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Home > Community > Health  
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

Latest questions and answers

A) PCO (Polycystic ovaries)

Question


Hi doc! I am a 26 yr old woman married since dec 2006.in july 2007 i had gone to gyno and she detected PCOD but due to some reason i had to discontinue her treatment and since then i am trying to conceive without any medication. i have irregular periods since beginning but i use to get them once in 3-4 months but after marriage i am not getting my periods unless i take progestrone supplements again i have visited another gyno in june 2008 and she did thyroid tests which she says is normal she said she could nt rule out any PCOD since then i am taking duphaston for regularising my periods. i take 20 mg once a day daily from 11 to 25 day of my period and my period starts on 28 day. i am over weight that is 82 kg with 5'4' height.my gyno says that there is nothing to worry about then why are my periods irregular and why am i not able to concieve please please help me am really worried and going in depression bcoz of this. secondly from past 4 days i have itching in my inner lips of vagina and vulva region an

Answer: Your question is incomplete. However, PCO ( polycystic ovaries ) are associated with irregular periods, anovulation and obesity. You must lose weight as that would help you ovulate and regularise your cycles. Have an ultrasound done on day 11 of the cycle. If the follicles("eggs") are small and you are not ovulating , you would require drugs like clomid . Discuss with your doctor regarding that. Careful monitoring on ultrasound is required while you are taking clomid to determine the most fertile period and to observe that your ovaries are not enlarging. Also, let me know your husband's semen report and whether your tubes are patent.


Question


had irregular periods and the couse is polycyst. I took tablets for getting rid of it. It is almost cured now. But still I have irregular periods. Doctor asked me to take a scan on 13th day after my periods. The scan report said the cyst has reduced considerably and the egg size is 2.1 cm. The doctor asked me to take registrone and folygel for 10 days from the 15th day of my periods and Syphene from 5th day of my periods for 5 days. Will registrone stop me from getting pregnant? We are planning for a baby after 2 or 3 months. Will consuming these tablets cause any side effects?

Answer: You have mentioned that you have " polycst" . I presume you meant PCO ( polycystic ovaries ). This is associated with irregular period and one can never get " rid of it ". You probably have regular periods because of registrone. Since your egg size is good, you should conceive. Registrone will not prevent you from conceiving. The tablets are safe as far as the baby is concerned, so do not worry about that. All the best !


Question


hi,my age is 25,weight is 50kg and i got married 2 years back.i have no baby yet...i always have irregular periods and have polycysitic ovaries. now my doc give me golucophage three times a day,folic acid once a day,and prolifen capsule 50mg three times a day,start from second day of my period n take 5 days this prolifen. i want to ask...is it good treatment in my case...and can i get pregnent by taking this....pleez help me doctor

Answer: The medication given to you is fine and should help you ovulate. Have an ultrasound done on day 12 of the period to determine whether you are ovulating or not. This would also determine your fertile period. Also, have your husband's semen checked and your tubes. All the best !


B) INFERTILITY

Question


Namaste Doctor, I got married in March 25 2007.My wife is 5 ft 4' in height & weighs 80 kg. Her Thyroid report was perfectly normal & now her periods are also regular. But blood flow is not much during periods. After 5 to 7 days she is getting blood flow & that too not a heavy flow. We have planned for an issue. I am 5ft 11' & weigh 85 kg with normal body structure(expect for apple belly).We consulted a doctor & they gave progyluton to regularise the cycle. How can we know which is the right time for doing intercourse.Kindly help us.. also she has a itching sensation after semen is in contact with her organs & she immedietly rushes to wash it. Normally whenever i do not have intercourse i prefer to ejaculate myself almost daily.Should i stop ejaculating before 3 days of the so called 'best possible period' Kindly explain.. Humble Pranams!!

Answer: You have not mentioned whether your wife is ovulating or not. Have a scan done on day 11 of the period to determine the most fertile period. Are her periods irregular without the progyluton ? If she is found not to ovulate, she would require drugs like clomid. What is your semen report ? Let me know, so I can advice you further. She must see a gynec. who can examine her and determine whether she has any vaginal infection.


Question


i had IUI done on 1st sep.08.my doc. has advised me to take susten gel for 14 days intavaginally...can a person have sex right after inserting gel?

Answer: Yes, after about an hour.


Question


one year back i have got married,we r trying but still i have not conceived, in regular check up in india doctor asked me to take,Nacfil& fertibex& rqual,now iam in US, i have done ovolution test it is positive & have consult the doctor, they said everything is normal,but still i have not conceived,plz advice me what should i do as my age is almost 27 & my husband 32yr old,if there is some medicine plz do advice me, looking forward towards yr response.

Answer: You have not mentioned your husband's semen report and also whether your tubes are patent. Let me know, so I can advice you further. In the meantime, start folic acid tablets.


Question


I am 32 yrs old female, married for 6 years and trying to conceive for last few months. I visited my doc recently and she did a physical examination and prescribed me to take 10 injections of Placentrex 2mg - alternate days. Just wanted to check what is the exact purpose of this inj and if here are any long term side effects of this injection. Thanks.

Answer: Placentrex has some anti- inflammatory action.There are no known long- term side effects of placentrex.


Question


Dear Sir/Madam, I am 27 years old. I got married in the month of sep-2007 in India . My cycle starts Every 35 or 30 days once. I came to oman on march 2008. After contact I am not getting regular periods. Again the cycle starts every 40 or 45 days once. I am having thyroid , and I am taking tablet eltroxin 100 mcg Regularly. We had a contact up to 5 months. I did not get pregrant . I am having irregular periods. So is there any problem in getting pregrant. We have to try by ourself or else we have to contact any doctor for treatment. I am having heat body. Moreover oman is also heat. so can you please suggest me what kind of food I have to take and not to take.can I take dates. Can I know what is the problem?

Answer: Since you have many problems and you wish to conceive, you can come and see me for further treatment, as that is not possible without monitoring you. You can take an appointment Qurum clinic- 24563181. The ideal time would be to come on day 11 of the cycle, when I can detect whether you are ovulating or not. Please bring all your previous reports when you come.


Question


i m 27 years old, married 9 months before, My 2nd last period was 13-03-08 and then 22-08-08.i have some hormonic problem before marriage and i was using Dyne 35 and glucophage.then the periods became regular when i used dyne 35 but after the periods become irregular. another thing is that still im afraid for intercource till now i didnt attempt intercource with my husband. prolactin is 19.51 ng/ml, serum fsh 6.29 mlU/ml & serum LH is 23.33 mlU.ml.please suggest me

Answer: You seem to have PCO ( polycystic ovaries ).PCO is associated with irregular periods. You must see a gynec. to solve your problem of inability to have intercourse. If you are in Oman, you can see me. My no. is 24563181.


Question


Dear Doctor, I am 31 years old and my Wife is 26 years. We got married in August 2006. We are in US now.While Coming from India Our Doctor Advised my wife to take Fertyl tablets After 3rd day (3-7 Day)from the Cycle.My wife has Cycle period of 35-40 days. Is there any Side effect is there by taking this tablets? And How many month She has to take this tablets?

Answer: Your wife must have a scan done on day 12 of the period to determine whether she is ovulating or not. Also, that would determine whether her ovaries have got enlarged ( formed cysts) with the fertyl. Your fertile period would also be determined by that.The side effects are forming cysts or having multiple pregnancies. DO NOT TAKE THE TABLETS AGAIN WITHOUT DOING A SCAN !Let me know the results, so I can advice you further.


Question


Hi Doctor, I have been consulting doctor from past 1+ Year, she does scanning every month & says that I may get pregnant as the follicles are developed & it was ruptured also. But then to still I am getting my periods. What should be the reason for this. My husband's report is normal. When I ask my doctor about the same she say I don't have any problem. Can you please help me in the same, I am very much tensed because of this.

Answer: First of all, do not get stressed, as that , also, can prevent a pregnancy. Since you are ovulating and your husband's semen is normal, you do not need to worry. Have you checked your tubes ? Let me know the results of that. Which city are you in ? If you are in Oman, you can see me . My number is 24563181.


Question


Hello doctor, I am 28 years old and married for 2.5 years. For first 2 years we used condoms as I didnt want to conceive. after that when I was planning to get pregenent my gynic checked and found 2 problems. Uretus lining and hormonal polyps. For uretal lining I was asked to use Provera for 2 months. for polyps she suggested to do a minor surgery. After 2 months my test results showed the lining has thinned. but polyps are still there.And its been 3 months we are trying after stopping provera. I want to know what are my chances of getting pregnent and delivering without a miscarriage? Would it be better to get the polyps removed in order to get pregnent? Please...please I am desperate to get pregnent. Thank you

Answer: Please let me know how many polyps you have , their location and their sizes. There is a risk of miscarriage, but you can try to deliver once without removing the polyp.


C) PREGNANCY

Question


Hi, I had my US at week 21 and came to know that everything is normal except for that the placenta at abt 1.5cms from os.Is this normal..will it go up in two months?

Answer: Since you are yet only 21 weeks pregnant, your placenta should go up by the time you deliver. All the best !


Question


IS NAVIDOXINE SAFE IN PREGNANCY TO BE TAKEN THE FIRST THREE MONTHS

Answer: Yes.


D) OTHERS

Question


hello,i had an ectpic pregnancy and had to have operation my right tube was removed with my baby that was may6 2008.i went to see my doctor for where the right tube was removed i feel a littal discomfort,set an oppintment august 28 08 for an a sonagram.evrything looks fine only i have a small pouch with fluid where my right tube was removed my doctor says it will clear up on its own is that true and also the technition asked if had taken apregnancy test.? my doctor says every thing is ok only the lining of my uterus is thick and is to early to know if pregnant.what does the lining of my uterus mean.? Thank you for you time and GOd bless you.

Answer:   You must have got a period by now. Repeat a scan to determine whether the lining has thinned out and also whether the mass has reduced in size. Before you wish to conceive again, have a hysterosalpingography done to check the patency of the left tube.


Question


Doctor,I am a 20 Yr. old girl. My periods are irregular, at times it has even skipped a month, this time also it is delayed by 15 days.Though I am into physical relationship,I have never been peneterated.I got a pregnancy test done after 10 days of my missed period and it was negative.I even got an ultrasound done,which detected my endometrium to be 10.4mm thick in the middle,nothing else was found to be abnormal.Though I always sense a little vaginal white discharge,it has become extreme these days.Even my periods from last year has reduced to 2 or 3 days.I have tested negative for thyriod also.However,one thing I would like to bring to your notice is that I have a drastic change in my routine as I quit my job last month and I have also been in extreme stress from last few days.As suggested by my Gynae,I am taking meprate.I just wanted to know after all these tests,are there still any chances of pregnancy?

Answer: You have not mentioned whether you have PCO.( Polycystic ovaries ). This is associated with irregular periods. Repeat the scan on day 6 of the period to ensure that you do not have an ovarian cyst. Stress is a common reason for irregular periods.How are you taking meprate? Is it only for 5 days to get a period or throughout the cycle ? Just 5 days should be fine , to avoid a long- term use of hormones.


Question


I got married one year back. i am not getting periods regularly.foe eg:if i get periods in the month of july.not getting periods in the month of august,getting periods in the month of september..only after 45 days my cycle starts.i do not know whether i am pregrant or not.and i am having thyroid too.is there any problem because of that.

Answer: You must maintain your thyroid levels in the normal range by medication. An abnormality in these can cause irregular periods. Have you done an ultrasound ? This would reveal whether you have PCO .( Polycystic ovaries ). This is associated with irregular periods.A urine test for pregnancy would be helpful.


Question


I am getting periods for 8 to 9 days always and overflow of bleeding too.my cycle starts every 35 days or 45 days once.so i do not know the correct date when my cycle starts.

Answer: You must have an ultrasound done to rule out the presence of a fibroid or an ovarian cyst. Also, have your hemoglobin checked. If it is low, take iron tablets. I do not know which city you are in, so I cannot advice you regarding medication. You should consult your doctor regarding medication taken from the second day of the period to reduce your flow.


Question


hi doc I was due for my period on august 9 it did not come i had no bleeding until around the 24 it had been light spotting only now i'm concerned because i occassionally get a string of blood not like a clot though i'm wondering is that normal am i still pregnant. no cramps at all no pain? I'm just worried?

Answer: if you have not yet got a period, do a pregnancy test , as the bleeding on the 24th could be even due to pregnancy. If the test is positive, have an ultrasound done.


Question


hi,i have currently been in a relationship with my childs father of 3 years and this other guy of 4 months, but not at the same time me and childs father broke up. ok on august 6th of 2008,(witch was me and this guys first time having sex since being togeather), me and the guy had unprotected sex, (this was the first day of my menstrual) and he had came in me, on the 20th at 1am i took a test it said negitive.now the next day i decided to get back with my childs father and work things out,because he realy wanted to, and so did i. we had unprotected sex the following day and he came in me also, and we have been having sex every morning since then and he had came in me all four days in row. now my menstrual was due this morning on the 3rd of september.and i think i may be pregnant and i am unsure who would be the father and i was wondering if you could try and figure this out for me, i have been messing with my childs father since the 20th and me and this other guy are no longer involved.

Answer: First of all, check whether you are pregnant or not. The urine test is ususally positive 15 days after conception. Since you had done the test on the 20th and it was negative, it is unlikely that you conceived on 6th August.


Question


Hello, im on the depo contraception injection. iv only been on it nerly 6 month, but i recently got tested for chlymida and had to take tablets for the treatment to get rid of it (i unfortunatly came back positive) and unlucky me caught it again a week later, in the space of 3 months iv had 2 lots of chylmida treatment, and have not come on me period could this be due to the treatment or could i be pregnant? does the injection fail to work after these tablets? im out of my mind with worry!

Answer: You have not mentioned the name of the tablets that you have taken, so I cannot advice you regarding its reaction with the injection. One does get irregular periods for 3 months after the depo injection. However, check the urine for pregnancy ..


Question


Hello doctor, I am 27 yrs old,Recently got married.My problem is aftermy ovulation period, dark clotted blood(little amt) comes out in vagina,it continues till my next period.After my period, I am normal.This happens around 14th day from period.My periods are regular(28days cycle). I consulted a doctor, she said, i amhaving poly cist uterus. pls help me in this.

Answer: You probably have PCO ( polycystic ovaries ). - not "polycyst uterus ", as you have mentioned. That , however, may not be the reason for your spotting. Do you have a fibroid in the uterus ? Have a pelvic examination done to determine whether you have vaginal or cervical infection or polyp. These may cause this problem. let me know,the result, so I can advice you accordingly.


Question


when i start my period i get these bumps that feel like pimples what are they

Answer: It is difficult to say what it is without seeing you.You can use fucidin ointment twice a day for 5 days.If you still have the problem, see your doctor.


Question


Hi Doctor, I'm a 32 year old female and have a kid who is now 3+. I'm facing a problem from last one year that my menses are not regular and from last 2 times the gap was around 52-55 days. The flow is also less. This time also its more than 55 days and i haven't got my menses yet I'm not pregnant can you please suggest something please? I wanted to have a second kid but I'm confused about my periods now. regards, Aasha

Answer: Do a urine test for pregnancy. If you have got a period, do a scan on the 5th day of the period to determine whether you have an ovarian cyst, which can give irregularity of period. Repeat the scan on day 12 of the period to determine whether you are ovulating or not. Also, have your thyroid hormones checked, as an abnormality in these can also give irregular , scanty periods. Let me know all these, so I can advice you further.


Question


I have this swallon virgina. The thing is that one side of it iz swallen what am I suppose to do I mean it hurt wen I walk like It like literally poking out my virgina is this going to kill me or is it something dangerous please help me I'm only 17 I need help if I'm gonna die.

Answer: It is difficult to say what it is without seeing you.You probably have a Bartholin cyst or abscess. See a doctor to determine the cause of the swelling and appropriate treatment can be given.


Question


I am 42 years old. Untill recently, we were having a good sex. Recently, I am having pain on my penis while on intercourse, sometimes even on erection time. I heard about KY jelly, but where we can get it in Oman

Answer: You can get KY jelly from any pharmacy. If your problem still persists, see a physician.


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