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Question
Greets! I am trying to get pregnant almost 1 and
1/2 year.My husband has no problem. My Prolactin is 8.57 ng/ml, FSH
9.07, LH : 2.95,TSH : 2.71. my Doctor did Hysteroscopy i.e is normal and
Laproscopy : Right and Left side of ovaries PCOD found. prior to that
all test another Doctor did two times IUI. Dr. Please tell me what is
the exact problem in me. Can I ever concieve?
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Answer:
Relax ! Since everything is fine, you should get pregnant. Let me know
the result of the laparoscopy regarding the tubes and whether there is
any endometriosis or any adhesions are present. How many follicles did
you form when you did the IUI ? |
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Question
Hi Doctor, I am a lady aged 32 year and 6 years in
marriage struggling to have kids but all in vain. i was told i have
ovarian cyst. i have been having a very painful periods and vomiting and
even after the periods the pains continue. everyday i am have burning
pains sometimes low sometime high. my husband is okay. kindly advance me
which medicine to use. please help
below is the examination i have ever done:
DATE: 23/11/2005
EXAMINATION/S: HYSTEROSALPINGOGRAM
DEPARTMENT OF RADIOLOGY
HYSTEROSALPINGOGRAM performed using water soluble contrast media.
Plain x-ray shows no evidence of radio opague density.
Visualized bones are normal
Uterus show normal cavity with no evidence filling defect, mass effect
or extrinsic compression.
Fallopian tube show normal coarse, caliber and contour. No peritoneal
pill noted bilaterally even after buscopan injection
IMP: Findings are suggestive of distal tubal occlusion.
DATE: 10/05/2006
SECONND EXAMINATION/S: HYSTEROSALPINGOGRAM
DEPARTMENT OF RADIOLOGY
Water soluble contrast media was injected into the endometrial cavity by
use of wilkinson's cervical canula under aseptic technique.
Endometrial cavity is noted with no filling defect seen.
Right fallopian tube shows fews small loculation and good peritoneal
spill.
Left tube shows locution at fimbrial end with very minimal spill.
Conclusion: Right tubal patency
DATE: 13/06/2006
THIRD EXAMINATION/S: PELVIC SCAN
DEPARTMENT OF RADIOLOGY
Uterus is normal in size and echotexture. There is no evidence of focal
lesion.
Uterus measures 6.9x3.4x4.2cm
Endometrial thickness is 9mm and central.
Right ovary is normal in size and echotexture 2.2.x2 cm
Left ovary is normal in size (4.9 x3.3cm) and demonstrates a cyst
(3.2.x3.2cm)
Bladder shows normal outline and wall thickness
IMP: Left ovarian cyst.
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Answer: You can take cataflam tablets - one tablet twice a day
for 3 days for the pain. Regarding your cyst, have a scan done on day 4
of the period to see whether it has reduced or not.Are you ovulating ?
If yes, try for a pregnancy either naturally or by IUI ( intra- uterine
insemination ) when the follicle is on the right side. if you are in
Oman and wish to see me , you can take an appointment on 245633181. |
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Question
Doctor , I am 24 years old and married on
19.01.2006 , from june 2006 we r trying for a baby . now we have consult
a doctor and she told me to reduce my weight . my height is 172 and my
weight is 80Kg , Normal cycle i had , Also she advised to take folinal ,
glycomet daily till get concived and novelon for 21 days is it the way
to get pregnant
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Answer: You probably have PCO ( polycystic ovaries ). Check that
and let me know. Giving novelon for one or two cycles may help you
ovulate later. Once you stop that, check whether you are ovulating or
not and if not, you would need to take clomid tablets. You can continue
the folinal and glycomet. All the best ! |
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Question
I wanted to postpone my period as i was on
vacation so i visited a gynecologist and she prescribed me ovral g from
the 20 th day of my cycle till i came back which was 18 days later. so i
took the tabs for 18 days. and have discontinued please can you tell me
when i would get my period?
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Answer: You would get a period within 4- 8 days of stopping the
tablets. |
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Question
Dear doc im having my infertility treatment from
past 6 months my reports (ultrasound,hsg,harmonal test,my husbands semen
reports )everything is ok.this month my doc prescribe me letroz 25mg
from day 3 & ultrasound from day 12. on day 14 my follicle size was
22*19 mm & my endometrium was 7-8 mm but on day 17 my ultrasound shows
aruptured follicle of 34*28 mm which was a haemmorhagic corpous leutem &
8 mm endometrium.could u pls tell me what it means & will i able to
conceive this month.
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Answer: Once you ovulate, a corpus luteum is formed, so you
should conceive. Hope your tubes and husband's semen is normal. |
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Question
Hi, am 24 yr old,single. I have a problem of
vaginal itching. I am using lactacyd lotion. Sometimes still it itches.i
use statum plus upon which i will be relieved from itching. I have pale
whitish/white discharge. sometime very pale yellowish which wont be
much. can u please help me to get rid of this. |
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Answer: You would need to use some oral tablets which would
require a prescription. See a gynec. who can examine you and advice you
accordingly. |
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Question
Hello, I just found this site and have read a lot
of interesting topics. My cycle is 35 days, i never had delayed period
except this month. my LMP was June 27, 2007, and supposed to have my
next AF on august 1. but I am delayed, as of this moment. last July 20,
I did have a pinkish clear blood spot but its only for a day. I went to
the doctor, this morning , she said the blood spotting was too early to
be AF and it could be implantation bleeding.and we've done a pt test and
it was negative. I am kinda disappointed.
I have been having these symptoms i never had before, even before AF.
-Constant peeing.
-sore and tender breast.
-I do eat a lot lately, like every 30 mins. lol
-i do feel tired easily lately and sleepy,
-some kind of back pain.
-acne (small ones but lots of them)
- and i do have these cramps,(and i dont ussually have them before or
during AF. and a bit of stomach pains, (feels like theres air in my
stomach or something lol)
I told the doctor about it, and she prescribed Dydrogesterone (Duphaston)
and I should take it twice a day for 5 days.
She said if I am not pregnant, i will bleed, and if I am, I won't. is 35
days cycle considered irregular?
Thank you.,
Mhay
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Answer: The spotting you had on July 20th could be your period,
though scanty. If you still have not got a period, repeat the urine
test. #5 days is fine, as long as you are ovulating. If the periods are
often irregular, check when you are ovulating ( by ultrasound ), to
determine your fertile period. All the best ! |
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Question
Hello Doctor, I am 37 yrs old, and have had three
children. My first was a c-section, and second a vbac. My uterus
ruptured with my third. Since the urupture, I have only had my period 4
or five time in the past 7 years. My son was born in Dec. 1999. I am
trying to research having another child. Could you please tell me why I
do not get my period and what type of doctor to see? Thank you!
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Answer: Please send me the details of your uterine rupture. ..
The following information should help you :
"Uterine rupture is a tear through the entire thickness of the
uterine wall. Opening of a surgical scar on the uterus where the
visceral peritoneum stays intact is referred to as an incomplete rupture
or dehiscence. Uterine rupture usually occurs in a woman who has had
uterine surgery such as a cesarean section, myomectomy (removal of
fibroids) , or metroplasty (repair of uterine malformation).
Rupture of an unscarred uterus is reported to occur at a rate of less
than one in 8,000 deliveries [1-3]. Uterine rupture occurs in 0.2 and
1.5 percent of pregnancies with one prior low-transverse scar, and in 4
to 9 percent of cases with a previous classic or T-shaped uterine
incisions [4]. An abnormal fetal heart rate, in particular bradycardia,
is the most consistent finding associated with uterine rupture [1,5].
Published reports over the last 100 years indicate that most women with
a previous uterine rupture have a favorable outcome in subsequent
pregnancies. The recurrence rate for uterine rupture is reported to be
between 4.8 to 19 percent with the highest rates of recurrence seen in
women with a history of a ruptured upper uterine segment (classic scar)
. All studies recommend planned cesarean delivery. Delivery between 37
and 38 weeks is recommended for patients with a history of ruptured
lower uterine segment scar. For patients with a history of a ruptured
upper uterine segment scar opinions vary as to the timing of delivery.
Some authors suggest delivery of all patient with a history of a
ruptured upper uterine segment by 35 weeks' while others recommend
admission to the hospital one week prior to the age at which labor
started in the previous pregnancy [6,7] "
If there have been intra- uterine adhesions since the rupture, it could
lead to scanty or infrequent periods. |
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Question
Hello Doctor, I am a two week waiter after
iui.This time is very hectic for me.iam under a lot of pressure.this is
the 8day after iui.IO have a discomfort in the vaginal area.is it
because that iam not pregnant.it is not pain but a discomfort.please
help
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Answer: Your question goes to the omanaccess website and is then
sent to me, so I am unable to answer any question immediately. Since
there is a large number of questions received , there is always a delay
in receiving the questions. By now, you must have known whether you are
pregnant or not.The pain or discomfort would not indicate or rule out a
pregnancy. All the best ! |
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Question
I had a very bad uti and i did not finish taking
all of my meds i have a really bad almost rotting flesh smelly with
dicharge i'm having pain around my ribs and lower back but it does not
burn when i pee but my stomach at the bottom feels real full i went to
the emgerncy room they took a urine sample and they told me i was not
pregant and i did not have any std's and they also told me somtime uti
can make you fell like you have an std i am lost for words i';m sick and
do not fell good can you give me some advice please |
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Answer: Do a urine culture and sensitivity test. This would
indicate the type of infection you have and the most appropriate
treatment. |
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Question
Is it safe to take duphalac Syrup in pregnancy. I
have constipation. I am in my 1st trimister. |
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Question
I had a c-section on 7/1/07. This is my 2nd
cesearian. I am now ending my 5th week after and have begun to have a
brown discharge and have been feeling tenderness above the incesion
along with light head aches and some weakness. I have felt this weakness
and head aches before with my period but my concern is that my incesion
and above is tender and a small part a little num.
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Answer: You must see your obstetrician for this to determine
whether the scar is fine or not. |
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Question
I am married for the last 1-1/2 years and want to
conceive.I am consulting a gynae and all my reports are normal
i.e.Thyroid, sugar,prolactin, Hb, SE2, FSH,LH, ultrasound of my lower
abdomen and my husband's semen test.last month laparoscopy was done and
the doc found out that both my fallopian tubes were blocked so she
opened my left tube.My menses have always been regular. Now a follicular
study is being done.On my 11 th day the size was 18mm and a pregnyl shot
of 5000IU was given. but it didn't rupture then aga on 13 th day one
more shot of 5000IU was given.again it didn't rupture.now the doc gave
me one more shot on my 16th day.can u please tell me why i m not
rupturing now.As my first follicular study was done two months before
that time it did rupture.Please help..
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Answer: In the next cycle, you should take pregnyl 10,000 units
for the rupture. Every cycle is different , so you may rupture in one
and not in the other. However, it is better to take 10,000 units
together , rather than 5000 units twice. |
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Question
Hi, I m 25 year old married.I have irregular
menstrual cycle. I went to doc(before marriage) for this and she says
its a hormonal problem.She had prescribed me some tablets, but still I
have irregular periods. Is there anyway to make my periods regular? As I
m married its 1 1/2 year now, planning to have a baby, but I m worried
will I be able to conceive now. I usually get my periods after every 2-3
months, last I had on 27th June. I m oversized, my weight is 63 kgs and
5.4" hieght. Now i am taking Electroxin 1-0-1/ day for thyroid problem
and Nacfil tablets 1-0-1/day rightnow.Does these tablets help for having
regular periods?
My Test Reports: TSH - 4.00 aiu/ml where normal range is 0.5-5.1
and PRL : 10 mg/ml. And one more thing dr. prescribed me Letroz 2.5 mg
during periods D3-D7.
can have baby? Need your help for this, please suggest. |
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Answer: I presume you have PCO ( polycystic ovaries ). Losing
weight would help regularize your cycles to some extent. Letroz is fine.
Your TSH value is normal. Is this while taking the thyroxine or before
that ? I do not use Nacfil, so will be unable to advice you on that.
Ultrasound monitoring will determine when you are ovulating and , once
you are ovulating, you should conceive. All the best! |
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Question
I h doc ive had a white yellowish discharge on and
off which is thick and clumpy and itches a lot been to docs but nothing
seems to help can you help me?
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Answer: Do a culture and sensitivity test of the vaginal
discharge. This would indicate the type of infection you have and the
most appropriate treatment. |
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Question
Doctor, Im a 23/f and had always had my painless
periods around 42 to 45 days everymonth since i started
menstruating.Initially when i consulted my gynaec,she said its common to
have long cycles and asked me to test for t3 t4 which was very much in
normal range.after that in december 2006 i had a non stop constant
period for 15 days,and was on trapic plus regesterone tablets to stop
and regulate my cycles.I was asked to take blood test and LH was 11.7 on
the 8th day from LMP.then i was put on birth control pill to regulate
periods.By feb 2007 i got married and since then we are trying for a
baby.As the tablet ended only in march..i had regular period that time
and for the next two months we dint have intercourse as my husband went
abroad.Now again in july i had my periods which was painless but had
frank les mucosal blood which dint stop for 9 days..again my doc gave
trapic and regesterone..she asked me to have letoval from 3rd day[when i
googled it,i found it to be a oncology drug rather than for fertlity]
and also sh |
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Answer: Have an ultrasound done on day 12 of the cycle to
determine whether you are ovulating or not , and which is your most
fertile period. Letoval has been used by some gynecologists for
ovulation induction, though it is an oncology drug and not licensed for
ovulation induction. However, you should discuss the pros & cons with
your gynec regarding that. |
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Question
Hello doc, i am 28 yrs old , i got my periods
normally,but for the first time i experienced spots aftr 1 week of
periods and on the 15th day of the cycle blood was diccharged along with
a hard lump. the size was abt 2cm it resembelled the (kalegi) part of
chicken. |
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Answer: Did you do a urine test for pregnancy ? This could have
been bleeding during pregnancy. |
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Question
Dear Doc. I am 27 years old and had an MMR shot
and then managed to concieve within a week of the shot. What are the
risks? |
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Answer: Since you have conceived in the first month after the MMR
, the risk of congenital rubella syndrome will be high. You should
discuss these risks with your obstetrician.
The following information would be useful to you ( from an article on
MMR ):
"How long should a woman avoid becoming pregnant after receiving MMR
vaccine?
Because of the known association between wild rubella virus and
congenital rubella syndrome (CRS), there is a theoretical risk that
rubella vaccine could cause CRS. The possibility that rubella vaccine
could cause CRS has been carefully studied and the results are very
reassuring that nobody has found any evidence that MMR vaccine can cause
congenital rubella syndrome.
Nevertheless, women are advised to avoid pregnancy for one month after
receiving a rubella-containing vaccine. This advice is the same in the
UK and the US.
"Congenital rubella syndrome (CRS) can occur in a developing fetus of a
pregnant woman who has contracted rubella during her first trimester.
Problems rarely occur when rubella is contracted by the mother after 20
weeks of gestation. In 1941 it was discovered by Australian Norman
McAllister Gregg (1892-1966).
CRS can result in serious birth defects such as:
Malformations of the heart (especially patent ductus arteriosus), eyes
or brain
deafness spleen, liver or bone marrow problems (some of which may
disappear shortly after birth)
mental retardation
small head size (microcephaly)
eye defects
low birth weight
thrombocytopenic purpura
hepatomegaly
Children who have been exposed to rubella in the womb should also be
watched closely as they age for any indication of the following:
developmental delay
growth retardation
learning disabilities
diabetes
glaucoma " |
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Question
My virgina are is burning, and itching, and even
bleeding alittle, but my period isn't on. It hurts, and i can't seem to
figure out what it is. PLEASE HELP! |
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Answer: Use momenta ointment twice a day for 5 days. If the
problem persists, see a gynec. |
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Question
I recently went through IVF and transferred 3
embies 1 8cell, 1 7 cell & 5 cell. We had a positive BETA test of 50 so
were pregnant I am Currently taking 2cc progestrone in Oil, estrace 3ml
and 100 suppository of progestrone. I am currently 6wks 1 day. I had a
brownish spotting about a week ago that was only present when I whiped
after going potty, I freaked and had my regular OB give me orders for
HCG test and it was 24. I haven't stopped any of the medication. Last
night I went and took a HPT just to take it and it positive. Is it
possible I miscarried ? and taking the meds are keeping HCG in my system
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Answer: Sorry to hear that the value of the hcg has fallen. This
would indicate a missed abortion. The urine test may remain positive for
even for 1-2 weeks after the missed abortion. Wish you better luck next
time ! |
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Question
Gud day! its my 1st time here on the forum, i have
a probelem. im my menstration is usually regular...my last periods wer
on april 14-18, may 12-16, june 8-12 & july 8-12 and i was expecting my
perio las 4th or 5th of aug but until now its aug 11 it hasn't arrived
yet. ive has safe sex (with a condom) on july 21,22 and one unsafe sex
during aug. 04th. do u think im pregnant? ive taken 5 pregnancy tests
already and it all says negative. but usually i get my period on time.
if iam not pregnant will u pls help me on jow to get my hormones (or so
they call it) on track? thank you ....
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Answer: If you still have not got a period , do a blood test-
beta hcg. This will rule out a pregnancy. Have an ultrasound done to
rule out the presence of an ovarian cyst that can cause delayed periods.
You can take duphaston tablets- one tablet twice a day to get a period.
Also, have your thyroid hormones checked. |
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Question
Hi, I am 26 yrs. I have a 7 year old daughter
and a one year old son. For the pass years I have been having irregular
periods I was diagnose with polycystic ovarian syndrome I once was given
provera so that I would have a period. when we planned on having our
second child it seems like I would never get pregnant finally it happen.
One day after my son was a few months I started having irregular periods
again, I would some times not have a period for one month or three
months. One day I woke up with heavy bleeding, blood was just flowing
heavily it went on for 29 days until I went to the doctor. I did a
pelvic scan and found out that I had a right ovarian cyst. The Doctor
put me on Diane 35 for three months so while on the pill I would have a
period every 28 days. When I stop the pill for the three months I have
no period the following month and its going up to two month now,
recently I have been having some burning sensation while urinating it's
like something heavy wants to get out I did a |
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Answer: * Please send the question again in brief with the
important details, so I can answer it. |
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Dr.Smita
Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
