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Last Updated : 27 August 2007

Health Desk

Ask your doctor

Dr.Smita Lulla  MBBS, M.D, .D.G.O. (Gold Medallist),
Consultant Obstetrician & gynecologist at Qurum Clinic, Muscat since 20 years. Have had advanced training in U.K. in Obstetric & Gynecological Ultrasonography & Infertility.
Click here to ask your questions

Question


I got married ten years ago. We have no children. Recently a doctor in Saudi Arabia told me that there is blood cot in my wife fallopian tube, which block fertilization. Doctor asked me to remove this blood cot by laproscopy and my wife-undergone laproscopy and the blood cot was removed. After laproscopy done wife is still not pregnant. Again blood cot appreared in tube. Doctor asked me to do laproscopy again. So i met another gyenacologist who has given gynera tablets and asked me to take for three months. My question is gynera tablets is using for contraception. i went to see this doctor for infertility. Still I dont know why doctor has given gynera medicine. My wife had pain in the lower abdomen. is this medicine is using for any other reason other than contraception.

Answer: Please send me the complete Laparoscopy report regarding the tubes. Gynera, though a contraceptive pill, is given for 1-2 months to regularise the periods or to reduce endometriosis. Also, what is your semen result? has a PCT been done? Let me know the reports, so I can advice you further.


Question


Hello I am 27 years old I have a four year boy now I want one more child.we are trying for another baby for last one year.i donot know why .my due date is 6august now I have done intercourse in my most fertile day but till now there is no symptoms of pregnency but yet I donot want to go to the doctor iwant to wait till after my due date please give some advice

Answer: Are you checking your fertile days by ultrasound? This is the most reliable method. If you have got a period, do a scan on day 12 of the period to determine that you are ovulating. Also, what is your husband's semen result? Are your tubes normal? Let me know all these, so I can advice you further.


Question


Dear Sir / Madam , This is to inform you that I gave birth to a child in the year 2003 on 15th May after that we planned to go on copper T for 3 yrs and the same was removed in the year September 2006 , but till now we are trying our level best but we have not yet been sucess for another baby , my periods are regular , as we consulted our doctor she advised us to take ovofar 2 tab x 5 days and duphaston for 15 days , is there any harm to take this medicines will it be successful to us , please advise if any

Answer: Ovofar will help you ovulate. From which day of the period is duphaston advised ? All the best !


Question


If I get my period dose that mean i am ovulating?

Answer: No. One can get a period even if you are not ovulating. However, then the period might be delayed.


Question


I have just had 4 zoladex injections, my last injection was 9wks ago, and I have not had a period yet, what could be wrong? I have done several pregancy tests but they were all negative. Please advise

Answer: Usually, one gets a period within 6-8 weeks of the last injection. Have a scan done to determine whether you have an ovarian cyst. Was the Zoladex given for an endometriotic cyst ? Let me know the result, so I can advice you further.


Question


HI DOCTOR, MY NAME IS JULIET AND AGE IS 21 I AM HAVING THIS PROBLEM EVERY MONTH I DONT KNOW WHAT TO DO ACTUALLY IN MY WHITE DISCHARGE I AM GETTING RED DISCHAGE TOO AND THAT'S FROM 6 TO 7 MONTH THAT HAS STARTED I ASKED THE DOCTOR BUT HE GAVE ME SOME AYVURVEDIC MEDICINE LUZO BUT SOMETIMES IT DOESNT WORK PLEASE SUGGEST ME SOMETHING

Answer: Have a vaginal smear and culture and sensitivity test done.Also, let me know whether the pelvic examination reveals any erosion or polyp on the cervix. Let me know the results, so i can advice you further.


Question


Dear Doctor, I am 26 years old woman married 8 months past. In my age of 18 I suffered from irregular periods followed by severe stomach pain and when we tested doctor told that there is a chocolate cyst in the right ovary and it is advicable to remove the right ovary then at the age of 19 the right ovary was removed by an operation. After that my periods are regular in the interval of 30 days. My husband is working abroad and we had regular sex for three months. But i didnt conceive. Can i conceive with the working of only one ovary? My husband is going to come shortly for a very short period? What things i should do and what steps i should follow to get conceive? I also afraid that if my menstrual cycle comes when my husband is coming here. Please advice me doctor and guide me to have a child

Answer: Yes, you can conceive with one ovary. however, have an ultrasound done to determine that you do not have a cyst again and also that you are ovulating. Which city are you in? See your gynec. , so that your period can be regularised in such a way that you are ovulating when he comes. You can also take clomid to ensure that you are ovulating during the cycle he is there. Also, have your tubes checked.


Question


I am pregnant. Doctor had advised me to take sysfol plus, Ranitidine and Dubagest (progestrone) I want to know whether these medicine are ok or not

Answer: Dubagest is fine.


Question


Dear Doctor, We gotmarried in 2004.After that in 2005,i had a spondaneous abortion. After that i ve consulted some doctors and taken infertility traetments since my periods were irregular. Now we have consulted a new hospital where they have taken all blood test,semen test and scans.All are normal .In the scan they found a very small cyst so adviced to take pills for two months and next time found the cyst disappeared.Then they have done diagonostic hestereoscopy in which one polyp found same removed.Tubes were also normal.Now they adviced to go for IUI for two cycles.This month i ve undergone hesteroscopy and after that i had bleeding for two three days.After that we had intercourse two times around 13 th and 14 th days.So my question s whether ovulation happened for this cycle or not?

Answer: One can determine ovulation by doing a scan on day 12 - 16 of the period to see the size of the follicle. The day of ovulation is different in different women and also different during different cycles. Ultrasound would be able to guide you regarding your fertile period. All the best !


Question


My friend who is 23yrs recently under went a surgery for ovarian cyst which is endometriotic. doctor removed the cyst which is a massive one and reconstructed the remaining part of the ovary. Kindly let me know whether the endometriosis will occur again. If it occurs again how long will it take to appear again? Isn't there a permanent solution to it? She is an unmarried girl.

Answer: Unfortunately, endometriosis does recur. However, if she has regular folllow- ups and if a small cyst is found again, certain tablets or injections can be given to reduce its size and she may not need surgery again.


Question


Dr, I am the mother of a 3 year old child and now I wants to be pregnant again. I had taken contraceptive pills (Feminine) for 7 months and thereafter we had used quantums to protect pregnancy. I am 28 years old and overweight considering my height. I am trying to reduce the weight now. My problem is for the last 3 months, no period was noticed and I checked the pregnancy. Got negative result, and Dr told me to use Diamet Tablet. I want to know the action of that tablet. What should I do to adjust my hormone level to be pregnant again?

Answer: You probably have PCO, where there are irregular periods, a tendency to be overweight and anovulation. It is associated with insulin resistance, which prevents ovulation. Dimet helps correct this and aids in ovulation. Have an ultrasound done around day 12 of the period to determine the size of the follicle. If you are not ovulating, you may require clomid tablets. Losing weight will help you. All the best !


Question


HI...sir/ madem, two years back i got pregent and in my 5th month doctors told that baby heart is not grown and they give sussicion to do abotion, at that time we done abotion ...and after six months iam got again pergent.. at this time at the 6th month unfortunataly I got abotion .whath the problem doctors also dont tell clearly ...after first abotion I done harmonas tests and also done some tests all reports will came normal,but why it will happened we cant understanding ,give some suggetions to me what tests we have to do ...our native place is india(bangalore) now we r at london(birmingham)...plesae sir/madem I want become a mother its my dream plaese help me ....

Thanks

Answer: Sorry to hear about the abortions. Have you done a Toxoplasmosis IgM & Anti- cardiolipin antibody tests? Also, is your blood sugar normal? Let me know , so I can advice you further. I am sure you can have a baby soon !


Question


1 am 3 weeks pregnant and had a chest xray done on the 11th of june, 2007. I didn't know I was pregnant. would the x-ray affect the baby?

Answer: Have an ultrasound done at 6 weeks to determine whether the fetus is o.k.. I need to know the day of the cycle when the X ray was done to advice you further.


Question


Dear Dr., is it possible to ovulate but get no period? I am about 10 days late and have no period, and both hpts say negative. I ovulated 26 days ago. My luteal phase has been exactly 16 days for the past 3 months. About two weeks ago I felt like I was getting my period. I had severe cramps, tender breasts, and headaches. The cramps were really bad. I still get twinges of cramping, sometimes feel dizzy. Sometimes I even feel pregnant. Some days it feels like my period is coming. I'm so upset because I had a missed miscarriage in Jan. and now I feel like something is wrong. I am going to make an apt. with my dr. but I was just wondering what your advice was. Thank you so much!

Answer: How do you know you ovulated ? Which method did you use to detect ovulation? If you still have not got a period , do a blood test- beta hcg. If this is below 5 , you are not pregnant. In that case, take duphaston tablets- one tablet twice a day to get a period. After the period, do a scan on day 12 of the period to determine when you are ovulating and let me know. Which city are you in ?


Question


Hi Doc, My last menstrual starts on 25thMay and my common cycle is 28days . On the 23rd day , I had unprotected sex with my hubby. Then I took prostinor-2 the following day. Then,we had another unprotected sex on the 30th day from my first menstrual. Then again , I took prostinor-2 the following day. For second intercouse, I took the first tablet within 24hrs,but the 2nd one i have delayed . And now ,my period is one week late. May i know if my estimation correct and helps to prevent pregnancy ? If i have taken prostinor2 during first unprotected intercouse,will it delays the ovulation and causing im fertilized during my second intercourse ? I have taken 2does of prostinor2 within the same cycle. How will this delay my next period and when is it?Im in doubt . Kindly advice .
Thanks

Answer: Do a urine test if you have not yet got a period. If negative, take duphaston tablets- one tablet twice a day for 5 days to get a period. Prostinor is not 100% effective. I suggest, you take a pill once you get your next period, to avoid getting pregnant. The period might have been delayed due to the prostinor.


Question


To Whom it may concer... I am 23 Years old and have recently been experiencing something very strange with my menstral cycle. Last month I started spotting ten days before my period was due. Just a light pink spotting. I had another very light pink spotting occure at the time of my period. Now this month I am light watery pink spotting aweek prior to my period. I have taken a couple HPT and all have been negitive. The spotting has only lasted a couple days each time and has never turned into full fledged bleeding.... any advice?

Answer: Have an ultrasound done to rule out the presence of a fibroid or an ovarian cyst.Also, let me know whether your pelvic examination reveals any erosion or polyp on the cervix.Have your thyroid hormones checked. Let me know the results of all these, so I can advice you further.


Question


Hello doctor, I'm having irregular periods because of pcos and increased prolactin level(75). I'm taking cabgolin(0.5mg)& metformin once in a week. My tubes are normal.I'm trying to conceive for more than 2.5 years still not yet. My husband's semen count is 20ml. Is it possible to conceive in the natural way or shall we go for iui. Please help me and suggest a good solution dr at the earliest. I'm ovulating on the 14th day and size is 12mm after taking siphene 100mg from the 1st day of my periods.

Answer: You can take carbegolin - half a tablet twice a week for 3 weeks. Repeat the prolactin. I presume you are taking metformin twice or thrice a day everyday and not once a week, as you have mentioned. Let me know your husband's semen report in detail, so I can advice you regarding IUI. Also, have you done a PCT ( post- coital test ) ?12 mm is not sufficient for ovulation. Your follicle should reach 18-mm - 20 mm. Had it reached that size later?


Question


I am 31 years old,married for 4 years and trying to get pregnant for 3 years.I have irregular periods,once in 3-4 months.I had a vaginal ultrasound and was diagnosed with pcos last december.Other than that everything was normal.Dr sugested to do ovarian drilling.We refused to do it because we have't tried any medication yet.I am taking some herbal medicines for the last 6 months.I had a period in april 5 and then may 25.It lasted 14 days.spotting for 7 days and then 7 days normal bleeding.I am noticing hair growth all over my body including upperlip since last november.It was normal before. .Is it possible to start hair growth at this age with pcos?I am 53 kg and 158cm in height.I want to get pregnant.What type of medications do I need to start?

Answer: Irregular periods, hair growth and obesity are common in PCOS and can appear at any time. You need to know whether you are ovulating or not. Have an ultrasound done on day 12 of the cycle and let me know the result, so I can advice you further. Also, what is your husband's semen report and are your tubes normal?


Question


IT'S NORMAL FOR ME TO HAVE PAIN ON MY BREAST FROM THE 15TH OF MY CICLE OR B\4 MY CICLE AND WHAT IS THE IMPORTANT OF THE PAIN

Answer: Once you ovulate, there is water retention in the breast. So, depending on your ovulation, you may get pain on day 15. However, this pain should disappear once you get a period. If not, have a breast examination done to determine that there is no mass in the breast.


Question


Hello medam, I took two times IVF treatment in germany but 2 failed 2 time 15 days after HCG test negetive but my period not yet come I have no symptoms accure . what is the reason for my periods .

Answer: Sorry to hear about your failed IVF. Is this period delayed after the IVF? Are you on any medication like cyclogest ? Repeat the blood test- hcg. If still negative, take duphaston one tablet twice a day for 5 days to get a period. If your IVF was a few months ago, have an ultrasound to determine whether you have an ovarian cyst, which may delay your period.


Question


Dear doc. I am the mother of a 2 year old baby girl. I am trying to wean her from the breast. She now feeds from the breast only at night i.e bedtime. She eats normally too. I am going on a family trip next month. But my periods fall on that trip. This trip involves beaches, temples etc. I cannot avoid it. Can I take primolut tablets to postpone my periods. My gynaecologist has rudely asked me to stop breastfeeding abruptly. That I cannot do. Please tell me, is it safe for me and my baby girl if I take Primolut N. If not then what elase can I do?

Answer: You can take duphaston tablets three times a day instead of primolut. However, the milk flow might reduce while on it.


Question


Hi Dr. I am a 39 year old female with 2 healthy children, 18 and 14. I have systemic lupus, but it has been in remission for about 2 years. My Menstrual cycles are usually like clockwork, however, in the last 2 months, I have had 4 periods. All fairly heavy bleeding with severe cramping. A year ago, I had my tubes tied, so I know I am not pregnant/miscarrying. I know I need to see a Dr. but I have no insurance for about another month... Any advice is welcome.

Thanks

Answer: For the cramps and bleeding, you can take cataflam tablets- twice a day for 3 days. Once you can , have an ultrasound done to rule out the presence of a fibroid or an ovarian cyst. Let me know the result, so I can advice you further.


Question


Dear Dr. I had a childbirth via C-section last may 15 and i dnt have my regular menstruation yet to date. however, last june22 i had an unsafe contact with my hubby. im afraid to get pregnant, cant determine whether or not i was safe that time. dont know either when to start taking my contraceptive pill.

Answer: If you have not yet got a period, do a urine test for pregnancy. If negative, take duphaston one tablet twice a day for 5 days to get a period.Take the contraceptive pill Yasmin or Gynera from the first day of the period. Have you checked with your gynec. that you do not have any contra- indications to the pill ?


Question


Hi Doc, I am 39 years old, married. I had been diagnose of having HPV due to cervical errosion and vaginal bleeding during entercourse. I did cryotheraphy for the errosion. HPV DNA test was negative. My paps smear since ever was normal, but until now the bleeding during sex still the same. during sex i feel pain deep inside then it will bleed. i have also a lympnode in my thyroid which already shceduled for removal. I would very much appreciate if you can adv me what could be possible cause of the bleeding during entercourse.
Regards, marilou

Answer: Has the erosion completely resolved or has it appeared again ? Also, do a vaginal culture and sensitivity test to determine that you do not have any infection. Let me know the results, so I can advice you further. If you are in Muscat, you can take an appointment with me - 24563181, and after examining you, I maybe able to help you further since your problem has not resolved .


Question


I have clear mucus mix with blood that came from my vigina. It smells like blood and the blood was red and it turn brown. It was not a heavy flow. It was a light flow.

Answer: Have a vaginal culture and sensitivity test to determine that you do not have any infection which is giving this bleeding. Also, have an ultrasound done to rule out the presence of a fibroid or an ovarian cyst. Let me know the results, so I can advice you further.



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