pls doctor, check my hsg result control radiograph is normal . contrast study shows a markedly enlarged uterine cavity with lobulated outline. the left fallopian tube is normal in call Ber and outline the left left fallopian tube is demonstrated in its proximal aspect its distal aspect is however not demonstrated. no intraperitonal spillage of contrast medium is seen bilaterally. there is marked intravastion of contrast into pelvic vasculature. IMPRESSION: bilateral tubal blockage ? Left peri-fimbral adhesion. advise pelvic ultrasound scan to exclude uterine fibroid

oluwawunmi:
pls doctor, check my hsg result control radiograph is normal . contrast study shows a markedly enlarged uterine cavity with lobulated outline. the left fallopian tube is normal in call Ber and outline the left left fallopian tube is demonstrated in its proximal aspect its distal aspect is however not demonstrated. no intraperitonal spillage of contrast medium is seen bilaterally. there is marked intravastion of contrast into pelvic vasculature. IMPRESSION: bilateral tubal blockage ? Left peri-fimbral adhesion. advise pelvic ultrasound scan to exclude uterine fibroid

Here we go!

Ma'am,an enlarge uterus with lobulated outline may give an impression of a mass in the cavity. The nearest bet would be a uterine fibroid.

No spillage of contrast means a block of the uterine tubes.

Intravastation of contrast also mean that the medium of contrast was observe to have gone through the blood vessels of the uterine bodies instead of spilling. This could be :

1. procedural
2. a blocked of the tubes
3.possibly give concern for other problems such as excess bleeding during menstruation,ovarian cyst etc. This may usually not be true.

The fact that the abdominal extent of the left tube wasn't demonstrated may also carry a sense that it might have been displaced along with an adhesive tissue. If it is not,then it is only procedural ( not demonstrated even by normal approach to procedures or error to procedures). Then it will only require you to perform another HSG to ascertain the right health status of your tubes.

pls I tink I need serious help doc, what could be making me to urinate frequently,once am done urinating,it start to build up again not making me have rest of mind anymore ,be done blood pregnancy test its negative ,went for urinalysis n urine MCs,dey said I have staph,was given tarivid n vit c n paracetemol,but nothing has change,pls help I be a baby 8month n still, breastfeeding,am worried sick

ttbaby:
pls I tink I need serious help doc, what could be making me to urinate frequently,once am done urinating,it start to build up again not making me have rest of mind anymore ,be done blood pregnancy test its negative ,went for urinalysis n urine MCs,dey said I have staph,was given tarivid n vit c n paracetemol,but nothing has change,pls help I be a baby 8month n still, breastfeeding,am worried sick

I have created a thread for Kidney and bladder condition, please do us the favour to post this question there so I could answer promptly as required, thanks!

https://www.nairaland.com/4316386/thread-urinary-diseases-disorders-probable

I need recommendations on doctor or specialist, that deals with high fsh

Hello, doctors in the house.
I missed my period on 18th of January, I did pregnancy test few days later and I tested negative. I waited for some weeks and then did another test, which was positive. My gestational age is 8 weeks plus and I went for scan.

I went to an ultrasound clinic close to my house to check the state of my pregnancy. The doc said I have PID and the pregnancy is ectopic. He suggested I remove it immediately before it burst and cause haemorrhage. I was very scared and confused cos I have knowledge about ectopic pregnancy and it's implications. Before I leave, he gave me an injection. He said it will stop further growth of the baby. Immediately he injected me, I felt drowsy, bitter mouth and pains at my lower abdomen n pelvic. I was sweating profusely too... Till it subsided.. He advised I come the second day for the abortion....
The following day, I went to another clinic to scan. The doc stated otherwise, he said the implantation is intra uterine but it's an empty gestational sac with no embryo and no cardiac echo. He asked me to check back in two weeks. I'm really confused.. I read it's going to lead to a natural miscarriage

LuckyG1:


You're welcome, ma'am

Mzgracie:
Hello, doctors in the house.
I missed my period on 18th of January, I did pregnancy test few days later and I tested negative. I waited for some weeks and then did another test, which was positive. My gestational age is 8 weeks plus and I went for scan.

I went to an ultrasound clinic close to my house to check the state of my pregnancy. The doc said I have PID and the pregnancy is ectopic. He suggested I remove it immediately before it burst and cause haemorrhage. I was very scared and confused cos I have knowledge about ectopic pregnancy and it's implications. Before I leave, he gave me an injection. He said it will stop further growth of the baby. Immediately he injected me, I felt drowsy, bitter mouth and pains at my lower abdomen n pelvic. I was sweating profusely too... Till it subsided.. He advised I come the second day for the abortion....
The following day, I went to another clinic to scan. The doc stated otherwise, he said the implantation is intra uterine but it's an empty gestational sac with no embryo and no cardiac echo. He asked me to check back in two weeks. I'm really confused.. I read it's going to lead to a natural miscarriage

The first read a Cyesis ectopia and the later,Blighted ovum. None are pregnancies worthy to keep. Both medical practitioners have had you in a muddle,this is easy to reach. Please discus the later findings with the former and the former findings with the later so as to have them come to a single phase of judgement and clinical candour. After that seek advice on what step to do to have this pregnancy done away.

Usually, if it is a blighted ovum a natural miscarriage may be expected to occur. However, a follow-up scan is expected to know of the presence of left over of conception. Notwithstanding, if it turns ectopic,the judgement of the previous practitioner stands,and evacuation is necessary.

We bear with you and pray that you carry another to term.

LuckyG1:


The first read a Cyesis ectopia and the later,Blighted ovum. None are pregnancies worthy to keep. Both medical practitioners have had you in a muddle,this is easy to reach. Please discus the later findings with the former and the former findings with the later so as to have them come to a single phase of judgement and clinical candour. After that seek advice on what step to do to have this pregnancy done away.

Usually, if it is a blighted ovum a natural miscarriage may be expected to occur. However, a follow-up scan is expected to know of the presence of left over of conception. Notwithstanding, if it turns ectopic,the judgement of the previous practitioner stands,and evacuation is necessary.

We bear with you and pray that you carry another to term.

Can I have the baby aborted through d anecdote or through injection. After the last scan, I called the first Doc. He argued he's sure of what he saw. That he has been in the professional for 35 years. He calls himself a professor.

Pls Dr Lucky, I called my Doctor yesterday to know when to do my hormonal profile test and he said 21days from my AF, but from my Google research I learnt Day 3 for estrogen and 21days(for 28days circle i.e 7days after ovulation) for progesterone but for 4 me my average circle is 34days that means it should be around 27days for my progesterone. Now when I told him that this is what I learnt from google, he said I should ignore all those google research that I should do it on 21days.
Please enlighten me more on this. Thanks

Mzgracie:


Can I have the baby aborted through d anecdote or through injection. After the last scan, I called the first Doc. He argued he's sure of what he saw. That he has been in the professional for 35 years. He calls himself a professor.

Okay. Amidst the confusion, quickly run for a 3rd scan to either support or debate his argument. If he is right,do seemly as advised.

Kemade2007:
Pls Dr Lucky, I called my Doctor yesterday to know when to do my hormonal profile test and he said 21days from my AF, but from my Google research I learnt Day 3 for estrogen and 21days(for 28days circle i.e 7days after ovulation) for progesterone but for 4 me my average circle is 34days that means it should be around 27days for my progesterone. Now when I told him that this is what I learnt from google, he said I should ignore all those google research that I should do it on 21days.
Please enlighten me more on this. Thanks

You are just on point much as I don't want to put down a fellow here. A wrong calculation on ones menstrual cycle before a profiling can affect result and the implication can also be devastating.

The 18-21days is mainly streamed to 28-day cycle. This is when one should have the corpus luteum of menstruation secreting progesterone at its best. But when it is no longer 28-days,the range goes above the normal prediction. It simply means,some days above 21th day should follow an upsurge in progesterone synthesis from the corpus body.
I think your calculation shouldn't be overlooked.

K

LuckyG1:


Okay. Amidst the confusion, quickly run for a 3rd scan to either support or debate his argument. If he is right,do seemly as advised.

Okay then. I'll do another scan today to be sure of what's really happening. Thanks a lot

Hi

Pettyperty:
Hi house
My sister has uterine prolapse stage 2. her vaginal wall is prolapsed causing major tissue to show and she has only one child. Shes always constipated and she has incontinence. She was not properly sowed as she had 2nd degree tears during labor. The doctors she has seen were giving options as to maybe if she could remove her womb cos there haven't been correctional surgeries even in general hospital. Now that is not an option for her cos she's only 21.

We went for a scan and the results said it wasn't uterine prolapse. Which ever way, she's planning to do a vaginoplasty abroad next year. We are hoping this would solve the case because the way the tissue protrudes makes her have infections from time to time. She's always extra careful with hygiene but it doesn't help.

Your inputs please

She may need have a discussion with me...

LuckyG1:


You are just on point much as I don't want to put down a fellow here. A wrong calculation on ones menstrual cycle before a profiling can affect result and the implication can also be devastating.

The 18-21days is mainly streamed to 28-day cycle. This is when one should have the corpus luteum of menstruation secreting progesterone at its best. But when it is no longer 28-days,the range goes above the normal prediction. It simply means,some days above 21th day should follow an upsurge in progesterone synthesis from the corpus body.
I think your calculation shouldn't be overlooked.

Thank you Dr.

Happy Sunday all.
You can always reach me through:

1.WhatsApp (charges applicable)
2.Nl threads(charges not applicable)

But not on PM...

LuckyG1:


Okay. Amidst the confusion, quickly run for a 3rd scan to either support or debate his argument. If he is right,do seemly as advised.

I did the third scan yesterday. In another hospital. The doctor rules out the first test, he said it can never be ectopic. I told him about the first doctor and what he did. He told me he has heard a lot about him and that he is a pathetic doctor and he strongly advise people not to go there. Here I am wondering why they can allow such hospital to function.

He suggested an evacuation or if I can wait for 4 weeks if there ll be a positive result.
Presently, I am tired and fed up of all these. Im super scared of doing d and c. I hope there are other better options I can use for evacuation.

Please Dr, kindly assist in interpretation of this pelvic scan results
- Tiny oval shaped hypoehoiec foci are seen within the myometrium.
-uterus is non-gravid, normal sized, anteverted and returned homogeneous echoes
-the endometrial plate is normal
-both adnexia and P.O.D are free.
Impression: Feature is consistent with Fibroid seed

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Mzgracie:

I did the third scan yesterday. In another hospital. The doctor rules out the first test, he said it can never be ectopic. I told him about the first doctor and what he did. He told me he has heard a lot about him and that he is a pathetic doctor and he strongly advise people not to go there. Here I am wondering why they can allow such hospital to function.

He suggested an evacuation or if I can wait for 4 weeks if there ll be a positive result.
Presently, I am tired and fed up of all these. Im super scared of doing d and c. I hope there are other better options I can use for evacuation.

What's the name of the hospital so we can avoid going there

Docs in da house....plz am Jes 17 months and my legs are already swollen, plz wat myt be d cause? is it normal? how do I remedy it?

happymummy:


What's the name of the hospital so we can avoid going there

It's in Orogun, Ibadan. Prince Williams hospital...

chinnyness122:
Docs in da house....plz am Jes 17 months and my legs are already swollen, plz wat myt be d cause? is it normal? how do I remedy it?

Ma'am,I must tell I really don't understand your question. Could you please place it proper or better explain in a more absorbable writing. Thanks!

Kemade2007:
Please Dr, kindly assist in interpretation of this pelvic scan results
- Tiny oval shaped hypoehoiec foci are seen within the myometrium.
-uterus is non-gravid, normal sized, anteverted and returned homogeneous echoes
-the endometrial plate is normal
-both adnexia and P.O.D are free.
Impression: Feature is consistent with Fibroid seed

Ma'am,good morning. Your uterus(womb) :

• has the normal size by structure
•did not carry pregnancy
•endometrium(first layer cells of the inside of your womb) is normal. There was no link to knowing its thickness here. This does not tell any prediction for ovulation.
•Homogenous echoes retained simply mean,all levels or region across the uterus appear to bounce sound at same timing. Putting off any area of suspicion. However, a hyperechoic foci that bounce sound wave faster was observed. This carries an implication of fibroid,tiny though it was.

Mzgracie:

I did the third scan yesterday. In another hospital. The doctor rules out the first test, he said it can never be ectopic. I told him about the first doctor and what he did. He told me he has heard a lot about him and that he is a pathetic doctor and he strongly advise people not to go there. Here I am wondering why they can allow such hospital to function.

He suggested an evacuation or if I can wait for 4 weeks if there ll be a positive result.
Presently, I am tired and fed up of all these. Im super scared of doing d and c. I hope there are other better options I can use for evacuation.

Ma'am good morning. The most important thing is that you have known the position of things now. You should kindly run through former posts on this issue,we have greatly fervour this issue with candour and we expect you to follow suite as advised. Thanks!

Mzgracie:

It's in Orogun, Ibadan. Prince Williams hospital...

This should have been done in the private...

LuckyG1:


Ma'am,good morning. Your uterus(womb) :

• has the normal size by structure
•did not carry pregnancy
•endometrium(first layer cells of the inside of your womb) is normal. There was no link to knowing its thickness here. This does not tell any prediction for ovulation.
•Homogenous echoes retained simply mean,all levels or region across the uterus appear to bounce sound at same timing. Putting off any area of suspicion. However, a hyperechoic foci that bounce sound wave faster was observed. This carries an implication of fibroid,tiny though it was.

I'm so glad Dr. Thank you so much. Please Dr do I need to go for transvaginal scan based on the above results and do I need to worry about the fibroid though my Dr. said it's not something I should worry about. Thanks again

Good day Dr, I had bilateral tubal blockage and the tubes were flushed, the doctor declared them free and patent. Few months later I went for Hsg to confirm and I got the same result...'free spill was noted, both tubes are patent, the uterine cavity and cervical canal appear normal in calibre, shape, size and outline'. I ovulate normally but the doctor prescribed 100mg of clomid for me to aid conception, however when I went for transvaginal scan the clomid did the opposite, I had only one follicle about 22 by 20mm and thickened my endometrial lining to 21mm on cycle day 13. I have never had such before, I thought clomid was supposed to make it thinner and produce more follicles since I ovulate on my own in order to increase the chances of fertilization and conception The sonographer said something about it being overly thick. So I don't know if I can continue with the clomid as I had bfn that cycle. And how efficient are fallopian tubes that were blocked before and flushed opened? should I be concerned about them functioning properly? Is the bfn a result of the lining? and is the size of the follicle normal? Thanks a lot.

Kemade2007:


I'm so glad Dr. Thank you so much. Please Dr do I need to go for transvaginal scan based on the above results and do I need to worry about the fibroid though my Dr. said it's not something I should worry about. Thanks again

It is something though not to worry about especially if it is not followed by disturbing symptoms and complications.

Transvaginal scanning may not also be essential though should be necessarily done to confirm the result as part of management proceedings.

allure5:
Good day Dr, I had bilateral tubal blockage and the tubes were flushed, the doctor declared them free and patent. Few months later I went for Hsg to confirm and I got the same result...'free spill was noted, both tubes are patent, the uterine cavity and cervical canal appear normal in calibre, shape, size and outline'. I ovulate normally but the doctor prescribed 100mg of clomid for me to aid conception, however when I went for transvaginal scan the clomid did the opposite, I had only one follicle about 22 by 20mm and thickened my endometrial lining to 21mm on cycle day 13. I have never had such before, I thought clomid was supposed to make it thinner and produce more follicles since I ovulate on my own in order to increase the chances of fertilization and conception The sonographer said something about it being overly thick. So I don't know if I can continue with the clomid as I had bfn that cycle. And how efficient are fallopian tubes that were blocked before and flushed opened? should I be concerned about them functioning properly? Is the bfn a result of the lining? and is the size of the follicle normal? Thanks a lot.

When were you told to start using your clomifene citrate medication your cycle concern?

LuckyG1:


When were you told to start using your clomifene citrate medication your cycle concern?

Day 2-6 of my cycle.

LuckyG1:


It is something though not to worry about especially if it is not followed by disturbing symptoms and complications.

Transvaginal scanning may not also be essential though should be necessarily done to confirm the result as part of management proceedings.

Thanks again Dr. The Lord will continue to be with you.