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Doctor In The House:Obstetrics And Gynecology - Health (159) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 6:19pm On Apr 13, 2015
hotmomma:
hi doc pls help, my hubby did sfa and was told heavy coliform present in the culture. he took ciproflox which he had highest sensitivity to for more than 2weeks and after 1month the repeat of the test says heavy coliform present. should we disregard d test or what. we have no symptoms cos after d initial result, we both treated ourselves for baterial infections. pls help
The most likely explanation is that this is a spurious result, from an external contaminant peculiar to the lab. You should disregard it. As a check however, you may repeat the sf m\c\s at another facility. If you get any result different from the first, pls disregard all.
Re: Doctor In The House:Obstetrics And Gynecology by hotmomma(f): 6:55pm On Apr 13, 2015
omicron, God bless you for this response. will do as you said. God bless you once again.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:11pm On Apr 13, 2015
hotmomma:
omicron, God bless you for this response. will do as you said. God bless you once again.
Amen. Thanks
Re: Doctor In The House:Obstetrics And Gynecology by Dadsonval(f): 8:33pm On Apr 13, 2015
omicron:
There are normal discharges too, and not every itching is an infection.

A lot of them have no infection. Infection appears to be "trending" becos of the labs and quacks who attribute anything to infections.

Always visit a proper hospital if you have any need to, not a lab, not a pharmacy.

ok, thnks. I'l visit a hospital later
Re: Doctor In The House:Obstetrics And Gynecology by viviblinks: 4:33pm On Apr 14, 2015
doctors in the house please I need your help. i saw my period on the 24th of February which lasted for 4 days. I had sex on the 15th of March. I treated for
microfilariasis on the 17th in which I took
ivermectin,prednisolone,banocide and piriton for
5days. and on the 27th I treated for an
inflammation in which I took antibiotics (ampiclox capsule). and my
mensural cycle is 30days. my period was
supposed to come on the 26th of march. but I have not seen it up till now (14/04/2015), I used pregnancy testing strip on d 31st of march it tested negative. I hav been having periodic cramps for one week now and my vagina is wet and a kind of slippery. wot could be wrong with me. why did I miss my menstruation throughout the month of march. could it be dat am pregnant? . urgent answer please.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 5:49pm On Apr 14, 2015
viviblinks:
doctors in the house please I need your help. i saw my period on the 24th of February which lasted for 4 days. I had sex on the 15th of March. I treated for
microfilariasis on the 17th in which I took
ivermectin,prednisolone,banocide and piriton for
5days. and on the 27th I treated for an
inflammation in which I took antibiotics (ampiclox capsule). and my
mensural cycle is 30days. my period was
supposed to come on the 26th of march. but I have not seen it up till now (14/04/2015), I used pregnancy testing strip on d 31st of march it tested negative. I hav been having periodic cramps for one week now and my vagina is wet and a kind of slippery. wot could be wrong with me. why did I miss my menstruation throughout the month of march. could it be dat am pregnant? . urgent answer please.
Based on your 30-day cycle and the history you gave, you should have ovulated by the 10th to 11th of March. The sex on the 15th ordinarily should not have made you pregnant, considering that the egg dies about 24hours after ovulation.

None of the drugs you took have any direct effect on the menstrual cycle esp for the duration you took them. I hope you did not take emergency contraception?

It is unlikely that you are pregnant, but not impossible. Do a proper serum pregnancy test plus an ultrasound scan to confirm the presence or absence of pregnancy, first of all.

From experience, the psychological stress occasioned by the fear of pregnancy was apparently responsible for the disruption of menstruation in many ladies.

Mind you also that you may be ovulating without menstruation and the slippery, wet feeling you have are (? Concidentally) common signs of ovulation, of which -other things being equal- you should have had around this time.
Re: Doctor In The House:Obstetrics And Gynecology by viviblinks: 11:25pm On Apr 15, 2015
thanks Dr. my period finally surfaced on d 14th. now am sure that am not pregnant.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 1:49am On Apr 16, 2015
Hi doc,
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 3:13pm On Apr 16, 2015
mimibe:
Hi doc, i'm not new to motherhood but I want to know how long it take for one to get pregnant again after childbirth? My baby is 7mths going to 8mths n I want to try for another. My last period was 6th April, when is the best time to have Sex? Thanks
As soon as your period returns (sometimes even before) you can get pregnant again.

To calculate your fertile period, one would need to know how long your cycle lasts and if you have regular cycle.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 3:31pm On Apr 16, 2015
omicron:
As soon as your period returns (sometimes even before) you can get pregnant again.

To calculate your fertile period, one would need to know how long your cycle lasts and if you have regular cycle.
cycle is 26days period has been regular for 2mths now
Re: Doctor In The House:Obstetrics And Gynecology by fearless07(f): 3:41pm On Apr 16, 2015
Hello doc, I have a family member who has been married for a year and six months now with no pregnancy. She and her husband decided to go for medical checkup this past December to find out what was wrong. After all tests have been done, she was certified ok but her husband was diagnosed of low sperm count and given drugs to treat it. In February this year, they went to another hospital and the doctor after going through the tests they did in the other hospital, complained that some of the tests carried out by the first place they went to was unnecessary. He conducted some tests on them and said they are ok. Fast forward to 3 weeks ago, she said she is not going to any other hospital that she is tired of all the tests. Her period is regular, the thing is nobody knows what the issue is. She is unhappy. My question is what could be wrong and since tests have been conducted and both of them certified ok, is there any other thing they need to do that is not been done?. Sorry for the long post. Thank you.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 4:19pm On Apr 16, 2015
mimibe:
cycle is 26days period has been regular for 2mths now
In a regular 26-day cycle, the ovulation day would be on the 12th day of the cycle.

For your LMP of 6th April, the 12th day of this cycle would be 17th April (the 1st day of menses is Day 1).

Since the sperm can survive 5 days after coiitus and the egg can survive 24 hours after ovulation, it means coituus as early as 5 days before ovulation day and as late as a day after ovulation may result in pregnancy.

Therefore, for this cycle, coiitus from 13th through 18th April could result in conception. Alternate day coituss is advised, instead of everyday.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 4:32pm On Apr 16, 2015
fearless07:
Hello doc, I have a family member who has been married for a year and six months now with no pregnancy. She and her husband decided to go for medical checkup this past December to find out what was wrong. After all tests have been done, she was certified ok but her husband was diagnosed of low sperm count and given drugs to treat it. In February this year, they went to another hospital and the doctor after going through the tests they did in the other hospital, complained that some of the tests carried out by the first place they went to was unnecessary. He conducted some tests on them and said they are ok. Fast forward to 3 weeks ago, she said she is not going to any other hospital that she is tired of all the tests. Her period is regular, the thing is nobody knows what the issue is. She is unhappy. My question is what could be wrong and since tests have been conducted and both of them certified ok, is there any other thing they need to do that is not been done?. Sorry for the long post. Thank you.
In about 33% percent of couples having delays in conception, no identifiable cause is found. Your friend may belong with this group. If tests for both man and wife showed no problems for the parameters normally tested, then they should relax, and pray, and avoid stress.

However, before it can be said that everything has been done, they must have seen a specialist. In this case, a gynaecologist esp one who sub-specialised in fertility/infertility.
Re: Doctor In The House:Obstetrics And Gynecology by fearless07(f): 4:57pm On Apr 16, 2015
omicron:
In about 33% percent of couples having delays in conception, no identifiable cause is found. Your friend may belong with this group. If tests for both man and wife showed no problems for the parameters normally tested, then they should relax, and pray, and avoid stress.

However, before it can be said that everything has been done, they must have seen a specialist. In this case, a gynaecologist esp one who sub-specialised in fertility/infertility.
thanks for your response.
Re: Doctor In The House:Obstetrics And Gynecology by iyanbuko: 5:17pm On Apr 16, 2015
Is it compulsory to take folic acid during pregnancy. Actually, this is my third pregnancy and my two children are healthy and I didn't take it when I was pregnant with them, folic acid does upset my Tommy. Thanks
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:47pm On Apr 16, 2015
omicron:
In a regular 26-day cycle, the ovulation day would be on the 12th day of the cycle.

For your LMP of 6th April, the 12th day of this cycle would be 17th April (the 1st day of menses is Day 1).

Since the sperm can survive 5 days after coiitus and the egg can survive 24 hours after ovulation, it means coituus as early as 5 days before ovulation day and as late as a day after ovulation may result in pregnancy.

Therefore, for this cycle, coiitus from 13th through 18th April could result in conception. Alternate day coituss is advised, instead of everyday.
thanks a lot
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 6:43pm On Apr 16, 2015
iyanbuko:
Is it compulsory to take folic acid during pregnancy. Actually, this is my third pregnancy and my two children are healthy and I didn't take it when I was pregnant with them, folic acid does upset my Tommy. Thanks
folic acid is highly recommended before and during pregnancy. It helps to prevent brain and spinal malformations (Neural Tube Defects) in the developing foetus. The chance of this occuring if folic acid is not taken is very very small, but when it does occur, it is devastating for baby and family.

Try taking the folic acid WITH food to minimise the stomach upset.

Ask your doctor about enteric-coated folic acid. These are formulated to eliminate stomach upset.
Re: Doctor In The House:Obstetrics And Gynecology by undisputed25(m): 7:45pm On Apr 16, 2015
hello doctors in the house, I went to a hospital today for check up and after the test the doctor advised me to see gynecologist for ECT test. I tried to ask him more what's wrong but his fact wasn't friendly today. Pls can you tell me the meaning and implication of all these terms ? Thanks in advance
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:23pm On Apr 16, 2015
undisputed25:
hello doctors in the house, I went to a hospital today for check up and after the test the doctor advised me to see gynecologist for ECT test. I tried to ask him more what's wrong but his fact wasn't friendly today. Pls can you tell me the meaning and implication of all these terms ? Thanks in advance
First, as a male, it is unlikely your doctor asked you to see a gynaecologist.

Second, I cannot recall any test called ECT in gynaecology. ECT is most commonly used in psychiatry, where it means Electro-convulsive Therapy.

I advise that you check with your doctor to comfirm that you understood exactly what he recommended.
Re: Doctor In The House:Obstetrics And Gynecology by hopeee: 10:37pm On Apr 16, 2015
Hi docs, please I need your help in interpreting this result. I went for a HVS 3 days back, and this is the result

Leucocytes. Not observed
Erythrocytes. Scanty
Neisserian organisms. Not observed
Fungal elements. Yeast& hyphea: diagnostic of candidiasis
Clue cells. Absent
Bv score. 4= altered vaginal flora


Trichomonas
Trichomonas vaginalis. Not observed
Culture
Candida species. Isolated
Neisseria gonorrhoea. Not isolated
Gardnerella vaginalis. Not isolated
Strep agalacticae (GRP B). Not isolated

Organism 1. Candida albicans

##moderate growth ##
Re: Doctor In The House:Obstetrics And Gynecology by undisputed25(m): 8:28am On Apr 17, 2015
hello doc thanks for yesterday, I have side pains and sometimes am getting weak even early in the morning when I wake up I experience weakness, sometimes headache and I was told now its typhoid . Can you pls recommend a good drug for typhoid I mean an effective one
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 9:36am On Apr 17, 2015
hopeee:
Hi docs, please I need your help in interpreting this result. I went for a HVS 3 days back, and this is the result

Leucocytes. Not observed
Erythrocytes. Scanty
Neisserian organisms. Not observed
Fungal elements. Yeast& hyphea: diagnostic of candidiasis
Clue cells. Absent
Bv score. 4= altered vaginal flora


Trichomonas
Trichomonas vaginalis. Not observed
Culture
Candida species. Isolated
Neisseria gonorrhoea. Not isolated
Gardnerella vaginalis. Not isolated
Strep agalacticae (GRP B). Not isolated

Organism 1. Candida albicans

##moderate growth ##



This lab report shows growth of candida sp. It supports the diagnosis of candidiasis, also called yeast infection or thrush.

It is a very common fungal infection affecting mostly women. It is not expressly an STI as many non-sexual factors predispose women to it such as being overweight, use/abuse of antibiotics, diabetes and other causes of low immunity.

This lab report only supports a diagnosis of candidiasis.

Only a qualified doctor who has seen and examined you may comfirm if you have candidiasis.

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Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 9:47am On Apr 17, 2015
undisputed25:
hello doc thanks for yesterday, I have side pains and sometimes am getting weak even early in the morning when I wake up I experience weakness, sometimes headache and I was told now its typhoid . Can you pls recommend a good drug for typhoid I mean an effective one
You are welcome.

Unfortunately, drugs used in curing typhoid fever are prescription medicines. It is unethical for a doctor to prescribe such drugs for a patient whom the doctor has not seen, and abuse of antibiotics makes them less effective or ineffective in curing infections.

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Re: Doctor In The House:Obstetrics And Gynecology by iyanbuko: 10:13am On Apr 17, 2015
Thanks alot doc, pls, I want to know if pregnant care can the same purpose of folic acid.
Re: Doctor In The House:Obstetrics And Gynecology by Leonyluiz(m): 10:34am On Apr 17, 2015
Pls I need urgent answer... How much is x-ray scan in ibadan
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:41am On Apr 17, 2015
Leonyluiz:
Pls I need urgent answer... How much is x-ray scan in ibadan
Depends on the hospital. Between 2k - 5k in a regular hospital.
Re: Doctor In The House:Obstetrics And Gynecology by Leonyluiz(m): 10:42am On Apr 17, 2015
omicron:
Depends on the hospital. Between 2k - 5k in a regular hospital.

Thank you very much..
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:47am On Apr 17, 2015
iyanbuko:
Thanks alot doc, pls, I want to know if pregnant care can the same purpose of folic acid.
Yes, as it contains up to 400ug of folic acid.
Re: Doctor In The House:Obstetrics And Gynecology by hopeee: 3:33pm On Apr 17, 2015
Thanks a lot doc. I appreciate.
I wanted to ask if this Candida Infection could cause miscarriages because I have had some. And what made me go for the test was that the discharge comes and goes on its own and it comes rarely only when myself and dh bad, it doesn't Itch.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 5:53pm On Apr 17, 2015
hopeee:
Thanks a lot doc. I appreciate.
I wanted to ask if this Candida Infection could cause miscarriages because I have had some. And what made me go for the test was that the discharge comes and goes on its own and it comes rarely only when myself and dh bad, it doesn't Itch.
No. Candidiasis is not linked to miscarriages.

Bacterial vaginosis (BV), which resembles candiadiasis in symptoms, is what is linked to miscarriages.

Your test result does not support the diagnosis of BV.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by Dadsonval(f): 6:34pm On Apr 17, 2015
@omicron, pls what drug can i use to reduce an enlarged liver? Secondly, my menses came this morning instead of 26th, what could have caused that? Thnks
Re: Doctor In The House:Obstetrics And Gynecology by hopeee: 7:19pm On Apr 17, 2015
omicron:
No. Candidiasis is not linked to miscarriages.

Bacterial vaginosis (BV), which resembles candiadiasis in symptoms, is what is linked to miscarriages.

Your test result does not support the diagnosis of BV.


Thanks a lot doc.

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