Question

I want to know I m having a burning sensation in vagina when my hubby tries to do fingering i have irregular periods is we r having unprotected sex from last month can i b pregnant or its an infection

Answer
Burning sensation in the vagina is not a sign of pregnancy. It is probably due to some vaginal infection.If you have a vaginal discharge also, use betadine vaginal pessaries. Ensure that you do not have any contraindication to its use. Do a urine test for pregnancy ( clear blue).

Question

Hi I had Intercourse twice with in 6 weeks after my c-section is there any chance to get preganent

Answer

Usually, one does not ovulate till 6 weeks of a delivery, so it is unlikely that you could be pregnant. However, since you have had a CS, it is advisable to use some contraceptives like the pill to avoid another pregnancy till at least 2 years.

Question

Hi, I'm Taylor and I'm 20 years old. I've had quite a few sexual partners and every time I have sex I regret it. Recently I got a yeast infection and while I was sleeping I scratched at it A LOT. I didn't mean to but ever since then things have been horrible.. I created a separation of the skin on both sides of my vagina. While i was looking at it earlier i accidentally pulled it and it started bleeding.. besides that it also feels chapped. It is the worst pain I've ever been in and I don't know what to do. I've been diagnosed with HPV but im not sure if it has to do with that. Also on both sides where its cracked (separated) its very moist it almost feels like im getting discharge on the sides of my vagina obviously not where its supposed to happen. Please help!! I don't know what to do..

Answer

Use Momenta or Travocort ointment twice a day for 5 days on the vulva. If the problem does not reduce, see a doctor. Use canesten vaginal pessaries for 6 nights to reduce the yeast infection.

Question

Dear doc, My husband examination of seminal fluid:-
physical exam.:-
  volume-1.0ml
  viscosity-normal
  appearance-white opaque
  consistency-viscous
  liquifaction-1 hour
  chemical exam.:-
  ph-8.0
  fructose test-positive
  microscopic exam.:-
  count-60mill/ml
  motility-1hr
  progressively motile-60%
  sluggishly motile-20%
  non motile-20%
  abnormal forms-12%
  sperm agglutination-absent
  pus cells-1-2/hpf
  r.b.c-0-1/hpf
  epithelial cells-0-1/hpf
  macrophages-occasional
  it is normal report?
  thank u,aradhana-mumbai

Answer

This is an absolutely normal semen report. All the best !

Question

I am 16 and a virgin. I'm going on 5 months of having no period, and in this past week, a small bump has emerged on my vagina. I hate going to gynecologists, but I know that if I ignore it, it will only get worse. Is it something I can treat at home or must I go get the checkup?

Answer

I do not know what your experience with gynecologists has been , but I think you will need to see someone. Have the " bump" examined, as it is difficult for me to tell you what it is without seeing it. It could be a small abscess or a bartholin cyst. Also, you need to have an ultrasound done to determine whether you have PCO ( polycystic ovaries) which could be a cause of the irregular periods. If you do not have that, have your prolactin and thyroid hormones checked to determine the cause of the irregular periods.

Question

I have just turned 31 a week back, and are married since last 4 years. We are anxious to start a family from last 1 year, but no luck. I went for the first follicle scanning in August after taking Siphene from 3-8th day of the period, and there were 4 follicles that were detected from 8-17th day. But, I didn't conceive even after having intercourse on the days as advised by doctor. A cyst was also detected during the scan. I went for repeat cycle for the following period on the second day, and doctor detected a Cyst. Hence was advised to wait for another 2 cycles to pass. Now, after letting of 3 periods pass, I went on for scanning for the second day for the 4th cycle this month. But doctor detected regression cyst. Doctor has asked me not to take Siphene and wait for another one month. Is it a cause for worry? Will I conceive even though I have cyst?

Answer

You can conceive even if you have a cyst. You have not mentioned what the size of the follicle was. It should reach 18 to 20 mm by day 16 of the period. If not, you would require further medication. Let me know, so I can advice you further.

Question

Good day doctor, I wrote to u earlier as well but I guess there must have been some problem i still cant find the Answers to my questions.. however I consulted doctor and everythings fine now..but since i m curios abt something I wanted to ask you whether it is possible to know whether anyone has undergone abortion surgery? if the person goes to doc can the gynae know whether she has undergone surgery? thanks.

Answer

I had Answered this question before and you have to look for the Answers in the omanaccess website. No one can know whether you have gone through a surgery. However, the hymen would be broken during any surgery on the uterus, so that can be detected.

Question

I stopped taking ceraztte on 6th january to try for a baby. i have had no peirods yet extecp on the 18th jan i had some brown coluored spotting that only lasted a day also i keep getting cramp in the stomach that feel like peirod pains. could i be pregnant? I did not get peirod while taking cerazette.

Answer

18th January would be 12 days from the pill, so you could have ovulated and conceived. More likely, however, is that the brown discharge you had was a period. Do a urine test for pregnancy. Hope you have started taking folic acid.

Question

Hi, I'm 19 years old and I have a son 2 years old. On jan 11th 2007 that i thought I got periods but not because I noticed at first that red with brownish spot within few hours stopped. Finally, Jan 12th i got bleeding in morning for get periods until on Jan 15th done but next day i got cramping and cramping then two days later i got pinkish spot in early morning. Is that abnormal periods or is this early signs of pregnancy?

Answer

You can have this sort of bleeding even when you are pregnant. Do a urine test like clear blue. If positive, have an ultrasound done to ensure that the pregnancy is within the uterus and is o.k.

Question

Dear Doctor, I am Pavithra.29 yrs.two and a half years back i got married and one year after my marriage i had a miscarriage.Since my periods were not regular,i was taking treatment for inducing ovulation and one month i din t take medicine.That month i became pregnant and confirmed late and ended in a miscarriage.I have consulted so many doctors and nobodytold whythis happened.I got a flesh from my vagina 21 days after my periods date.After that there was a gap of 3 months and as per doctor's advice i have again taken medicine for 5 months such as clomid.My husband's count was proper and doctor told that i am also producing very nice eggs.But till now i amnot conceiving.We r eagerly waiting for that.I am so much disappointed.After taking tablets for 5 months now doctor told me to go for IVF laproscopy.But i am afraid to go for that.We have to wait more or do it now?Please give me an opinion.Eagerly waiting for u r rply.

Answer

Sorry to hear about your miscarriages. Did your doctor ask you to do IVF or laparoscopy? Laparoscopy would help determine the condition of your tubes and also whether you have any other condition like endometriosis. Why was IVF advised? If you are ovulating well , it would be worthwhile to try IUI (intra-uterine insemination) before you consider IVF("test- tube baby"). Which city are you in ?

Question

Hi Dr, I have been married since three years and have been trying to conceive. last May-06 i conceived but unfortunately had a missed abortion in the 6.2week.so had a Dnc done and since then have been trying to get pregnant again.all my and my husbands test have been performed and all r normal.i am taking fertility treatment here at Hyderabad.My Dr has prescribed me fertyl tab from 3day of my cycle with decdak till 5 days.then from the ninth day she has asked me to take premarin.other than this she has prescribed duphaston from the 17th day for 10days to sustain the pregnancy.i have been asked to take mataformin and folic acid constantly.Dr plz help me and guide me wether my treatment is right.my tubes r also normal.thanks a lot.

Answer

You should continue the folic acid . I presume you have PCO( polycystic ovaries) and that is why metformin has been given. I think you should do an ultrasound on day 15 of the cycle to check the size of the follicles and to ensure that the ovaries are not getting unduly enlarged. Once you have ovulated , you should take duphaston, rather than a fixed day of the cycle( day 17). If you find the follicle is small , let me know, so I can advice you further.

Question

Hi doctor, I'm 24 years old. And I'm married. Before married, i have no problem at all with my period. Regular - every month. But, after married & since after i had my first sex, my period delay for already 2 months. At first i thought i was pregnant, but already checked with my doctor - negative. The doctor had given me hormone pills for 5 days but it still failed to make me period. Went again to my doctor, and he said my period getting more delay maybe because i'm too stress thinking about this to hard. I hope you can advice me & give me second opinion. Really hope that u can help. Thank you..

Answer

First of all, relax! Stress can delay periods. However, if you have not yet got a period, repeat the urine test to ensure that you did not have a late conception. If it is negative, have an ultrasound done to determine the presence of an ovarian cyst, which may give irregular periods. Let me know what happens in the next few cycles, so I can advice you further.

Question

Detail History, DETAIL ANALYSIS OF FOLLOING PATHOLOGICLA REPORTS
  1. SEMEN ANALYSIS (Husband)
  2. HYSTEROSAL PINGOGRAPHY,
  3. SR. TRI-ODO THRONINE(T3)

SR TOTLA THRONINE( T-4)
Name : Madhavi Sen
Husband Name : Chandan Sen
Age : 27 Age : 36th Marriage : 11 May 2003
· We were plan for no issue after within one year of marriage ( Not use any medicine or other procedure ) we just control our self confidence.
· After One year of marriage we both are decided to take a chance for child. But several attempt there was no result shown that.

On dated 05/10/04 we are consult a famous gyno Dr. Mrs. Laxmi Ramanan for medical assistance they some pathological reports i.e
  o Semen analysis
  o Hysterosal pingography,
  o Sr. Tri-odo Thronine(T3)
  o Sr. Total Thronine(T-4)
  o Thyroid Stimulating Hormone(Sr. T.S.H.)

Some medicine refer i.e. capsule of pregnaint
  a) Volume : 2.5 ml
  b) Colour : Greyeish White
  c) Odour : Musty
  d) Reaction : alkaline
  e) Viscocity : Viscous
  f) liquificatin : 20 min
  g) Total Sperm Count :- 110 Milion ml
  h) Motility : Active 70%

Sluggish 10%, Dead 29%

Dye was pushed with lot of difficulty marked back pressure noticed. Attempt was made curved canula as well as foley's cathater. Small amount of contrast is seen in uterine cavity. Marjed vaginal extravasation noted.

OBSERVED VALUE : NG/ML
EUTHROID 0.8-1.6 NG/ML
HYPERTHYROID : > 2.9 NG/ML
HYPHOTHYROID : NO DIAGNOSTIC VALUE

  4.Observed value : UG/dl
      EUTHYROID: 5-11.5 UG/dl
      HYPERTHYROID : > 11.5 UG/dl
      HYPHOTHYROID :< 5 UG/dl

5.Observed value : 2.8 nU/ML
      EUTHYROID : 0.25-6.0 uU/ML
      Method : ELISA attached ( We try to send scan film)

In mean time we consult other gyno every body says their different opinions . Some one say there both tube are choked. Some body says my utrus size so small they haven't carry child . some are says there is no hope for child.

But suddenly on dated 27/09/2005 I have feel some positive hope and we would Urine Pregenace Test Shown positive .

We shown some amount of bleeding with my urine.
We are immediately consult our gynologist for the same and they suggest to sonography As per, Hypoechoic mass is seen in body of uterus enteriorly measuring 26.7x22.4 mm size
Single Sac Located in Fundus
Margins are Irregular
Embryonic Echos are seen
No Heart Activity Seen ( Colour Doppler)
Sac Measures 32.8mm Corresponds 7W 5d.
C.R.L. Messures 9.2 MM corresponds 7 W.
U/S Gestational Age 7 Weeks 3 days
ENDOCERVICAL CANAL NORMAL
Vagina Normal
Right Ovary Measures normal
Left Ovary Meausre normal
(L.M.P.- 9/8/2005. Gestational age by L.M.P. 9 weeks 6 days)
INFERENCE:- SONOLOGICAL FINDINGS ARE CONSISTENT WITH MISSED ABORTION.
FIBROID IN UTERUS.
Total RBC Count M 4.5 - 5.5 Million per cu. Mm million pel cu. mm
F 4.0 - 5.5 'Million per cu. mm

Answer
Sorry to hear about your missed abortion. Since you have conceived, you will again ! So, do not worry about a small uterus, etc. You must have done a D & C by now. Start taking folic acid tablets. Do not conceive for 2 months. Then , when you are planning a pregnancy, do a blood test- toxoplasmosis IgM and let me know the result , so I can advice you further. All the best !

Question

I got my first injection of Decapeptyl Depot 3.75 mg on December 22 since my period started on December 16. I expected the injection to cease my menstrual bleeding. Instead, I had vaginal bleeding (just like the flow of a menstruation) on January 6, 2007 - only 3 weeks after the first day of my December menstruation. Under normal circumstances, my menstruation would have started about 8-10 days after - sometime on January 14-16 since my last menstruation was on December 16. Instead, my menstruation came about 8-10 days earlier. The bleeding followed the normal pattern of a monthly menstruation whereby heavy bleeding was followed by a period of mild bleeding. Normally, my monthly menstruation would have lasted for a week. However, ever since my premature “menstruation” on January 6, I still continue to bleed, albeit very mildly now. As of today, January 14, I have been bleeding for already 9 days although as I mentioned earlier, the bleeding is extremely mild now compared to when I started bleeding on January 6. I would be getting my second injection of Decapeptyl Depot on Jan. 22. Could you kindly advise me what the bleeding may mean e.g. complications, if any? Would it, for instance, mean that my uterus is damaged, etc? The preservation of my uterus is very important since I plan to have a child after my myomectomy on February 13.

Answer

In some women there is irregular bleeding after decapeptyl. Your next decapeptyl should have been 4 weeks later on 13th January. Anyway, the decapeptyl has been given to you to reduce the size of the fibroid(s) prior to the surgery. The bleeding while on decapeptyl does not indicate any damage to the uterus, so don't worry about that. You have not mentioned the number and size of the fibroids you have. Repeat a scan on 5th of February and if the size has not reduced, you should take 2 more decapeptyl injections( at 4 weekly intervals) prior to your surgery . Let me know, so I can advice you further. If the size has reduced, go ahead with the surgery. Are there multiple fibroids or a very large one ? If they are small, you can conceive even without a myomectomy.

Question

Married 26 and my husband is 29 and trying for a baby for the last 1 year.As per advice of our doctor i took duphaston from the 18th day to 28th day of my period.after that my period was supossd to come on 20th Dec but came with light spotting on 22nd Dec and continous flow on 25th Dec.When can i consider the first day of my period to calculate the next periods date.Plz doctor could you give an Answer.

Answer

I presume you have done a urine test for pregnancy and it is negative. The bleeding could be present even if you are pregnant. You can 25th as the first day of the period. Have you done an ultrasound to determine when you are ovulating? Duphaston alone will not help if you are not ovulating.What is your husband's semen report? Are your tubes patent? Let me know , so I can advice you accordingly.

Question

I am 22 years old and got married on 30th August 2006. My last period was on October 7th 2006. My pregnancy results were positive on November 14th 2006. When i went for a routine check up to the doctor she advised me to take Stresstabs and Duphaston. On November 21st 2006, i had heavy bleeding and was taken to the Gynaecologist. Since i was just 4-5 weeks pregnant the doc couldnot say if i had a miscarriage. She gave me a projestrone injection and asked me to come back after a week for checkup. When i went back she said the baby has heartbeats and to take more rest. On Dec 2nd i was having blood clots when passing urine with spot bleeding and when i went for a scan she told me the baby is no more there and i had a spontaneous miscarriage. I wen in for an ERPOC on Dec 30th 2006. I was bleeding not heavily but medium for the next 2 weeks. Now my bleeding has stoped but i happen to notice a very dark brown discharge with some watery discharge? Can you please help me and tell me what this discharge is all about?

Answer

You may get bleeding for 2 - 3 weeks after the D & C . Were you given antibiotics after the D & C ? Have you done an ultrasound recently? This would let you know whether any products are still present in the uterus. If you are in Oman, you can come and see me for further treatment now and during your next pregnancy. You can book an appointment - my number is 24563181.

Question

I am taking Necon 1/35-28. I have had irregular periods- I get my period for the week before the white inactive pills, and then for 2 days during the white inactive pill timeframe. I noticed some depression and frequency in urination, and thought I should perhaps take a pregnancy test. Took the test- came out negative. I am not sure if I should retest in a week as I am not sure about the period sitation. Could I be pregnant? Why would I get my period during the active pills?
Thanks for any help.

Answer

You should test the urine again. The bleeding could have been because you missed a pill or did not take it at the same time everyday. Sometimes, the efficacy of the pill is reduced if you have had diarrhea or vomiting or if you have taken certain drugs. This would also cause bleeding during the active pills and a pregnancy.

Question

I had a ultrasound with normal uterus but markedly thickened endometrial complex. they state most likely result of polp. 2.5cm double layer thickness. I'm really scared. I'm have a hysterosonography done and a biopsy schedule. Could this be cancer or only polpys or a combination Thank you Nancy I'm 39 years old and my periods have always been irregular my whole life with heavy bleeding and recently my periods weren't coming every month.

Answer

Relax! The result of the biopsy of the polyp will reduce your tension once you know it is benign. The heavy bleeding could be due to the polyp.Let me know the result of the biopsy Also, repeat a scan about 1 month after the polyp removal and let me know, the result.

Question

I had a ultrasound with normal uterus but markedly thickened endometrial complex. they state most likely result of polp. 2.5 double layer thickness. I'm really scared. I'm have a hysterosonography done and a biopsy schedule. Could this be cancer or only polpys or a combination Thank you Nancy

Answer

Relax! The result of the biopsy of the polyp will reduce your tension once you know it is benign. The heavy bleeding could be due to the polyp.Let me know the result of the biopsy Also, repeat a scan about 1 month after the polyp removal and let me know, the result.

Question

Mam, I am 35years old,50 Kgs, nurse I got married 10 years ago and I have a son after 8 years I want to donate my egg to someone known in Muscat,can I do that in consultation with my husband where should I go for checkup and what will be my condition?

Is there any legal question involved or where should I take the screening as I live In Wataya - Muscat

Answer

As far as I am aware, egg donation is not carried out in Oman. You can check with the IVF department of Muscat Private Hospital.

Question

Hi plz help me I m 20 year n I have no breast my fiance leave me I m much sad I used many medicines butt all in vain plzzzzzz I m much worried take care n reply me plz

Answer

Relax! Your fiancé should be more interested in the type of person you are than your physical characteristics. Still, you can see a plastic surgeon for this.

Question

I am 35 years old and would like to be a mother. After intercourse as soon as the Penis comes out from Vegina all the semens are coming out immediately. I need your suggestion what to do?

Answer

You will need a lot of advice regarding position during intercourse, ovulation, checking the fallopian tubes and husband's semen. You should consult a gynecologist for this as it will be difficult to advice all this in a mail.

Question

I was married in 2004 september.I have been diadonised with PCOS.I have been taking Metphormin since 2006 june.I started doing Follicular Imaging since 2006 August with siphene 100mg from D2 to D6.But there was no follicle in my third cycle (2006 november).So doctor advised to do laproscopy with ovarian drilling in January 2007.Everything was normal.I again started doing FI and there is no follicle till 17th day of my period.Why is it happening?Is my doctor following the correct treatment?Please give an advice what i have to do next?can i conceive?

Answer

Please do blood tests- FSH & LH on day 2 of the cycle and let me know the result, so I can advice you accordingly. in the meantime, continue the metformin. Also, take folic acid tablets.

Question

Hello Doctor; I am a twenty-six year old woman. Within the past couple of months i have become sexually intimate with a new partner. For the past couple of days my vagina has been extremely itchy. Today i have also noticed an odor. My partner is also experiencing similar symptoms. Could you please provide me with some information?
With sincere thanks,

Answer

Both of you can use travocort ointment twice day for 5 days. If the problem persists, you should see a gynec. who can determine what type of vaginal infection you have and treat you accordingly.

Question

If i took postinor-2 and i took a urine test after three weeks and it says positive is it possible the test ws wrong.

Answer

It is possible that you are pregnant, as the prostinor 2 is not always 100 % effective. Have an ultrasound done to check whether the fetus is in the tube ( ectopic pregnancy) and whether it is growing well.

Question

I am 26 years old and married on feb of year 2006...from last 11 months we have a regular intercourse without using any pills...some 6 months back i had my blood checkup doctor said yout thyroid harmone is immbalanced...she gave me medicine for it...now again last month i had a check up ....doctor said that now thyroid harmone is balanced and you keep on taking medicine....last month i had another check up in which doc found that there was a cyst in right ovary...but due to some reasons it brokes and fluid starts collecting in pelvis....i am totally confused ....i want to conceive....doctor pls help me

Answer

Relax! First of all, are you ovulating? This can be detected by the clear plan test, or better by ultrasound. Also, what is your husband's semen report? You do not need to worry about the cyst now. Continue your thyroid medication. You must also take folic acid tablets. Let me know the results, so I can advice you further.

Question

I WOULD LIKE TOP KNOW IF I AM PREGNANT?

Answer

The beta hcg is less than 5, so you are unlikely to have been pregnant. You have not mentioned any ranges of the hormones. As you must be aware, different labs, have different ranges, so check the range of the test and let me know which one is abnormal. Do let me know the range of the testosterone, as that seems to be rising. Continue the thyroxin. I presume you are taking folic acid tablets. During the next cycle, take ovofar and do a scan on the 12th day of the period and let me know the size of the follicle. Repeat the scan on day 18 to determine whether you have ovulated or not and then start the duphaston.

Question

Hello madam I am 25 years old i have one baby now she have 2 years i want become a second baby i have cygerian.periods are coming regularly .so give me any tablets for my pregnency.i have'n any other problems. thanku madam.

Answer

Check whether you are ovulating or not by doing the clear plan test or ultrasound. This will determine your fertile period. If you are ovulating, you do not need any medication. Let me know, so I can advice you accordingly. Start taking folic acid tablets- one a day.

Question

Dear Doctor, I am 28 year old Male and my wife is 27 years old. We just married a month back and thinking of plannning for atleast 6 months.

She is taking FEMILON tablets regularly. Last week all of a sudden she was feeling notia and also started vommitting. In due course she was constantly felt headache. We were assuming , She got Pregnant. Also by doing UPT on immediately it showed VALID REGION.

But after repeating the test ater 2 days it was NEGATIVE and immediately she got periods too.

Now my quetions are:
1) Does FEMILON helpful for family planning??

2) If yes, are there any side effects on her?

3) What are the chances of pregancy though she is taking femilon ( I am assuming 100% protections from contracepive pills is not possible)

4) In case she conceives a baby even after taking Pills, does is attect the EMBRYO ( gowth, type etc...)

Kindly revert back at the earliest

Answer

Nausea and vomiting could be due to the pill. However, she should take it at night after dinner to reduce the incidence of these side- effects. Did she get bleeding while on the pill or after she finished it ? Regarding your other questions :

1) Yes, it is an oral contraceptive pill, so helpful.

2) You must check her blood pressure and blood sugar to ensure that they remain normal.There might be a little bit of weight gain besides the nausea, headache and vomiting.

3) If she has not forgotten a single tablet and she has not had diarrhea or vomiting just after taking the pill, the pill is almost 100 % effective and it is the most effective method of contraception.

4) Usually the fetus is not affected even if she conceives. However, sometimes there might be certain abnormalities or a slightly increased chance of miscarriage.

Question

Hi Umm Im 19 and I lost my virginity about a month ago. Now my periods are not a normal cycle they havent been that why for a while. After and during sex i was bleeding i heard they callit " popping the cherry" i wasnt really bleeding like a period bbut there were spot. So im a little worried we use protect but i just want to know what going on. I had a period the week before i lost my virgnity. So what now

Answer

Since you have had irregular periods, it is difficult to assess when you would have ovulated. Do a urine test for pregnancy 15 days after the last intercourse. If you are going to remain sexually active, it is advisable to use the contraceptive pill like Yasmin or Gracial from the first day of the next period. However, check with your gynec. that you do not have any contra-indications to its use.

Question

I don't have regular periods and for 2 years i've been trying to have a baby and nothing has happen can i go to a gynecologist to help slove my problem.

Answer

Since you wish to conceive you must see a gynecologist . You would need to know whether you are ovulating or not, what your husband's semen report is and whether your tubes are patent or not. All the best!

Question

Hi doctor im 26 years old married, i moved to canada im here from the last 4 months i missed my periods i had my last periods on 21st Nov its gonna be 2 months im worried what should i do ? we are not planning baby we are not using any pills only my husband uses condoms or withdrawal system.what should i do now im really worried?

Answer

You must do a urine test for pregnancy ( clear blue). If it is positive, you'll will have to decide what to do and see a gynec. regarding that. . If it is negative, take duphaston tablets- one tablet twice a day for 5 days to get a period. Once you get a period, it is advisable to use the contraceptive pill like Yasmin or Gracial from the first day of the next period.

Question

I had abortion @10wks on7th december,now almost one month but after that my normal period did`nt come so iam very worry about this.pls give me a proper Answer.

Answer

Sometimes , the first period after an abortion is delayed. Check the urine for pregnancy . If negative, take duphaston tablets- one tablet twice a day for 5 days to get a period.If you are not wishing to conceive soon, use some contraceptive measure like the pills. If you wish to conceive, you must wait for 2-3 months before conceiving again.

Question

How long does it take for a woman to have her periods again after stoping depo-provera

Answer

This changes from person to person. Usually, one does get a period within 4 months of the last dose.

Question

Hi doctor...I am 24 years old. i am married one and a half years ago. i had missed abortion by last year, after that i am not able to conceive, semen is coming out immediately after i remove pillow from by hip after 20 minutes, why semen is coming out, we took all test, we both had normal test, plz suggest me, i wnat to be pregnant

Answer

After intercourse, it is normal for the semen to come out of the vagina. So, don't worry about that. However, if you lie down for at least 2 hours after intercourse, most of the sperms would have reached the uterus and that would increase your chances . Are you ovulating? This can be checked by the clear plan test. Also, are your tubes patent? Were they tested after the missed abortion? Let me know, so I can advice you further.

Question

Hi, I'm a 21 year old female who is trying to get pregnant. lately I had tenderness of the breast, fatigue, lower back pain, and an increase of appetite. my nipples have these things on them that look like pimples. To make a long story short I took a pregnancy test home and at the doctors office and it came out negative. there was no blood test done. but for the last three days ive been spotting. my period started the fourtenth which is early cause it suppose to be on the eightenth anyway it started out heavy but btw yesterday and today all im doing is spotting a brownish fluid. could i be pregnant.

Answer

Breast tenderness and increase in appetite can occur even before a period. It would be advisable to do a blood test- beta hcg to determine whether you are pregnant or not. Spotting could be a scanty period or pregnancy bleeding - either a threatened abortion or an ectopic pregnancy( tube pregnancy). If the blood test is positive, have an ultrasound done.

Question

I have been having irregular bleeding. It is always after I pass a blood clog. I pass them whenever they just come and go. They are not painful but they are annoying. I dont know why I am passing so many clogs. My peirods have always been irrgular and I gave birth 7 years ago. I am worried but I am to shy to go to the doctor can you help me and tell me what it can be?

Answer

You have not clarified regarding your irregular bleeding? Is it delayed or frequent periods? Is it bleeding in between your periods? Regarding your blood clots, you will need to see a gynec. who can do an ultrasound to determine whether you have an ovarian cyst or a fibroid in the uterus. Also have your hemoglobin checked. Let me know the result ,so I can advice you further.

Question

Hi dr., I am 27 yr old woman with PCOS trying for a 2nd baby, and i just have some confusions that you might be able to clear for me..

1. Why am i being asked to take femara 5mg and puregon at the same time on days 2-6? This is my 3rd cycle on these meds and i ovulated on all cycles, but am just wondering why most REs prescribe femara on days 3-7 and then puregon on days 7-11 but mine seem to think taking them at the same time is best.. can u please give me ur opinion on this?

Answer

Femara is letrozole. many doctors give this instead of clomid tablets to induce ovualtion. I cannot opine on why your doctor prescribes these together. Most of us would see the response of the tablets alone and then do an ultrasound on day 10 of the cycle and if the follicles are small, prescribe injections like puregon. The important thing is that you are ovulating with whatever protocol is advised and that there is no hyperstimulation ( excessive enlargement ) of the ovaries. All the best!

Question

Hello, Dr., I am 21yrs, 1year before in oct. 2005 i had a miscarriage. after i have mensuration for 2 mths. from last yr. jan. i have no periods, after seeing Dr. I had mensus in april (dr. use injections), then in aug(injections), sept.-oct. nov.- by taking medicines for 21days. again afterwards no menuses come,also in oct.my breast becomes very heavy and there is white discharge for 1 week. last week i change my Dr. now she says, my ovaries size is bigger than normal.is anything seroius, i want to get pregrant, my practin test is positive.Please reply me wht. i have to do now, taking any medication and also is exercise means going gym. effects my body.Please reply me asap,thanks.

Answer

I presume you have PCO ( polycystic ovaries) where there are irregular periods and enlarged ovaries. You must have had this condition even prior to the miscarriage. It is present in 10 - 20 % of women. I need to know whether you are ovulating or not. Have an ultrasound done on day 11 of the cycle and if you are not ovulating, your doctor can prescribe you some medication for that. If you are slightly overweight ( as is common with PCOS) , exercise and a low fat diet will help. You have said your "practin " is positive. Do you mean your "prolactin " is high ? Let me know the result, so I can advice you further. A high prolactin can also cause irregular periods and prevent a pregnancy.

Question

Dear Dr. My wife got some brown discharge and little blood during her period. Is it normal or these signs means other disease? thanks

Answer

If you mean this was a scanty period, have a urine test for pregnancy done. Sometimes there can be bleeding during pregnancy.

Question

Hey, I'm 11 and I've been having discharge for like a year now and now it's getting so bad it's leaking through my panties, I don't know what it means for it to be doing that I need some Answers, pleas

Answer

You could be having a fungal vaginal infection. use only cotton panties. Take one diflucan tablet at night as a single dose. If your problem persists, see a gynec.

Question

Hello Dr, I have been married for 4.5years and had one miscarriage after a year on the 7th week of my pregnancy as my uterus was not able to carry the baby. Ever since then 2003 I have not concieved again. I realized I started putting on weight and have had PCOS. Since 2005 I have been effectively trying to concieve, but have tried clomid several times and then pregnyl injections to increase the same. Done the FSH, LH test, the Follecular studies, and dr has now prescribed me in 6months to have glucophage 3times a day. But I have not been doing that as I dont like to have those tablets. Also because I insisted with my doctor, there should be a quicker way out as I am desperate now, she has asked me to do a Laproscopic Ovarian drilling which I have been thinking in the last 4months and not sure if I should go in for it. I need your help and I am going to be 30years this year and already feel so old.

Please help me.
Thank you.

Answer

Relax ! You must take the right treatment without getting stressed about it ! Have you fasting plasma insulin done. If it is normal, you may not need the glucophage. Secondly, you must ovulate to get pregnant! Have an ultrasound done on day 12 of the period,. If your follicles are small, you would require clomid tablets to help you ovulate. This , however, must be done under close ultrasound monitoring to ensure that your ovaries do not get unduly enlarged. Have you checked your tubes after the miscarriage? If not, have that done and let me know the result. Some of us are against ovarian drilling as the beneficial effect of that is temporary and sometimes it can cause adhesions which can later reduce your chances of conception. Nowadays, with the various drugs available, you should ovulate and conceive. All the best !

Question

DR: I have pcos and have been taking the medications for it for a couple of years. Now all of a sudden I am feeling excruciating pain in the left lower part near my hip. When I have this I cant sit or stand have continuous belching and feel as if I have to use the restroom but nothing comes out... Is this related or is it something else?

Answer

You have not mentioned the name of the medication you are taking. Anyway, have an ultrasound done to determine whether you have an ovarian cyst or a fibroid which maybe giving you this pain. If you have missed a period, do a pregnancy test . An ectopic pregnancy can also give rise to such a pain. Let me know the result, so I can advice you further.

Question

Dr doc am 31 years old have 4 kids am looking for something to tighten my vigina can you help me please

Answer

You will have to see a gynec. for this who can teach you some exercises.

Question

Hello Doctor, am having PCOS. right ovarian cyst laporoscopically removed 6mnths back.Since november absent menstruation.Had duphastone for 3days period not yet started.Today is the 6th day after stopping duphastone. Should i wait for 4more days as per my docs instruction or go for consultation?

Dr.gave me glucophage tabs 3xdaily. after taking it twice i feel very giddy, confused,faint and drowsy. cant even walk. so I tried once daily and feel better.

is the dosage enough to control my pcos? my weight is 61kgs.my craving for food have doubled since past 2 weeks. Kindly advise. Thank you.

Answer

If you still have not got a period, do a urine test for pregnancy. if you are uncomfortable with glucophage, you can take another tablet called " actos". This , however, is more expensive than glucophage. Have a fasting plasma insulin level done. If it is normal, you may not benefit with glucophage or actos, so you may not need to take it. Once daily metformin would not be effective. Are you wishing to conceive now ? If yes, are you ovulating? Let me know, so I can advice you further.

Question

I am 19, and have had 2 sexual partners. The first I dated for 9 months and then when we split, I met the guy I'm with now. He was a virgin. When we're having sex, protection is a condom, about half-way through I have A LOT of VERY thick, white discharge coming out of me. I dont have pain during or after sex, there's no smell, and I have no itching or irratation. I am not on birth control. I ONLY have discharge like this during sex. Any ideas?

Answer

Is the discharge you are talking about the semen? Have a vaginal examination done after 3 -4 days of intercourse to determine the type of infection you have and then appropriate treatment can be given.

Question

I do not know I'm pregnant for only about 1 month & I have take the painkiller - ponstan. Will it affect my baby?

Answer

If you have taken just one or two tablets, it would not usually affect the pregnancy. However, have an ultrasound done at 6 weeks to ensure that the fetus is growing well.

Question

I am a 22 year old married female and I have a few questions. I got pregnant when I was 19 and lost it within the first month. I decided that it was probobly due to me being over weight. I lost 80 pds but in the process I lost my periods. I have not had a normal period without the assistance of medication for 2 years now. My husband and I are ready to start a family and so i was perscribed progeterone and something else to take to make me ovulate. Well since I took this stuff every month after the first (i had a normal period the first month) I have 1-2 days of dark brown/black discharge. If I am not having that then I have an egg white discharge but today it is like a thick white discharge with the elasticity of the egg white substance. Do you have any ideas on this? Thanks in advance.

Answer

First of all, check your FSH & LH hormones on day 3 or 4 of the period. This will determine whether your ovaries are capable of functioning and ovulating. Regarding your discharge, have a pelvic examination done and a vaginal smear would reveal the type of infection you have and appropriate treatment can be given. One gets a clear mucoid discharge while you are ovulating, which then becomes thick after ovulation.

Question

I am 26 year old unmarried lady. I have decided not to have children after marraige. Could you tell me how not to get children after marraige.

We have taken this decision because, having children will affect our career growth and will create problems.

Could you tell us a permanant solution which will be like without surgery.

Thanks

Answer

You can use oral contraceptives . This is the most reliable method of conception ( excluding surgery). However, see a gynec. who can examine you and determine that you do not have any contra- indications to their use.

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