LuckyG1:


Madam,long time.

How the family?

Fine we thank thy Lord

Good morning doctors in the house and everyone. I thank God for this thread. Please I need your assistance. I've had three miscarriages. The last one was in December. When I traveled to see a specialist gynecologist, he told me I have progesterone deficiency which is why my body can't maintain a pregnancy, hence the miscarriages. he prescribed proluton depot injection for me to be taken once a week for four weeks once pregnancy is confirmed.

my problem now is that I usually miscarry before the pregnancy test shows positive. like last month, the pregnancy symptoms were there but the tests showed negative until I started bleeding. I was scared of taking the injection incase I wasn't really pregnant and scared of side effects because I heard your body deceives you sometimes because you want it badly. I was pregnant by December but didn't know about the injection then. Please what do you advice I do incase of next time ?

jones2014:
dear Docs in the house,

please assist to analyse my results below and advice;

Sperm Count - 18million
morphologhy - (90% normal & 10% abnormal)
Viscousity - watery
PH - 6.0
Motility - (5% actively progressive, 5% sluggish & 90% percentage dead)

please i need, my wife and myself are trying real hard and its been a while already.

i will appreciate useful suggestions as my doctor is not helping matters as well.

thanks

Favoured234 already said most of it.

Your sperm count is slighlty below normal range, but this is not the biggest issue: people conceive from far lower sperm counts.

Sperm motility is the most important determinant of male fertility, and yours is very low at 5%.

Do you smoke? Quit if you do.

Do you drink alcohol? Quit if you do.

Do you take recreational substances? Quit if you do

Overweight? Optimise your weight. Target BMI between 20 - 25kg/m2

Develop an active lifestyle: exercise daily or at least 3 times a week, register in a gym or do some road works

Eat right. Avoid junks including too much caffeinated and carbonated drinks.

More fruits and vegetables (extremely important). These provide large chunks of vitamins, minerals and antioxidants that improve sperm health.

Ask your doctor about vitamin and mineral supplementation, especially vitamin c, e, folic acid and zinc.

Above all, maintain a positive and stressless mental attitude. Stress will adversely affect the outcome.

Repeat your seminal fluid analysis quaterly to follow your progress.

All the best.

freakingout:
Good morning doctors in the house and everyone. I thank God for this thread. Please I need your assistance. I've had three miscarriages. The last one was in December. When I traveled to see a specialist gynecologist, he told me I have progesterone deficiency which is why my body can't maintain a pregnancy, hence the miscarriages. he prescribed proluton depot injection for me to be taken once a week for four weeks once pregnancy is confirmed.

my problem now is that I usually miscarry before the pregnancy test shows positive. like last month, the pregnancy symptoms were there but the tests showed negative until I started bleeding. I was scared of taking the injection incase I wasn't really pregnant and scared of side effects because I heard your body deceives you sometimes because you want it badly. I was pregnant by December but didn't know about the injection then. Please what do you advice I do incase of next time ?

Sorry about your experience.

It is a fact that most pregnancies are lost even before the next period is missed, and this loss could coincide with the time of expected menses and will pass as another menses. Most are due to genetic abnormalities.

But if this is actually wat happens in your case is debatable, as their is no evidence of pregnancy since December.

Following conception, serum (blood) pregnancy test will be positive about a week from ovulation, ie from around Day 21 of the average cycle. Therefore, even before you miss a period, run a pregnancy test if you "feel" that you are pregnant.

If the test is positive, inform your gynaecologist.

Normally, Primolute N can be commenced right away, weekly, till as long as the 7th week of the pregnancy.

Take folic acid supplements too before trying to conceive.

All the best.

Good day to all the doctors in the house.
I need a candid advice from you guys. I spoke with my elder brother this morning which he explained that his wife is 5 months pregnant for twins and one of the foetus died in the womb which led her to be on admission. The doctor at the private hospital said there is no need for evacuation of the dead foetus, but would rather place her on antibiotics for the period till delivery.

Pls, is there any way out to manage this situation or what's best that could be done.
Thanks

@omicron, thanks for your prompt response. I guess I was waiting for the missed period first. Thanks for the correction. I really might have been pregnant last month because my af lasted only two days instead of the usual four days with light spotting on day five. it stopped on the morning of the third day and spotted till day six. oh, well, till next time. once it's day 21, and I'm having the usual pregnancy symptoms, na to go sleep for lab till the test shows positive. Thanks for the info.

lastly, I've heard of natural progesterone. is it advisable to use such to boost my progesterone and do you know where I can get it? thanks a lot

Hello doctors and everyone in the house. i am presently in my third trimester and need some candid advice. i have had two previous CS due to various reasons the last one being over 2 years ago. I really want to try a VBAC this time around as the baby is presenting well. I have been discouraged by almost everyone and being told horror stories but it hasnt changed my mind. Pls what are my chances both CS where low transverse.

eluquenson:
Good day to all the doctors in the house.
I need a candid advice from you guys. I spoke with my elder brother this morning which he explained that his wife is 5 months pregnant for twins and one of the foetus died in the womb which led her to be on admission. The doctor at the private hospital said there is no need for evacuation of the dead foetus, but would rather place her on antibiotics for the period till delivery.

Pls, is there any way out to manage this situation or what's best that could be done.
Thanks

Standard management involves monitoring the woman closely until the delivery of the surviving twin. If the twins were less than 4 months sef, the dead twin can be absorbed into the mother, leaving little trace of that at delivery.

There is increased risk of premature delivery for the baby. Risks are higher if the twins are identical.

There is increased risk of infective and blood clotting problems for the mother.

With effective monitoring, these problems could be prevented or effectively solved.

The surviving baby will go on to develop, but mother and baby need specialist medical supervision.

freakingout:
@omicron, thanks for your prompt response. I guess I was waiting for the missed period first. Thanks for the correction. I really might have been pregnant last month because my af lasted only two days instead of the usual four days with light spotting on day five. it stopped on the morning of the third day and spotted till day six. oh, well, till next time. once it's day 21, and I'm having the usual pregnancy symptoms, na to go sleep for lab till the test shows positive. Thanks for the info.

lastly, I've heard of natural progesterone. is it advisable to use such to boost my progesterone and do you know where I can get it? thanks a lot

I do not know about natural progesterone.

Primolut Depo is effective though, for treating habitual miscarriages due to corpus leutum (progesterone) deficiency.

jany:
Hello doctors and everyone in the house. i am presently in my third trimester and need some candid advice. i have had two previous CS due to various reasons the last one being over 2 years ago. I really want to try a VBAC this time around as the baby is presenting well. I have been discouraged by almost everyone and being told horror stories but it hasnt changed my mind. Pls what are my chances both CS where low transverse.

What were the reasons for the CSs

omicron:
What were the reasons for the CSs

The first was emergency as the baby couldnt descend. We later found out the cord was wrapped round the neck and arm multiple times and this held her back.

The second was elective due to the position. baby was not head down

jany:


The first was emergency as the baby couldnt descend. We later found out the cord was wrapped round the neck and arm multiple times and this held her back.

The second was elective due to the position. baby was not head down

ok. Well, both indications do not fall under the recurrent indications for CS.

However, the fact is, no doctor will professionally advise you for a VBAC after 2 cs, even if they were both low transverse incisions. The risk is enormous, including maternal and foetal deaths.

I have seen both sides of it: women who had successful VBACs after 2 CSs, and those who lost their lives, babies or wombs following catastrophic VBAC.

The choice is always yours. But professionally speaking, it is not worth the risk. The risks outweigh the benefits.

All the best.

omicron:
Standard management involves monitoring the woman closely until the delivery of the surviving twin. If the twins were less than 4 months sef, the dead twin can be absorbed into the mother, leaving little trace of that at delivery.

There is increased risk of premature delivery for the baby. Risks are higher if the twins are identical.

There is increased risk of infective and blood clotting problems for the mother.

With effective monitoring, these problems could be prevented or effectively solved.

The surviving baby will go on to develop, but mother and baby need specialist medical supervision.

Thanks, I appreciate

omicron:
I do not know about natural progesterone.

Primolut Depo is effective though, for treating habitual miscarriages due to corpus leutum (progesterone) deficiency.

Okay. Thanks

omicron:
ok. Well, both indications do not fall under the recurrent indications for CS.

However, the fact is, no doctor will professionally advise you for a VBAC after 2 cs, even if they were both low transverse incisions. The risk is enormous, including maternal and foetal deaths.

I have seen both sides of it: women who had successful VBACs after 2 CSs, and those who lost their lives, babies or wombs following catastrophic VBAC.

The choice is always yours. But professionally speaking, it is not worth the risk. The risks outweigh the benefits.

All the best.

Thanks and God Bless

thanks Favoured!

favoured234:

What does the test result mean?


The typical volume of semen collected is between 1.5 and 5.5 milliliters (mL) of fluid per ejaculation. Decreased volume of semen would indicate fewer sperm, which diminishes opportunities for successful fertilization and subsequent pregnancy. Excessive seminal fluid may dilute the concentration of sperm.

The semen should initially be thick and then liquefy within 15 to 30 minutes. If this does not occur, then it may impede sperm movement.

Sperm concentration (also called sperm count or sperm density) is measured in millions of sperm per milliliter of semen. Normal is at least 20 million or more sperm per mL, with a total ejaculate volume of 80 million or more. Fewer sperm and/or a lower sperm concentration may impair fertility. Following a vasectomy, the goal is to have no sperm detected in the semen sample.

Motility is the percentage of moving sperm in a sample and graded based on speed and direction travelled. At least 50% should be motile one hour after ejaculation, moving forward in a straight line with good speed. The progression of the sperm, best measured using an automated system, is rated on a basis from zero (no motion) to 4, with 3-4 representing good motility. If less than half of the sperm are motile, a stain is used to identify the percentage of dead sperm. This is called a sperm viability test.

Morphology analysis is the study of the size, shape, and appearance of the sperm cells. The analysis evaluates the structure of the sperm, whereby greater than 50% of those cells examined must be normal in size, shape, and length. The more abnormal sperm that are present, the lower the likelihood of fertility. Abnormal forms may include defective heads, midsections, tails, and immature forms. More than 14% should have normal heads. To see an image of a normal sperm, see the MedlinePlus Medical Encyclopedia page on sperm.

Semen pH should be between 7.2 and 7.8, fructose at 150-600 mg/dL, and there should be fewer than 2000 white blood cells per mL. A pH of 8.0 or higher may indicate an infection, while a pH less than 7.0 suggests contamination with urine or an obstruction in the ejaculatory ducts.

http://labtestsonline.org/understanding/analytes/semen/tab/test/
Maybe you should read up more online

thanks Omicron,

to answer your questions, i dont smoke, i do take alcohol like some few occasions in a year, definitely not an addict. i dont take recreational substances, i aint overweight, please shed more light on BMI for my sake

i must confess i have taken a lot of carbonated drinks due to the nature of my job and the stress involved, tryna work on that i swear. i have begun incorporating lots of fruits and veggies in my diet and take to other advice, especially rhe exercise aspect.

thanks bro, i appreciate your advice.

regards

omicron:

Favoured234 already said most of it.

Your sperm count is slighlty below normal range, but this is not the biggest issue: people conceive from far lower sperm counts.

Sperm motility is the most important determinant of male fertility, and yours is very low at 5%.

Do you smoke? Quit if you do.

Do you drink alcohol? Quit if you do.

Do you take recreational substances? Quit if you do

Overweight? Optimise your weight. Target BMI between 20 - 25kg/m2

Develop an active lifestyle: exercise daily or at least 3 times a week, register in a gym or do some road works

Eat right. Avoid junks including too much caffeinated and carbonated drinks.

More fruits and vegetables (extremely important). These provide large chunks of vitamins, minerals and antioxidants that improve sperm health.

Ask your doctor about vitamin and mineral supplementation, especially vitamin c, e, folic acid and zinc.

Above all, maintain a positive and stressless mental attitude. Stress will adversely affect the outcome.

Repeat your seminal fluid analysis quaterly to follow your progress.

All the best.

Hello Doc, l am 31w2d preg but my urine is brown/yellow for over a week now and trying to drink more water still there's no change pls, what's ur advice.

jones2014:
thanks Omicron,

to answer your questions, i dont smoke, i do take alcohol like some few occasions in a year, definitely not an addict. i dont take recreational substances, i aint overweight, please shed more light on BMI for my sake

i must confess i have taken a lot of carbonated drinks due to the nature of my job and the stress involved, tryna work on that i swear. i have begun incorporating lots of fruits and veggies in my diet and take to other advice, especially rhe exercise aspect.

thanks bro, i appreciate your advice.

regards

Ok, all the best

BMI is a measure of how overweight or underweight one is.

It is calculated as: BMI = Mass/(height)2; ie, mass in kg divided by the square of the height in meters.

Eg If you weigh 75kg and measure 1.7m your BMI would be : 75/(1.7 x 1.7) = 25.95kg/m2

Interpretation: Less than 18 = underweight.

18 - 25 = optimal weight

25 - 30 = overweight, but not obese.

Above 30 = Obese

Above 40 = morbid obesity.

NB: I forgot advice about not increasing the temperature around the scrotum by not wearing tight trousers and undergarments, not placing laptops on the laps and not sitting down with legs tightly together for too long.

These little things can go a long way to help in situations like yours.

Goodluck

Bograd83:
Hello Doc, l am 31w2d preg but my urine is brown/yellow for over a week now and trying to drink more water still there's no change pls, what's ur advice.

Normal urine is somewhat yellow or amber, sometimes yellow brown during hot weathers.

Dehydration is the commomest cause of darkening of urine, and the urine should lighten in colour following rehydration.

Since you said the discolouration is not improved on rehydrating, then you should do a simple urinalysis and microscopy to comfirm that all is well.

Good morning Dr Omicron.weldone for attending to all here.
Pls can one start taking Pregnacare immediately after a positive serum PT? Or which prenatal vitamins can one start with.thanks

tatacherie:
Good morning Dr Omicron.weldone for attending to all here.
Pls can one start taking Pregnacare immediately after a positive serum PT? Or which prenatal vitamins can one start with.thanks

Some specialists withhold all avoidable drugs, except folic acid, till after the 10th week of pregnancy for fear of the unknown

I think it's safe, as some vitamins have been linked to teratogenicity, although at higher doses than are normally included in prenatal brands.

You may commence folic acid now and start the Pregnacare subsequently, unless of course you already have specific challenges like iron deficiency anaemia.

All the best.

Thanks a zillion Sir for your swift response.God bless and broaden ur Knowledge as u help others.Success in all ur endevours.remain blessed

omicron:
Normal urine is somewhat yellow or amber, sometimes yellow brown during hot weathers.

Dehydration is the commomest cause of darkening of urine, and the urine should lighten in colour following rehydration.

Since you said the discolouration is not improved on rehydrating, then you should do a simple urinalysis and microscopy to comfirm that all is well.

ok thanks 4 ur response.

omicron:
Ok, all the best

BMI is a measure of how overweight or underweight one is.

It is calculated as: BMI = Mass/(height)2; ie, mass in kg divided by the square of the height in meters.

Eg If you weigh 75kg and measure 1.7m your BMI would be : 75/(1.7 x 1.7) = 25.95kg/m2

Interpretation: Less than 18 = underweight.

18 - 25 = optimal weight

25 - 30 = overweight, but not obese.

Above 30 = Obese

Above 40 = morbid obesity.

NB: I forgot advice about not increasing the temperature around the scrotum by not wearing tight trousers and undergarments, not placing laptops on the laps and not sitting down with legs tightly together for too long.

These little things can go a long way to help in situations like yours.

Goodluck

thanks Sir.

my regards once more...

Hello Dr,
please have been feeling dizzy and weak for two days now,am in cd 17 today could I be pregnant,when should I take the hpt.Though i have ovarian cyst and pid is it possible for me to be pregnant.thanks

Hello Doctors and Everyone in the house.
Please i need help / advice on whats happening to me presently.

Am a TTC Lady, i have being experiencing lower back pain for 3 weeks now (5th May 2015 made it exactly 3 weeks )
i was supposed to see my period last week monday, but it didnt come till 4 days later being Friday 1st of May: it was very scanty and could barely notice the light brownish discharge unless i wipe and it stopped 2 days later (that Friday i equally did Home pregnancy test before i notice the spotting- it was negative)

pls what do i do ?

Hello Doc, Please I need your advise on this...Have being ttc for 2years now and have had 2miscarriages, the last one was November and since then we have being actively trying. Am presently on clomid and according to my doc, the last dose. Please am I missing my ovulation days, am disturbed (28/29 days), LMP was 1st May. Thanks

Kudibaby:
Hello Dr,
please have been feeling dizzy and weak for two days now,am in cd 17 today could I be pregnant,when should I take the hpt.Though i have ovarian cyst and pid is it possible for me to be pregnant.thanks

At CD 17 it is generally too early for PT to be positive.

Of course, it is possible to conceive with PID and ovarian cyst, which I'm sure you are already doing something about.

All the best.

Janedyke6:
Hello Doctors and Everyone in the house.
Please i need help / advice on whats happening to me presently.

Am a TTC Lady, i have being experiencing lower back pain for 3 weeks now (5th May 2015 made it exactly 3 weeks )
i was supposed to see my period last week monday, but it didnt come till 4 days later being Friday 1st of May: it was very scanty and could barely notice the light brownish discharge unless i wipe and it stopped 2 days later (that Friday i equally did Home pregnancy test before i notice the spotting- it was negative)

pls what do i do ?

I hope you are not stressed up.

If you have not already done so, please do see a doctor to properly diagnose your low back pain and menstrual problem.

Before then, if you do not have peptic ulcer, you may take moderate pain relievers such as diclofenac tablets, 75 or 100mg twice a day, with food, as needed, for not more than a week.

Then avoid excessive worry and purposefully seek to solve all the challenges regarding your ttc.

All the best.

Doyinsolami:
Hello Doc, Please I need your advise on this...Have being ttc for 2years now and have had 2miscarriages, the last one was November and since then we have being actively trying. Am presently on clomid and according to my doc, the last dose. Please am I missing my ovulation days, am disturbed (28/29 days), LMP was 1st May. Thanks

For a 28/29 day cycle, the ovulation day is the 14th/15th day, where the 1st day of bleeding is the 1st CD.

Coituss from the 10th CD (ie, May 10) and then alternate days till the 17th CD (ie May 17) will have the best chance of resulting in conception.

All the best.

For Ladies Only... Before taking all sorts of contraceptives, be sure to check with your gynae side effects of Mirena, postinor and other forms of contraceptives can do more harm than good. When it comes to your reproductive health, self-medicating is a big risk you shouldn't take.