe to continue the pregnancy. You must discus this with your obstetrician .


Question

My girl friend has 3 chocolate cysts in her left overy. She has gone through surgical operations like laproscopy, endometrocist etc. The doctor has said the overy may be eaten by that cysts .And advised to marry within 1 year to get pregnant naturally. He also says sucess rate would be 5 to10%. Is she not get pregnant can she be able to take test tube baby ?

Answer

Chocolate cysts tend to recur and therefore, it is advisable to have a pregnancy as soon as possible. How are her fallopian tubes? If they are patent and there are no adhesions, she can conceive without IVF. However, if they are blocked or there are many adhesions, she would require IVF.


Question

Hi Doctor, Can one have her periods after having intercourse, After a 1 week of me having intercourse I had my periods, but I also have a kind of vomiting sensation , I eat tamarind chocolate ,a kind of weekness also , when can I do my test ,do I need to show to any doctor, am I pregnant ,how do I know ,when can I test for it

Answer

Bleeding related to intercourse is usually immediately after intercourse on the same day or seen on the next day. Do a urine test for pregnancy 15 days after the last intercourse. This will confirm a pregnancy.


Question

I am 3 months pregnant. In Scan everything is normal. My ist pregnency aborted within 2months. So, my Doctor give Duphasten tablet for Supporting the baby. But after I took the tablets iam getting abdomen pain. Is it safe or not to continue the tablet.

Answer

Duphaston is safe during pregnancy. Do you have constipation or urinary problems? These maybe the cause of the abdominal pain. Do check with your obstetrician regarding the pain as, the dose of duphaston maybe increased or some antacid given if she feels the pain is due to " acidity".All the best !

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