|
Question
Hi Doctor,I got married in August 2006 and I have
had a miscarriage on the 6th week of pregnancy last year. After that we
tried for last 7 months and when we were not able to conceive consuklted
a doctor. We had many tests everything was normal. However, doctor has
advised me to takle prolifen (clomiphene citrate 50 mg) for 5 days from
D3 - D7 of my period. Please let us know if it is ok to take??
|
|
|
Answer:
Sorry to hear about your miscarriage. You can use prolifen. It will help
you to ovulate. Also discuss with your gynec. regarding giving you
medication to prevent another miscarriage. |
|
|
|
|
Question
Hello doctor!I've been having irregular
menstruation for a long time now. My gynecologist asked me to get the
blood tests done after taking deviry twice a day for 5 days.Would it be
fine if i get the tests done on any day of my period?Or it is mandatory
to get them done on the 2nd day of d period..?
|
|
|
Answer: Do you have PCO ( polycystic ovaries ) ? This is
associated with irregular periods and infrequent ovulation. if you have
been asked to do FSH and LH , you should do them on day 2 or 3 of the
period. |
|
|
|
|
Question
Hello DR, I have being taking ikaclomin for the
last 3 cycle.2 days after my last cycle i notice brownish discharge like
spotting.I have a regualr period and i have being trying to get
pregnant.I have gone for a scan and it shows i have fibroid but my
fallopian tube is okay.I will like to know what is wrong with me.I'm i
reacting to the drug?aclomin.
|
|
|
Answer: A scan will not show whether the tubes are normal, unless
a dye or saline had been injected at the same time. You do not have to
worry about the fibroid if it is small. Regarding the spotting, during
what day of the cycle was it ? Or was it a scanty period ? |
|
|
|
|
Question
Hello docter, I am having my periods irregular
since 4-5 year.When i am take medicine it goes regular.i am not taking
the medicine it remains irregular could i conceive with this irregular
period
|
|
|
Answer: Do you have PCO ( polycystic ovaries ) ? This is
associated with irregular periods and infrequent ovulation.Do FSH and LH
, on day 2 or 3 of the period. Also, do a scan on day 13 of the period.
If you are ovulating, you should conceive. |
|
|
|
|
Question
Hellow, my name is mohamed lemine from mauritania
, I have the sister of my friend who did not has a period for a year
even though she never married she still young .My question is she going
on Perimenopause or not if yes what is the treatement ?
|
|
|
Answer: Have her serum FSH done . If it is high, she may have
gone into premature menopause. |
|
|
|
|
Question
Hello doctor,I am 25 & my husband 30.Married for
last 2.5 yrs.After 1yr of marriage my periods are irregular before that
regular.So my doctor told me to do ultrasound & report shows both
ovaries shows multiple small follicles.But after 6mts i got pregnant
naturally. But at 24 weeks of pregnancy on 16.01.2007 because of
internal os open with buldging membrace(incompetant cervix) i had
prematured delivery. Baby has not servived.Doctor told me to take 6mts
gap. Last month on 30.08.2007 i had HSG test on 10th day of period every
thing is normal & ultrasound on 12th day of period report shows the same
problem of follicles .I am taking deviry 10mg from 15th to 24th day of
period from last 4mts & fertomid 25mg from 2nd to 6th day of period from
last month both once a day.My question is before last pregnancy i did
not take any tablets for conceiving then why this time doctor gave me
fertomid and is it safe to conceive while taking deviry.Because i heard
it increases chances of prematured delivery & fertomi |
|
|
Answer: Sorry to hear about your miscarriage.PCO ( polycystic
ovaries remain forever, so do not worry about that. As long as you are
ovulating, that is fine. Fertomid has been given to you so that you
ovulate regularly, as women with PCO often have infrequent
ovulation.Ovulation can be determined by ultrasonography. During your
next pregnancy, have an ultrasound done at 12- 13 weeks to check the
length of the cervix. This will determine whether you need to take a
stitch ( tightening of os ). Also, discuss with your doctor whether you
would require uterine relaxants during your next pregnancy. All the
best! |
|
|
|
|
Question
I was diagnosed with Polycystic Ovaries. Then my
doctor gave me Metformin for 2 month.Now I am pregnant for a month. Now
my doctor suggests me to take Folvite,Cobadex CZS and Susten 100. Is
this medicines are safe to take during secong month of Pregnancy? Will
Susten and Chromium picolinate(250mcg) give side effects in Baby in
future? Please clarify my doubts.Thanks in advance.
|
|
|
Answer: Susten is a progesterone tablet . Progesterone deficit
does cause threatened abortion or actual abortion, and it's given to
many patients who have had abortions in the past.Folvite is fine. Both
are safe in pregnancy. I have not used chromium picolinate, so would not
be able to comment on it. |
|
|
|
|
Question
I am on depo but i have been feeling sleep an
realy lazy this just stared after i had intercourse but i stared feeling
like that 2weeks after i had intercourse does this mean i am pregant can
u help me out is this normal i been on depo for almost 2years an i never
felt like this before
|
|
|
Answer: Depo is not 100 % effective and one can get pregnant
while on that. Do a urine test or a blood test for pregnancy . If
negative repeat the test every 3 weeks. Also have your hemoglobin
checked, as a low value could be associated with tiredness. |
|
|
|
|
Question
Ive never had regular periods since i was young ,
i got married and we want a baby so they put me on fertomid to ovilate.
ive been using it for 2 months now and been spot on with my periods. but
mont 3 and i am 1 week late alreay?? is this common using fertomid??
|
|
|
Answer: Did you use fertomid during the last cycle ? Did you
ovulate as determined by the scan ? Let me know, so I can advice you
further. |
|
|
|
|
Question
I had a D&C on July 10th because my HCG levels
were not falling quickly enough, I have had to go in every couple days
to get my HCG levels tested, it has been 1 month, my levels are finally
down to 406 however the DR wants to keep testing me until they are close
to 0 - My question is, Can I get pregnant when my HCG levels are still
in the 400's? |
|
|
Answer: Usually, no, as you would not be ovulating. What was your
initial level? Have a scan done to determine whether you have any
retained products in the uterus and that you are not ovulating. Also,
avoid pregnancy till the level is zero. |
|
|
|
|
Question
I took two home pregnancy tests of different
brands this morning. One was an early detection, the other not. One
showed a negative, one showed a bold pink line and a very faint pink
line. What's up? |
|
|
Answer: Different tests have different hcg values of detection.
Do a blood test - beta hcg which will indicate the level of the hormone.
If above 5, you are pregnant. . |
|
|
|
|
Question
Hello, I am 1 or 2 days late for my period. Took a
pregnancy test yesterday evening and it was negative. Today I have brown
discharge but still no period. I also had a laparoscopy during not my
last period, but the one before. I usually have a 27 day cycle. It was a
24 day cycle the period after the laparoscopy and today is day 30. Do
you think the discharge is just old blood and I will start my period
soon. Or could it be possible I'm pregnant. We are trying to conceive
and I have been tracking my periods for a year and a half now, and I
have never been late. But I'm wondering if my body is still adjusting
after the laparoscopy.
|
|
|
Answer: This could be a scanty period or bleeding during
pregnancy. Repeat the test after 3-4 days. |
|
|
|
|
Question
I have being looking for child for about 5yrs but
the problem is that I dont know how to calculate my ovulation period and
most likely day to have intercourse.I have done some text, I was told I
am not producing enough eggs.pls what can i do or tablets to be used, at
the moment I was using folic acid, primolut, parlodel, evening primrose
oil.l dont know when to have or not to have intercourse.
|
|
|
Answer: I think you need to see a gynec. rather than wait
further. Do a scan on day 13 of the period to determine whether you are
ovulating.This will also determine your fertile period. Is your
prolactin high? If yes, then you need the parlodel. You do not require
the primolut or primrose oil now. |
|
|
|
|
Question
Hello Dr, I am 27 yr old and my marriage was on
2006 June.I had faced irregular periods (two times) after my marriage
.My gynac prescribed to take glycomet 500mg(0-0-1).Unfortunately I
skipped this many times.Two months before I had a miscarriage and my
gynec advised me to continue glycomet (1-1-1)up to next pregnacy.Even
iam suffering from backpain severly after this D&C.What is the role of
this Glycomet during pregnacy and What is the reason for
miscarriage.Will it affect my next pregnacy?Could you please help in
this matter. |
|
|
Answer: Do you have PCO ( polycystic ovaries ) ? This is
associated with insulin resistance and glycomet is given for that. Some
studies have shown that it might help to prevent a miscarriage, while
others have not confirmed this. other drugs like progesterone can also
help reduce the risk of miscarriage. |
|
|
|
|
Question
Good day. I am 5weeks pregnant i hab a slight
brownish in my underwear I consolt a doctor & she ask me to take a
duphaston..It is safe for a pregnant women like me?
|
|
|
Answer: Duphaston is safe. |
|
|
|
|
Question
Dear Doctor, from last to months I am having very
less bleeding i mean to say bleeding for one day only after then
spotting during my menstrual cycles, is there any abnormality, my age is
28 years & I am mother of three year old child & also i am not using any
contraceptive method .kindly quide me regarding this problem |
|
|
Answer: Have a scan done to rule out the presence of an ovarian
cyst, which can give scanty periods. if that is normal, have your
thyroid hormones checked. |
|
|
|
|
Question
Dear Doctor, I have been undergoing treatment to
control my hormones (Thyroid, testestorene). I have taken Thyroxin for
thyroid and Aldacton for testestorene). My thyroid TSH has come to .33
but testestorene has gone up from 97 to 150. The Normal range for
testestorene is 76 here. my glocouse level is also high doc give me
metformin 1500mg par day,doc i m very confused why my testerone gone
high after taking aldacton................doc advise me for drilling it
is right? |
|
|
Answer: You probably have PCO (polycystic ovaries ) where the
testosterone is high. Drilling may help to reduce the testosterone
temporarily, but sometimes there are adhesions formed around the ovaries
after drilling, so we usually do not recommend drilling nowadays.
Metformin can also reduce the testosterone levels to some extent. |
|
|
|
|
Question
Hello doctor, I just wanted to no about the this
tablet primolut..actually iam taking this tablet to stop my periods coz
lots of poojas are suppost to be taking place and dont want to miss out
on any of th poojas,i normally get my periods on the 16 or 18 i started
taking it on the 13th i am taking one in the morning and one at night i
just want to no are thr any side effects by this tablet..i had a urinary
tract infection 2 months back is it ok for me to take this tablet. I
would be taking this tablet for 12 days pls let me no it its ok for me
to take this tablet...
pls let me no if its ok to take the tablets alternate days or just one
tablet at night as i feel this table is making me feel too low.. thanks |
|
|
Answer: You have to take it everyday- twice a day to prevent
bleeding. It is o.k. to take it once in a while. However, ensure that
you do not get pregnant while taking it. It can cause nausea and
giddiness- which is making you feel "low". |
|
|
|
|
Question
Thanks for answering my questions. But I have some
more to ask. I had asked you about my periods during which I have
bleeding for 4 days. On the 2nd I have heavy bleeding. Then it reduces
and on the 5th day it stops and then again on the 6th and 7th day i have
some spotting and then on the 8th day it gradually stops with light
brown discharge and then clear discharge from the 9th or 10th day. This
pattern is so regular that i can write it down without change. You said
this is within normal variation. I repeated my pap smear on the 9th day
after my periods and it shows normal results with only mild inflamation
nad no mailgnancy.I did sonography in May after the period on the 7th
day . The report was normal with endometrial echo of 5mm. Is this
normal. 2 days before the period the endometrial thickening was
11.2mm.as shown in the ultrasound. Someone told me that endometrial me
above 10 mm can be cancerous. My uterus is bulky as i have had 2
deliveries c-sections. I am really worried about cancer of |
|
|
Answer: Do a scan on the 5th day of the periods and let me know
the thickness of the endometrium then. The thickness changes during the
cycle and is least after a period and increases before a period. A
thickness of above 10 on day 5 would need further tests, but is only
suggestive of cancer in a menopausal woman, where the endometrium is
usually thin. The thickness of your endometrium was 5mm on day 7 , so
that seems fine. Do you have fibroids ? |
|
|
|
|
Question
Hi i was on the depo provera shot for a year and a
half i stopped taing it in march of this year,but i still have not had a
period i get the cramps and period pains but nothing.i went to see my gp
but he told me to wait till march next year then go back but i we are
trying for another baby is there anything i can take or do with no side
effects thanks
|
|
|
Answer: You should have got a period by now. Do a prolactin blood
test. If that is normal, take duphaston tablets - one tablet twice a day
for 5 days to get a period. Then, check on ultrasound whether you are
ovulating or not on day 12 of the period. let me know the results, so I
can advice you further. |
|
|
|
|
Question
I am 24 and found out I am PCOS even though I have
a regular period. I have started taking metformin 500mg 3 times daily
however my period is due and it is not here. Can metformin delay my
period? and why do i feel s sick with it
|
|
|
Answer: Metformin does cause nausea. Do a urine test for
pregnancy. If negative, take duphaston tablets - one tablet twice a day
for 5 days to get a period. Are you ovulating ? Check on ultrasound
whether you are ovulating or not on day 12 of the period. Let me know
the results, so I can advice you further. |
|
|
|
|
Question
I have been diagnosed to have nabothian cyst.for
the past 2 years i have a itching problem .all the blood results were
normal, except blood protein level was on the higher side of the
expected range.is the itching due to the cyst? |
|
|
Answer: Is the itching only on the vulva ? There maybe cervical
or vaginal infection which is associated with vulval itching. The
nabothian cysts usually do not need treatment, but can be treated by
cauterisation of the cervix. |
|
|
|
|
Question
I have been cramping for about a week and a half
maybe a little longer or maybe a little less. I'm not supposed to start
my period for another 7 days though. Also i noticed two nights ago that
i was spotting, which has never happened to me before. i am faithfully
on birth control. I had a pap smear done yesterday and the doctor said
that it looked like i was starting my period early, but i don't ever
start my period early and that was over 36 hours ago and still i only
have brown light light spotting. I asked him what was going on and he
never gave me a clear answer. My breasts are also tender, but it seems
like my breasts are tender alot. what to do? Coult i be pregnant? |
|
|
Answer: If your pill was not taken at the right time, you could
have spotting.The cramping could be due to the uterus contracting
associated with the spotting. have an ultrasound done to rule out the
presence of a fibroid or an ovarian cyst. Also, a pelvic examination
would reveal whether you have vaginal or cervical infection which can
give rise to the spotting. |
|
|
|
|
Question
1. If unprotected intercourse is done at
infertility time then can i be pregent .....
2. After having unprotected intercourse with my husband.. i go and wash
my vigna with dettol or sopa .. to prevent the pregence .. can it really
help me ... that i cant be pregent ... |
|
|
Answer: It is difficult to predict the infertile period as it
changes from person to person and in the same person during different
cycles. You must use an oral contraceptive pill to avoid a pregnancy as
it is the most reliable method. Check with your gynec. that you do not
have any contra- indications to the pill. |
|
|
|
|
Question
I was diagnosed with genital warts and had them
cauterised. A few days later i noticed a new lot of warts had come up in
the same place. Firstly why am i getting these warts and is there no way
to get rid of them. i am 32 years old. Married. |
|
|
Answer: Unfortunately, warts can recur and the smaller ones must
have become bigger. You would need to treat these again. |
|
|
|
|
Question
Dear madam i am mini i am married in 2006 from the
6 th month of my marriage iam getting irregular periods first 50 days my
period dnt come i went to a doctor she checked for hormone test. she
told that all my hormonal level is normal and she prescribed some
contraceptive pills to regularise periods but i am not comfortable with
that .After that i used modus tab to get my periods again next month my
periods came twice in a month after that some two months came agian i
used modus to get my periods why this is happening i am not able to
understand can you please tell me a solution for getting regular
periods. Because of irregular period is there any problem to get
pregnency.can you please suggest me something. |
|
|
Answer: Do you wish to conceive now or only regularise your
periods? Do you have PCO ( polycysic ovaries ) ? Let me know , so I can
advice you further. |
|
|
|
|
Question
I hava varginal candida yeast infections for 2
years ever since I gave birth to my first kid. Had been to 2 gynaes and
GP for treatment. However can't help me in getting rid of the yeast
infection. what should I do? My hubby also consume few courses of
sporanox. |
|
|
Answer: Have a vaginal smear and culture and sensitivity test
done on the vaginal secretions. There might be associated bacterial or
trichomonial infection which would require treatment. |
|
|
|
|
Question
We have a 7 months baby & the problem is we had
unsafe sex & my wife is not getting periods so i am afraid whether she
has conceived its already nearly one & half month her last period was on
26-06-2007 till know no periods even i had given her Famopolin-B Tablet
acccording to suggestion of my friend what to do? Is there any other
tablets from which she can have normal periods help me. |
|
|
Answer: Irregular periods may occur if she is breast- feeding. Do
a urine test to check whether she is pregnant or not. if not, she can
take duphaston tablets - one tablet twice a day for 5 days to get a
period. Also, I would advice you'll to use some contraceptive method to
avoid this "mental tension " every month ! |
|
|
|
|
Question
I have an irregular period and I want to know if
progyluton can get it regular. I miss my period every other month or
two.My doctor advise me that clomid is not the best way to go seeing
that I only miss one or two periods. I have not taken any measures yet
other than progyluton, because I am ready for a child now. Please tell
me if I am on the right track. |
|
|
Answer: Progyluton would regularise the period while you are
taking it. However, if you wish to conceive, clomid will help you
ovulate, and not progyluton. |
|
|
|
|
Question
Hello doctor, I m 30yr old with pcos and have a
child of 5 yrs old .I want to get pregnant for the 2nd time what are the
chances for me to get pregnant .i was concieved easily for the first
time.another thing is my blood group is -ve and i had a boy with +ve
blood group. Doctor gave me immunoglobin injection but i m not sure it
was before 72 hrs of delivery or not.so can u pls explain me the
possibilities of getting pregnant now and the risks and the care to be
taken.thanks in advance. |
|
|
Answer: Usually the anti- d injection would be given within 72
hours of delivery, so you do not need to worry about that. Regarding
conceiving, are you ovulating? Do an ultrasound on day 12 of the period
to determine that. If you are not, you might need to take clomid
tablets. All the best ! |
|
|
|
Dr.Smita
Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
