@doctors in the house, thank you for a job well done on the thread.
I did hsg last month and the result was bilateral tubal occlusion, my Gynae recommend laparoscopy. Please I want you to shed more light on the laparoscopy test, its benefits, effectiveness and probably side effects.
Thank you as I await your response.

Redeemed:
@doctors in the house, thank you for a job well done on the thread.
I did hsg last month and the result was bilateral tubal occlusion, my Gynae recommend laparoscopy. Please I want you to shed more light on the laparoscopy test, its benefits, effectiveness and probably side effects.
Thank you as I await your response.

In laparoscopy, a device, which has a camera to it, is used to view the inside of the body through a small hole on the skin. It can be used as a test or a treatment.

It is used as part of investigation of infertility, or its treatment. In your case, it can be used to assess the patency of the tubes, as well as to check and treat any pelvic adhesions, etc

It is effective in doing the above things, and it is superior to opening up the abdomen to do them.

It has risks, of course. These include damage to internal organs such as the bowel, or a blood vessel. These complications are very rare in experienced hands.

It is usually a day-case, meaning you can go back home same day it was done. Or highest after a couple of days.

All the best.

@omicron, thumbs up, thank you. I appreciate your response. God bless!

Gudevenin doc!God bless you for the work here,kindly Interprete my Sperm analysis result;


Gram Stain:Gram Positive Cocci
Culture: Yielded a growth of staphylococcus aureus
Appearance- Greyish white
Volume -6.0ml
Viscosity- low
PH- Alkaline
Living cells 40%
Dead cells 60%
Sluggish cells 20%
Active cells 20%
Total sperm count 32.0 x106ml
Viable sperm count 6.4 x106ml
Duplicate head 05%
Tapering head 02%

WBCs 6-8

Good afrnoon all, i just opend this page this afternoon. I thought i was the only one going through this. please can some body tell me what i can do to increase my progestrone level natrually. I just finished taking primlout depot injection for 4 weeks an ran a test for the hormone, yet it's still giving me low progestrone. (.81)as against the required value of 3 to something. I am just confused.I don't know what to do again. I am tired of taking that injetion.

Please is there any natural way i can improve my progestrone level. I have been married for 3 and half years. pls i need reply.

Please is there anything that can increase CM , i don't even have any.

bravesoul2:
Gudevenin doc!God bless you for the work here,kindly Interprete my Sperm analysis result;


Gram Stain:Gram Positive Cocci
Culture: Yielded a growth of staphylococcus aureus
Appearance- Greyish white
Volume -6.0ml
Viscosity- low
PH- Alkaline
Living cells 40%
Dead cells 60%
Sluggish cells 20%
Active cells 20%
Total sperm count 32.0 x106ml
Viable sperm count 6.4 x106ml
Duplicate head 05%
Tapering head 02%

WBCs 6-8

Viable sperm count is lower than normal. Normal should be at least 20 million but yours is 6.4million

Sperm motility is also very lower than normal at 20%, against the minimum normal of 50%

Staph aureus was cultured from the specimen. Most likely, this is a contaminant. But you may take the full dose of any of the antibiotics suggested by the MCS report as sensitive.

In smmary, it is an abnormal result, particulary the sperm motility and count.

Many things could explain this, including current or past history of infections affecting the testis, such as mumps;sperm-killing habits such as smoking and excessive alcohol drinking and too much heat around the scrotum consistently; developmental disorders. Genetic causes can explain it too. Rarely, it could be a lab error (and you are advised to repeat test at another lab to crosscheck results).

All the best

Good evening doc.
A friend of mine has a case of hydronephrosis resulting from UTI which was caused by Ecoli, and has tried using a catheter but failed in inserting it. Its taking a huge toll on him, please what can and should be done?

Hi Doctor, The Teaching Hospital I Am Using For My Hyperthyroidism Treatment Is On Strike So I Have Been Unable To Do The Ultrasound Tracking Since The Time You Told Me To, I Have Also Put My Mind Off Getting Pregnant Since The Day You Told Me To. But There Is This Kind Of Heart Beat In My Lower Abdomen That Beats Constantly Every Hour If I Am Not Exagerating. At Times At The Upper Part Of My Stomach And Sometimes At Other Parts Of My Boday. I Did Home PT This Morning But It Was Negative. Please What Is Happening To Me? I Need An Urgent Reply Please Because I Am Dying To Know If I Have Put In Or Not. Please Doc, Urgently.

phreakabit:
Good evening doc.
A friend of mine has a case of hydronephrosis resulting from UTI which was caused by Ecoli, and has tried using a catheter but failed in inserting it. Its taking a huge toll on him, please what can and should be done?

Hi,

Where was this diagnosis of hydronephrosis made on your friend? Is your friend in a hospital?

The story is not making complete medical sense yet.

Abidex114:
Hi Doctor, The Teaching Hospital I Am Using For My Hyperthyroidism Treatment Is On Strike So I Have Been Unable To Do The Ultrasound Tracking Since The Time You Told Me To, I Have Also Put My Mind Off Getting Pregnant Since The Day You Told Me To. But There Is This Kind Of Heart Beat In My Lower Abdomen That Beats Constantly Every Hour If I Am Not Exagerating. At Times At The Upper Part Of My Stomach And Sometimes At Other Parts Of My Boday. I Did Home PT This Morning But It Was Negative. Please What Is Happening To Me? I Need An Urgent Reply Please Because I Am Dying To Know If I Have Put In Or Not. Please Doc, Urgently.

Ok.

Heartbeat in your abdomen? Does it not correspond to your heartbeat (from your heart)?

Could be your normal heartbeat felt in your upper abdomen which can be caused by hyperthyroidism.

Can also be a different thing. Would need a medical consult to rule out other possibilities out.

It is not a symptom of pregnancy.

Have you been off the anti-thyroids?

@omicron,thank you so much I appreciate your quick response.God bless!

omicron:
Ok.

Heartbeat in your abdomen? Does it not correspond to your heartbeat (from your heart)?

Could be your normal heartbeat felt in your upper abdomen which can be caused by hyperthyroidism.

Can also be a different thing. Would need a medical consult to rule out other possibilities out.

It is not a symptom of pregnancy.

Have you been off the anti-thyroids?

I Was, Due To The Scarcity Of The Drug. I Accidentally Came Across It Two Days Ago And I Have Started It Again Since Then. The Heart Beat Corresponds With My Heart Beat. What Should I Do About The Bulge Eyes? The Drops(hypotears) I Am Using Isn't Working And The Oitment(chloraphenicol) Irritates Me So I Stopped It. Please Help Me

Abidex114:

I Was, Due To The Scarcity Of The Drug. I Accidentally Came Across It Two Days Ago And I Have Started It Again Since Then. The Heart Beat Corresponds With My Heart Beat. What Should I Do About The Bulge Eyes? The Drops(hypotears) I Am Using Isn't Working And The Oitment(chloraphenicol) Irritates Me So I Stopped It. Please Help Me

Ok. The palpitations (awareness of your heartbeats) will subside now you are back on the drug. That drug is the mainstay of your treatment. Will subside your symptoms, and prevent complications.

Your doctors will change your eye drops, if need be. Eye hygiene is paramount, and there are a lot of habits you should adopt or stop in order to avoid eye irriation and infection, since the bulging eyes are specially predisposed to irritations and infection. You can google for those tips.

The bulging eyes are a complication of the main problem. Not so much you could do definitively to reduce it.

You will be ok. One step at a time.

All the best.

omicron:
Hi,

Where was this diagnosis of hydronephrosis made on your friend? Is your friend in a hospital?

The story is not making complete medical sense yet.

Good day Doctor
At the moment he isn't an inpatient, the diagnosis was made in a specialist hospital which he was referred to by a GP.
To make it clearer he was diagnosed with E coli, which he treated partly (he stopped because he had to embark on a trip)
However, when he got back he noticed he had low pressure whenever he peed, having urine retention in his urethra as well as frequent urination, and heavy perspiration.
He decided to go for tests after it was revealed that he had fluid retention in his kidney. . . The doctor said there were two treatment options available, one was to pass a catheter up his urethra and the other was to pass a pipe through his back ( I don't really understand this second procedure).
Regards

phreakabit:


Good day Doctor
At the moment he isn't an inpatient, the diagnosis was made in a specialist hospital which he was referred to by a GP.
To make it clearer he was diagnosed with E coli, which he treated partly (he stopped because he had to embark on a trip)
However, when he got back he noticed he had low pressure whenever he peed, having urine retention in his urethra as well as frequent urination, and heavy perspiration.
He decided to go for tests after it was revealed that he had fluid retention in his kidney. . . The doctor said there were two treatment options available, one was to pass a catheter up his urethra and the other was to pass a pipe through his back ( I don't really understand this second procedure).
Regards

Hmmm.

First, no doctor makes a diagnosis of E .Coli or Staph or any of those. It is always a diagnosis made by quacks.

A diagnosis of urinary tract infection is easy to make and easy to treat. It is almost always treated with oral antibiotics, so embarking on a trip does not justify cessation of treatment.

Hydronephrosis is a consequence of obstruction anywhere along the urinary tract, which transmits a high pressure to the kidney resulting in its damage.

Hydronephrosis in itself has no treatment or cure. Its treatment is the treatment of renal insufficiency (or failure) which it ultmately results in. Relieving the causative obstruction will prevent further damage.

If the catheter was hard to pass, and he had poor urinary stream or a retention, I suspect your friend has some obstruction along the urinary tract. Maybe a stricture. Maybe a stone. Maybe a BPH (How old is he?)

So, a big step forward is for him to understand fully what is wrong with him. Is it a an obstructive uropathy (obstruction), a UTI or hydronephrosis?

Obstructive uropathy is a surgical case, mostly. While management of renal failure caused by hydronephrosis will require a nephrologist.

omicron:
Hmmm.

First, no doctor makes a diagnosis of E .Coli or Staph or any of those. It is always a diagnosis made by quacks.

A diagnosis of urinary tract infection is easy to make and easy to treat. It is almost always treated with oral antibiotics, so embarking on a trip does not justify cessation of treatment.

Hydronephrosis is a consequence of obstruction anywhere along the urinary tract, which transmits a high pressure to the kidney resulting in its damage.

Hydronephrosis in itself has no treatment or cure. Its treatment is the treatment of renal insufficiency (or failure) which it ultmately results in. Relieving the causative obstruction will prevent further damage.

If the catheter was hard to pass, and he had poor urinary stream or a retention, I suspect your friend has some obstruction along the urinary tract. Maybe a stricture. Maybe a stone. Maybe a BPH (How old is he?)

So, a big step forward is for him to understand fully what is wrong with him. Is it a an obstructive uropathy (obstruction), a UTI or hydronephrosis?

Obstructive uropathy is a surgical case, mostly. While management of renal failure caused by hydronephrosis will require a nephrologist.

Pls.. i am sorry. i know this isn't d right place to ask this

A friend of mine has been complaining of tommy pains.. he told me he has seen a doctor and was told the only solution is he should have sex.

is there another solution?

AdmiralPato:



Pls.. i am sorry. i know this isn't d right place to ask this

A friend of mine has been complaining of tommy pains.. he told me he has seen a doctor and was told the only solution is he should have sex.

is there another solution?

Either he saw a quack or this is not exactly what a doctor had told him.

Tommy pains could be due to 1001 things; having sex is not a solution to any of them.

He should she a proper doctor to get a proper diagnosis and treatment.

PLS O,DOC IN D HOUSE,MY BABY OF TWO MTHS PLUS HAS BEEN POO POOING FOR SOME DAYS NW,ND D POO IS WATERY WT EGUSI LIKE,MOST TIMES IT MAKES LOUD NOICE AS IF ITS MUCH BT WEN U OPEN D PAMPERS U WIL ONLY SEE A LITTLE OR NOTHIN.ND I ALSO NOTICE DAT HE ALWAYS DOES DIS AFTER SUCKIN,WAT COULD B HAPPENIN PLS QUICK RESPOND WIL B APPRECIATED

Good day Doctor, I have been having severe waist pain for a month now, what happened was I did HVS and and it reviewed I have Candida Ablican. My doc placed me on antibiotIcs (IV) only for 7days. Before the treatment I had no signs or symptoms of infections.
Pls tell me what to do as my doc gave me only declofenac, but the pain is still severe.

And again I'm on Dostinex for high prolactin, 1tablet weekly as prescribed by my doctor. I have taken 3tablets but no improvement yet, I still have fluid coming out from my bossom. How long do I take this drug to achieve results?

Sorry for my plenty questions.

Abibaby:
PLS O,DOC IN D HOUSE,MY BABY OF TWO MTHS PLUS HAS BEEN POO POOING FOR SOME DAYS NW,ND D POO IS WATERY WT EGUSI LIKE,MOST TIMES IT MAKES LOUD NOICE AS IF ITS MUCH BT WEN U OPEN D PAMPERS U WIL ONLY SEE A LITTLE OR NOTHIN.ND I ALSO NOTICE DAT HE ALWAYS DOES DIS AFTER SUCKIN,WAT COULD B HAPPENIN PLS QUICK RESPOND WIL B APPRECIATED

You have to go to the nearest hospital asap if you think your infant has diarrheoa.

mrsfrank:
Good day Doctor, I have been having severe waist pain for a month now, what happened was I did HVS and and it reviewed I have Candida Ablican. My doc placed me on antibiotIcs (IV) only for 7days. Before the treatment I had no signs or symptoms of infections.
Pls tell me what to do as my doc gave me only declofenac, but the pain is still severe.

And again I'm on Dostinex for high prolactin, 1tablet weekly as prescribed by my doctor. I have taken 3tablets but no improvement yet, I still have fluid coming out from my bossom. How long do I take this drug to achieve results?

Sorry for my plenty questions.

There are many causes of waist pain; candidiasis is not one of them. PID can cause that, but your test has not showed it and, more importantly, you have no (other) symptoms. So a PID is not likely.

It could be musculoskeletal, related to posture. What is your work? Does it entail much standing? Is the bed so soft you "sink" in it? Are you overweight? It could be arthritis too.

What dose of diclofenac are you on?

How long exactly have you been on the Dostinex?

omicron:
You have to go to the nearest hospital asap if you think your infant has diarrheoa.

TANX I DONT TINK ITS DIARRHEOA,COS D POO IS LIKE 3TIMES DAILY MAYB I SHOULD STIL GO TO D HOSPITAL

Abibaby:

TANX I DONT TINK ITS DIARRHEOA,COS D POO IS LIKE 3TIMES DAILY MAYB I SHOULD STIL GO TO D HOSPITAL

Yea, it's better. Two months old baby with a possibility of diarrheoa should see a doctor physically. It may not also be something abnormal.

Quote @Omicron

Thank you for the response, my Job entails more of sitting, and my bed is very comfortable.

I have been on Dostinex for 3weeks now, 1tablets 0. 5mg weekly.
I stopped taking diclofenac because I heard its not good for TTC.

mrsfrank:
Quote @Omicron

Thank you for the response, my Job entails more of sitting, and my bed is very comfortable.

I have been on Dostinex for 3weeks now, 1tablets 0. 5mg weekly.
I stopped taking diclofenac because I heard its not good for TTC.

Ok. Well, like I said many things can cause waist pain. You should also know that Dostinex can very commonly cause back pain, so you should check if this waist pain started before or after you started taking Dostinex. Inform your doctor if you think your pain is related to the drug.

There is no straight answer to how long you should take Dostinex. It all depends on your doctor and his diagnosis. A follow up lab test will reveal when your prolactin level has normalised.

Diclofenac does not affect TTC. It is those who are already pregnant that should avoid it.

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omicron:
Yea, it's better. Two months old baby with a possibility of diarrheoa should see a doctor physically. It may not also be something abnormal.

I just sent you a message on pm, plz reply me thanks

hello Dr omicron I am scheduled for hsg on Saturday,but I have some fear about the procedure which I would like you to clear for me,I Heard it's a painful procedure and if not managed properly could push bacteria to the pelvis,I have heard series of pid before,though I believe it is gone because I have treated with antibiotics and some injections too and I have no symptoms of it now,I want to no if I should do the hsg or not,or is their some form of antibiotics and painkillers I can use before the x Ray to prevent bacteria and to also ease pain respectively.thank for the good work may God bless you.

Hello doc, good day.

Again this is about my elevated FSH level. Are there hormonal supplements I can take to reduce them? If yes, please what are their names and how long do they take to show significant results?

Hi doc, gud evening. Pls I Wnt to ask if it is ok to start taking routin drugs now cause am 5weeks pregnant. For now am just taking folic acid. Is dia any drug dat I can take to join it or is it too early to start taken routine drugs. Tank u.

Kudibaby:
hello Dr omicron I am scheduled for hsg on Saturday,but I have some fear about the procedure which I would like you to clear for me,I Heard it's a painful procedure and if not managed properly could push bacteria to the pelvis,I have heard series of pid before,though I believe it is gone because I have treated with antibiotics and some injections too and I have no symptoms of it now,I want to no if I should do the hsg or not,or is their some form of antibiotics and painkillers I can use before the x Ray to prevent bacteria and to also ease pain respectively.thank for the good work may God bless you.

HSG is painful to some women and not for others. The degree of pain varies too. If you normally feel pain during pelvic exam, you are sure to feel pain during HSG. They may give you a painkiller injection before the procedure to reduce pain, and a sedative to reduce anxiety.

There is a possibility of infection, but it is uncommon. You may be given a broadspectrum antibioctic oncr, just before the procedure.

HSG is used to check for the patency of your tubes. If you are ttc or have had miscarriages, and the HSG has been advised, you have to do it.

Just try and be less anxious. In less than 10 minutes, you would have finished.

All the best

kaycee676:
Hi doc, gud evening. Pls I Wnt to ask if it is ok to start taking routin drugs now cause am 5weeks pregnant. For now am just taking folic acid. Is dia any drug dat I can take to join it or is it too early to start taken routine drugs. Tank u.

It is best to avoid avoidable drugs until at least the 10th week from your last period has passed. Only folic acid is completely safe before then.

You can commence others after your first trimester.