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Home > Community > Health

Last Updated : 10 September 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

Find your question for the month of September

Question


Hi Dr, I am married before two years, I have Polycystic ovary problem .I got pregancy before 6months and then abortion happened after 3months. Now I am taking tablet metaphage500&Folic acid and Thyroid tablet euthyrox. and I took 3time clomid also. Now my period is normal. Prevoius month i put cyclogest400 from 16thday of my period but this month also i got period 2days early. can u plz suggest what I will do for getting pregnant?

Answer: Sorry to hear about your miscarriage. The treatment you are taking is fine. However, was the cyclogest given after confirming that you had ovulated ? What was the size of the follicle on day 13 of the cycle?


Question


I have multiple cysts in my Ovaries.I have been married since the past 2 and half years.I want to conceive now. My doctor has suggested me to take Siphene from 5 day of my periods for 5 days and then try conceiving. I wanted to know if this medicine is safe?

Answer: You probably have Polycystic ovaries, which is present in 10-20 % of women. Siphene is fine and is safe. However, you must do a scan on day 13 of the period to ensure that the follicle is growing well and that the ovary is not getting unduly enlarged. This will also determine your most fertile period.


Question


I was 12 weeks pregnant when i lost my baby.at 6 weeks i had a bleed and in the scan there was no heart beat then at seven weeks they found a heart beat.at 12 weeks i had cramping of the utreaus which was so painful all of a suddern i had a heard a pop and then the bleeding and clotting started i had to have a dc what happened to cause all this.

Answer: Sorry to hear about your miscarriage ..It is difficult to give you the reason for this, with the information you have provided. At 12 weeks, did the growth of the fetus correspond to 12 weeks or was it less ? Let me know, so I can advice you further.


Question


Hi, I am 29 & want to plan a baby. But I had some problem of vaginal dischareg, which the doctor said was an infection & i took vaginal pressuries for 2 months & its clear now.But now the doctor says there is some erosion at the cervix are & she would wait till my next cycle & want to do cryocautery. So, i want to know.. would it help, would i be able to conceive without problem after it? should i get it done or no?

Answer: Cryocautery is fine and you must do it , so that the infection does not increase further. It does not interfere with getting pregnant.


Question


Hello dr, I m 22yrs old and my hubby is 26 and we were on planning for last one and a half yrs .im having regular periods . last month july we tried to conceive.but this august my periods came.last month (on july) my periods came on 3rd and this month august my periods came on 2nd) the bleeding was for four days usual bleeding and on the 5th day slight bleeding after that bleeding stopped but on the 11th of august again i bleed and it continued to 13th of august .didnt appear on 14th and frm 15th of august i started bleeding to still today,my husband consulted me to a gynec: and she did an internal check up and said my uterus is normal and prescribed 2tabs.Daphaston 10ug 1daily for 12 days and trianostat 1-1-1 for 9days and she said on aug:21st will have a scan also .dr im very much depressed i would like to have a baby .. do i conceive? plzzzzz answer me plz

Answer: Did you check whether you were pregnant. At times, you can have irregular bleeding like this during pregnancy. What was the result of the scan? Let me know, so I can advice you further.


Question


Hi, I am having problem of polysystic ovary. I was on medication since last 7 months. I still didnt concieve I was given the medicines names duphaston glitz and clomiphene we went to another doctor for his opinion and he said to do ovary drilling thats the only way to get rid of this pls advise if this true I am so scared when it comes to get operated. is it neccesary or we can try another medication please advise

Thanks

Answer: There is NOTHING that can "GET RID "of Polycystic ovaries. However, the symptoms can be treated. We rarely do Ovarian drilling , nowadays, as its effect is temporary and it can cause adhesions around the ovary. What dose of clomid were you taking ? Were you forming follicles of 18- 20 mm ? If not, you would require a higher dose. Let me know, so I can advice you accordingly. At present, you do not require drilling. What is the level of your FSH & LH hormones on day 2 of the cycle?


Question


I got 2 cyst at different time one each on the bottom of each butt cheek and another had formed in the crease of my leg ,these cyst get big like a golf ball they hurt and they will bust open and drain pus and blood, thier also painful ,they usually clear up in about 2 weeks or so ,but what kind of csyt is this ?what causes them ? and how can i prevent more from forming?

Answer: It is difficult to opine on this, unless I see it. It probably seems like a Bartholin abscess. Check with your gynec. regarding it.


Question


Want to know that is shelcal 500 a contraceptive pill? actually I took this medicine after 5 hrs of having sex. will this prevent pregnancy?

Answer: NO ! This is a calcium tablet, and cannot prevent a pregnancy.


Question


I am trying to concive from past 3 years butanable to concive.my dr advice me for diemet and advise for weight reduction my weight is 65but sha said it should be 55.i do exercisi daily but unable to reduce.so tell me what should i do?and would diamet increse weightor not should i take or not? plz advice me.

Answer: You probably have PCO ( polycystic ovaries). Losing weight by following a strict diet control and exercise will help. If you are not losing weight, see a dietician who can advice you. You can continue the dimet. Also, you may require medication like clomid to help you ovulate. All the best !


Question


Hi, am 24 yr old,single. I have a problem of vaginal itching. I am asked to use lactacyd lotion. Sometimes still it itches. I will use statum plus upon which i will be relieved from itching for somedays. I have pale whitish/white discharge. sometime very pale yellowish which wont be much. during medication i was asked to take Forcan tablet, metrogyl tablet during which there was no itching. Can u please help me to get rid of this.

Answer: You have used medicines for both fungal and trichomonial infection. To prevent a recurrence , keep the area dry, wear cotton panties and change them twice a day. You can use another course of Forcan. If that does not help, your vaginal discharge should be sent for culture and sensitivity and then appropriate drugs can be given.


Question


I had a D&c 7 weeks ago because I had a miscarriage. And I had a regular period 4 weeks ago and now i'm do for my next period and I'm getting a grayish brownish discharge instead. What could this be? And why isn't my period coming down?

Answer: Check your urine to ensure that you are not pregnant. If you have not had a proper period, have an ultrasound done. Let me know the results, so I can advice you further.


Question


Hello, I am having problems with bloating, vomitting, tired all the time, movement in stomach, have tried 5 pregnancy test( all come out negative), have not started my menstrall cycle in 3mths. I have irregular periods though. Can you give me insight, physcians are making me feel peranoid in re: to my symptoms being nothing. I do not feel well. Please help

Answer: Do a blood test - beta hcg. This will confirm whether you are pregnant or not. If not, the " movement " you feel maybe because of "gas". . Also , do the H Pylori test. have you done an ultrasound ? What is the result of that ? In the meantime , take an antacid like Maalox and disflatyl tablets. This will help reduce your symptoms. If you have not yet got a period, take duphaston tablets- one tablet twice a day for 5 days.


Question


I had my tubes tied in 2003, I have never had any problems at all. I am about a week later on this months period, I went to the doctor cause I feel pregnant. Urine tests are neg, but doctor never gave a blood test, presribed provera 10mg for 10 days, at the visit he did a pelvic and said that my uterus is slightly enlarged, what does that mean and could I be pregnant? Urine test never worked for me in the past until I was around 8 weeks, I would be around 4 weeks if I am.

Answer: Do a blood test - beta hcg. This will confirm whether you are pregnant or not.Do you have a fibroid in the uterus? This would give rise to an enlarged uterus.


Question


M takin treatment for infertility..on day23 of my periods doc had told me 2 take ovral-L for 7days&after tat i will get my periods she will start givin me menogon&leupride..i took my last tablet on sunday morning&its thursday 2day i havnt got my periods till nwo m so worried..my periods r alwayz regular&whn i was on ovral-L before..i used 2 get my periods aftr 2days of stoppin it..plzz help me..

Answer: Relax ! you can get a period within 3-7 days of stopping the tablet. If you still have not got a period, do a urine test to confirm whether you are pregnant or not.


Question


My mother is 49, having high periods problem, dr adviced for ultra sound in 1st report of ultra sound the endo thickness was 9.5 mm but now after 1 month it becomes increases now its 12mm, is there is any kind of risk, plz suggest what to do/

Answer: I need some more information, before I can advice you. is she menopausal? If not, was the scan done just after a period. If she is still menstruating, the thickness of the endometrium changes during the cycle and is thinnest just after a period. So, any comparison should be done on scans done on the same day of the cycle.


Question


Hi Doctor, I was on Minulet for several years now. I got married in June 2007. This is when I decided to go off the pill. I stop without finishing the pack. About 3-4 days off the pill, I started to bleed. I know it's not my period as I was having it earlier. So, I guess this is something like withdrawal. But the bleeding went for a week and it doesn't appear want to stop. So, I decided to continue the Minulet again using the pill where I left off. Probably it's not the right thing to do but being newlyweds, I hope you understand. On 2nd July, I started to have my period back and it was normal. I'm expecting another withdrawal bleed now, but nothing happen yet. My period is 3 days late and I'm not sure what to expect. Am I pregnant? I have done 3 pregnancy tests (never with the first morning urine) but all tests are negative. What's wrong with me, doctor? Is this normal? By the way, I'm 32 years old now and would like to have a baby before the risks get higher. Thanks.

Answer: Do a blood test - beta hcg . This will confirm whether you are pregnant or not. You cannot take minulet as and when you want ! Since you have had minulet irregularly, you maybe pregnant. If you wish to conceive now, start folic acid tablets.


Question


I get White Discharget during intercourse and curdy white discharge at some times? Is there any problem or infection? or is it Normal.

Answer: This is probably due to a fungal infection.Use canesten vaginal pessaries for 6 nights.


Question


I am trying to concieve for 1 and a half year...but not pergnent...Had a general checkup with Gynecologist.she told me everything is normal...what can i do???pls help me...

Answer: Are you ovulating? This can be detected by a urine test like clear plan.If you are not ovulating, you would need medication for that. What is your husband's semen report ?


Question


I am 26yrs old, I have a case of PCOD. For last 2 months, I ve been on siphene(for 5 days) and metformin twice daily (which i hav been taking for more than 4 months since i discovered PCOD). What are the chances of coneciving with this treatment and my gynae has suggested that in a lifetime we shud not take siphene for more that a year'r time, is that true? For how long do u su=ggest we should give it a try. I have been doing follicular monitoring also for last two months and my husband's semen counts are also fine. Do you have any other suggestions which can increase the chances of conceiving. Waiting for yoyr reply. Thanks

Answer: Siphene can be taken as long as the ovaries are not getting enlarged.What was the size of the follicles on day 14 ? If you are not ovulating with the dose given, you need to increase the dose. Also, have your tubes been checked? Let me know, so I can advice you further.


Question


I am 31, mother, non-smoker. I have not had period since May. Have had menstrual cramping for 7 wks. Started having little brown discharge yesterday. Not pregnant- took blood test. Any ideas would be greatly appreciated.

Answer: You have not mentioned the result of the blood test. If the beta hcg is negative , consider this bleeding as a period. Have an ultrasound done to ensure that you do not have an ovarian cyst.


Question


Hello doc. I m from mumbai and wanted to clear my doubts that i m married for last 3 years and trying for a baby but all in veins my doc has told me to do certain investigation and i have done it my HSG reports are normal my sonography is normal (only possibilities of PCO), and my thyroid is undercontrol ( by eltroxin 1 in the morning) and i have done folliclar study for 3 timess ( 1st doc gave me SIPHENE for 2 mths that time i was ovulating but nothing was there and 2nd time LETROZ that time i dint ovulate) and my husbands reports are normal (60 million/ml and quantity is 3ml) now i went to another doc now the doc has suggested me for IUI should i go for it??? normally i cant get perganant???? and she told me to do iui for 2 or 3 times and if not successfull she would do LAPROSCOPY AND OVARIAN DRILLING for PCO, so i wanted to know LAPROSCOPY will cure pco? And with IUI i can get pregnant? Pls doc. advice me i m in great confusion plss reply as soon as possible as i have too decide, plsssss

Answer: IUI is fine and should help you. I do not think you need ovarian drilling as this is known to cause certain complications and the beneficial effect of it is only temporary. if you are ovulating , you do not need ovarian drilling. What is your testosterone level ? Just relax mentally, and you should conceive with IUI. All the best !


Question


Pls what can i use if i am having irregular menses. Black and scanty.

Answer: Is this only now or from the beginning ? Sometimes you could be pregnant and there could be bleeding. Do a urine test for pregnancy. Also, have an ultrasound done to rule out an ovarian cyst or PCO ( polycystic ovaries ) ..If the problem recurs, have your thyroid hormones checked. Let me know the results, so I can advice you further.


Question


I am 17 and I have this brownish discharge on my underwear and then after i had urinated and wiped I noticed this thick clear jelly like subtance..I have not experienced the brown discharge before and I have seen the thick jelly alot in the past few months. Also my periods are brutal, the pan is crazy and i practically have to overdose on advil and midol to make the pain stop. I mean like 6 advils and 4 midols every six hours.. the bleeding lasts for about 7 days and my cycle changes every couple of months. Whats wrong?? Please help.

Answer: Have an ultrasound done to rule out the presence of an ovarian cyst or a fibroid. Try cataflam tablets- twice a day for 4 days to reduce the pain.


Question


I had digonistic hyestroscopy on 24th july 2007 but I had very scanty flow in periods mainly sticky blackish in color on spotting. I want to know about this the reason behind this

Answer: Check that you are not pregnant , as you can get scanty bleeding during pregnancy. Sometimes, certain medication can also give rise to scanty periods.


Question


I had a normal papsmear, but I am having pain on the lower right side of my pelvic area. I had an ultrasound done, and the technician said my ovaries,tubes.. etc looked fine. She indicated that she did see a lot of gas, however. I laughed because i have been having trouble in with gas and bloating. After speaking with my DR about the ultrasound, i was referred to a gynecologist because she could not provide more answers for me and said the ultra sound looked ok. she said it mentioned an irregularity of some sort, possibly related to endometriosis and something about a regional fungas? Also she mentioned a tilted uterus? DO you know what may be causing this pain., and what this ultrasound is or is not telling me? Again, This pain affects my lower right abdomen/pelvic area, and goes to my lower back and side..leading to my buttocks area. It is not bent over pain...but it is nagging type pain. No heavy bleeding for menstrual..etc..just this nagging pain..on and off. Any input will help to ease my min

Answer: Do you have constipation ? This could give rise to :gas " and pain. You can take disflatyl tablets for the : gas ". Also, have a H Pylori blood test done. let me know , how you feel after the medication and the result of the test, so I can advice you further. Minimal endometriosis will only be seen on laparoscopy and not on ultrasound.


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