Welcome, Guest: Register On Nairaland / LOGIN! / Trending / Recent / NewStats: 3,195,456 members, 7,958,367 topics. Date: Wednesday, 25 September 2024 at 01:15 PM |
Nairaland Forum / Nairaland / General / Health / Doctor In The House:Obstetrics And Gynecology (895772 Views)
Ultrasound Machine Training On Obstetrics Pregnancy & Pelvic Scan in 2016 / Questions And Answers In Obstetrics, Gynaecology And Reproductive Health Issues / Re: Doctor In The House:obstetrics And Gynecology (2) (3) (4)
(1) (2) (3) ... (142) (143) (144) (145) (146) (147) (148) ... (284) (Reply) (Go Down)
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:08am On Jan 12, 2015 |
babymama01: You're barely 3months pregnant and combine regimen of zinnat, artesunate, and fansidar is just too strong for a 13wks pregnancy. The first physician should have gone with Arthemeter Combined Therapy, plus ciprofloxacin, which is milder on early pregnancy than artemisinin(artesunate), while the ciprofloxacin is more effective and safer in treating typhoid. Well, you can ask your physician(the 1st doc) if it's ok to drop the fansidar, and just go with ACT antimalarial and ciprofloxacin or zinnat. I'm not so sure about the efficacy of augmentin in the treatment of typhoid compared with fluoroquinolones like ciprofloxacin, though it depends on the outcome of the sensitivity test. And try to always sleep under mosquitoe nets(LLITMN). |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:23am On Jan 12, 2015 |
Kittana: It's definitely not cervical cancer. The actual differential diagnoses are leiomyoma, adenomyosis, endometriosis, PCOS. The gynae ought to have indicated you run a full hormonal assay to find out the level of your sex hormones, then a pelvic scan would be run to check the outlines of the uterus and the endometrium. My suspicion is endometriosis. So, why not run a pelvic scan, HSG, and then hormonal assay. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:43am On Jan 12, 2015 |
NoQualms1: The pain in the n*pples, with the sore, is due to mastitis, an inflammation of the bre*st, particularly the n*pples and d the areola. An increase growth in Staph aureus in bre*st-skin most often leads to such pain and sore. Also, hyperprolactinaemia(high prolactin in the blood) can also result in painful n*pples. The less painful n*pple should be used in bre*stfeeding, for a day or more, to give room for the other to heal up. Then you can interchange to also give room for the other to heal. You can take anti-inflammatory drug to relieve the pain, and also dab the n*pple/areola with warm water. |
Re: Doctor In The House:Obstetrics And Gynecology by CoolOne1: 8:18am On Jan 12, 2015 |
@Marc,am not overweight.used to weigh 69kg-73kg.Now, am currnetly on Blood pressure drugs and my readings are okay at home(116/69) and thereabout.When I want to take in,am I to stop taking the drugs?and do I need to take it throughout d pregnancy when I conceive? |
Re: Doctor In The House:Obstetrics And Gynecology by NoQualms1(f): 8:48am On Jan 12, 2015 |
Marc9: Thank you. I will do that. |
Re: Doctor In The House:Obstetrics And Gynecology by babymama01: 10:46am On Jan 12, 2015 |
Marc9:thank u very much doc I already dropped d fansidar and artesunate I now take coarte-forte 80/480 and zinnat 250mg |
Re: Doctor In The House:Obstetrics And Gynecology by bensky: 10:54pm On Jan 12, 2015 |
Please can you prescribe any for me. Marc9: |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:16am On Jan 13, 2015 |
bensky: Send me a PM/e-mail |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:09am On Jan 13, 2015 |
CoolOne1: Yes you have to stop taking the drugs when you're about taking in. In fact your pressure has dropped insignificantly below the normal range. 116(120-130)/69(80-90)mmHg. In the course of pregnancy, your blood pressure will be monitored, and in the event your BP seems to be on the rise, then you'll be placed back on the drugs for a short while. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:52pm On Jan 13, 2015 |
I have been monitoring my ovulation on ultrasound since November. I do ovulate but I don't get pregnant. I went to my doctor to know if it's the d&c but he said it can't be as it was the sacking tube they used and it can't block the tube or cause a scar tissue. Is that true? And what could cause me to ovulate and not get pregnant Then secondly I started my scan this month on cd 10 then on cd 12 it was 1.96 cm, cd14 was 1.8 cd 16 it had reduced in size to 1.6 and had irregular border with ET of 13.5mm. The sonographer said I had ovulated on cd 16. Am still confused does it mean it released the egg on cd 16. Because I didn't bed on cd 16 but did a day before. Please help a confused lady |
Re: Doctor In The House:Obstetrics And Gynecology by Kittana: 12:36am On Jan 14, 2015 |
Marc9: Thanks very much doc Marc. I'll run these. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:17am On Jan 14, 2015 |
Kittana: If you stay in lagos, around surulere, you can go to Prism Diagnostic Centre, along Bode Thomas. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 7:28am On Jan 14, 2015 |
diegs: I just started monitorin mine dis mnth started on cd 12 tho but cudn't complete the tracking due to i travelled and it fell on sunday. You can run a Progesteron test as i did. I sent u a pm. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 7:54am On Jan 14, 2015 |
diegs: If you do ovulate, then you should observe these primary signs: cervical mucus(very indicative), elevated temp, increase libido, and slight abdominal pain. If you didn't or don't these signs, then it's unlikely you ovulate. But if you observe these signs, then other factors might be responsible for unsuccessful TTC. Sperm motility, seminal fluid quality, uterine position, vag*nal Ph concentration, and others could be responsible. Your 2nd question, well there are two case scenerios. Either you had two dominant follicles growing beyond the 16mm at cd8, then when it was cd12 both were 19mm, with one of d follicles releasing the egg, while the other began to shrink in size and got reabsorbed. Or only one follicle was growing. When it got to cd14, your LH wasn't sufficient enough to trigger the release of the egg, so the follicle began to shrink in size for reabsorption. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 10:01am On Jan 14, 2015 |
Okay! I have all the symptoms. I forgot to say pockets of fluids was seen in POD cd12. I usually have a 30day cycle. Too early for ovulation. Thanks marc9 |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 10:04am On Jan 14, 2015 |
cionon: I have passed the 21day mark for a progesterone test. Replied your pm |
Re: Doctor In The House:Obstetrics And Gynecology by AdeolaArewa(f): 5:12am On Jan 15, 2015 |
Good day doctor I must confess u are doing a great job here, God bless u Please doctor Is there any chance of getting pregnant after the tretatment of Ashermans Syndrome? Also can it be treated without surgery doc? |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:45am On Jan 15, 2015 |
AdeolaArewa: Of course there is, though the chance depends on the severity of the scar, and the effectiveness of the treatment. Apart from surgery, there is a particular medication discovered to have the property of disintegrating dead/scarred tissues. 1 Like |
Re: Doctor In The House:Obstetrics And Gynecology by bensky: 11:02pm On Jan 15, 2015 |
thank you doctor, may God continue to bless you. my email is bensky4real@yahoo.com Marc9: |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:24am On Jan 16, 2015 |
good morning doc in the house. I am 30. been ttc for 6months, married. i never used any drug either as contraceptive or to aid pregnancy. Although I saw a doctor October 2013 when I had irregular periods. scan showed I had Dormant Right Ovary...and hormonal imbalance. I was given contraceptives to take for 3 months to help with d irregular period. after then my circle changed to 34days. right now, am on cd39 with no sign of menstruation. I feel sick every night n did PT dis morning which came out negative. I am worried. Pls advice on wat step I should take. Pls note that d doc I saw is in Abuja while am in Lagos now. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:16am On Jan 16, 2015 |
iOmoge: Ladies should learn to be quite patient when TTC . A lady is only assumed to have difficulty in TTC after a year of attempt. Six months of TTC is still within the confine of normal TTC attempt, not until it exceeds a year, then anxiety can set in. The scan simply revealed the functional(left) and non-functional(right) ovaries. I wonder how the scan revealed you had hormonal imbalance, when hormonal assay wasn't carried out! Now, you had menstrual irregularities(probably hypomenorrhea, inconsistent menstrual cycle, and so), which means you were having hormonal disruption. Contraceptives inhibit the secretion of these hormones(responsible for regular menstruation), so I wonder why you were placed on contraceptive in correcting menstrual irregularities?! Unless your menstrual irregularity is associated with endometriosis, or myomas. First of all, ultrasound doesn't reveal hormonal level. You should have run hormonal assay to determine the level of your s*x hormones. Second of all, did the scan show the right ovary having a cyst? And was any fluid observed in the 'pouch of douglas and the 'cul de sac? 1 Like |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:20am On Jan 16, 2015 |
the hormonal imbalance was noticed when they took my urine/blood samples. there was no fluid in d ovaries but just that it was dormant. I guess d contraceptive was to correct the hormonal imbalnace. I didnt take it because I didnt know how to stick to a drug for 3 months same time everyday. I Wasnt ttc conceive then. so I felt I would be alright before ttc. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:28am On Jan 16, 2015 |
iOmoge: Contraceptive is not indicated in hormonal balancing therapy. To the contrary, contraceptive prevents you from getting pregnant by inhibiting the hormones responsible for ovulation, and implantation. Some contraceptives are used off label in treating heavy menstrual bleeding, due to fibroids, endometriosis, or adenomyosis. Was that what you had, heavy menstrual bleeding? I've come to realise that the right ovary, in most ladies, is particularly the functional and active ovary, beginning from menarche. After years of activeness, when much of its eggs would have been released, it goes dormant(non functional), and pass the responsibility to the left ovary, which then assume the function of egg release. Probably explains why your right ovary is dormant, considering the years of activeness. |
Re: Doctor In The House:Obstetrics And Gynecology by Lordavmercy: 8:28am On Jan 16, 2015 |
Pls., doc. in the house,can I use duphaston 10mg at cd 5-14 or cd 14-24?as a pharmacist told me. My day 21 progest.test result was 26.5nl/mol as at oct.2014 wch my gynae.says its ok. I need quick response pls. TTC almost 3yrs. Can I use along with prenatal multivamitamins? |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:33am On Jan 16, 2015 |
Marc9: Please what do you advice I do now and which hospital would you advice I visit. I ovulated in November but didnt notice anything last December. today is the 39cd and no sign of menstruation. I did PT n blood test and they both came out negative. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:39am On Jan 16, 2015 |
Lordavmercy: At cd21, your average progesterone is meant to exceed 30ng/ml. To me it's not that okay yet. The lower the progesterone level within the luteal phase, the lesser the chances of a successful implantation. I'l advise you use the duphaston from cd12 to cd 26. That's the best period to boost your progesterone level. You can also combine the prenatal vitamins with it. Has your husband been ruled out from the cause of your TTC delay? |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:43am On Jan 16, 2015 |
iOmoge: Well, I suspect it's likely PCOS. Most likely! What part of lagos are you? |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:51am On Jan 16, 2015 |
Marc9: I stay at Ajah. I work on d island. am 30 going 31 by July. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:58am On Jan 16, 2015 |
iOmoge: You can check my profile, my pin is on it. Feel free to add, I'll refer you where you can get the best of help. "To solve a problem, one has to understand the problem very well". God is in control! |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 9:07am On Jan 16, 2015 |
Marc9: ok. thank you very much. adding u after work hours say 3pm. |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 10:25am On Jan 16, 2015 |
dear doc, i have been ttc for 2 yrs now but since december 2014 i have been having cough & carttar and have taken sulphatriad, menthodate and septrin but the cough have not stopped and the carttar have stopped. i even eat bitter cola and tom tom. please doc any drugs that you can prescribe for me. Thank you |
Re: Doctor In The House:Obstetrics And Gynecology by mumtobe: 10:52am On Jan 16, 2015 |
diegs: Google and saw this. I have been monitoring since cd 10 as well but my sono didn't say it has irregular border. It just said it reduced in size and told me I ovulated. Maybe I should post it here. |
(1) (2) (3) ... (142) (143) (144) (145) (146) (147) (148) ... (284) (Reply)
How Do I Calculate My Safe Period? / Anyone Trying IVF/IUI/ICSI (Fertility Treatments)? / NEW BORN BABIES! Are U A New Mum? Then Lets Discuss Babies Here!!!!!
(Go Up)
Sections: politics (1) business autos (1) jobs (1) career education (1) romance computers phones travel sports fashion health religion celebs tv-movies music-radio literature webmasters programming techmarket Links: (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Nairaland - Copyright © 2005 - 2024 Oluwaseun Osewa. All rights reserved. See How To Advertise. 75 |