santagelo25: Pls Doctor,we got married in 2010 and i and my wife have been believing God for a child.I have done fluid test in two different hospitals and the result shows that i have zero sperm count(azoospermia) and she did a test on her self which reveal that she has candida and cyst but the pelvic scan is ok.We have taken series of natural herbs from two different people which have not given us any positive result.I have been taking VitA, VitE, VitC drugs and some other prescribed drugs.We started the treatment this January 2012.I have done a lot of research on the internet too.I need a help because my mother and my mother-in-law have been worried.My wife keep reminding me of people that got married after us that have their own child while some are expecting their second child.The experience has been depressing and demoralising.Lest i forget,three different girls have taken-in for me on different occasion.

Bisjosh: Please my dear people what could cause abnomal menstral cycle? This happened to my cousin today. She saw her period 2 weeks after the previous She's in panic though she went to see a doctor and he ran a scan on her. The result showed that there is nothing wrong with her What could be the cause of this please


NB She is still a virgin

Both of you will get my response soon

Pls doctor,am having this white thick discharge(like a paste)n I don't know y.I gave birth to my baby in May,not sexual active yet,but am having dis thick discharge(that I noticed like two weeks now)and its itching too.pls wat can I use or do.

NB-Am breastfeeding

santagelo25: Pls Doctor,we got married in 2010 and i and my wife have been believing God for a child.I have done fluid test in two different hospitals and the result shows that i have zero sperm count(azoospermia) and she did a test on her self which reveal that she has candida and cyst but the pelvic scan is ok.We have taken series of natural herbs from two different people which have not given us any positive result.I have been taking VitA, VitE, VitC drugs and some other prescribed drugs.We started the treatment this January 2012.I have done a lot of research on the internet too.I need a help because my mother and my mother-in-law have been worried.My wife keep reminding me of people that got married after us that have their own child while some are expecting their second child.The experience has been depressing and demoralising.Lest i forget,three different girls have taken-in for me on different occasion.

We are dealing with the problem of infertility here. But, before I label it infertility, I hope that you've had a regular, unprotected intercourse of atleast 3 different days in a week for one year. If this criteria is not met, then I can't label your condition infertility.

I must warn you to stop taking all the herbal concortions immediately. They might call it drugs or supplements. Just throw all of them into your waste bin.

If the result of your se.men analysis is to be believed, then you have a problem which need to be corrected. Candida infection in your wife cannot cause infertility.
Azoospermia is not the only information which may be of interest here.
I will be interested in sex hormone assay. These sex hormones include FSH, LH, and testosterone. I want to determine if you have a case of primary testicular failure.
I'm also interested in the breakdown of the se.men analysis. The following are normal parameters in se.men analysis:

Semen volume(atleast 1.5ml)
Spermatozoa count(atleast 20 million/ml)
Spe.rm motility(atleast 60%)
Morphology(60% normal forms)
WBC count in se.men(none)

There are some treatment options for you. But it depends on the cause of the infertility. The treatment is tailored to the cause. If some viable spe.rm cells can be salvaged from your eja.culate, then I suggest that you choose the option of In Vitro Fertilization(IVF). IVF is expensive, a session of IVF costs about N700K. The chances of conceiving in any session is 30%. If it fails, then you may have to repeat the session by paying another N700K. There are many IVF specialist in Nigeria, but I will recommend Prof. Onah for you. He is presently the HOD of Obstetrics and Gynaecologist in UNTH, Enugu and runs a successful private fertility clinic. You can come over to Enugu with your wife to meet him for him to plan and tailor your line of management based on the need of both of you.

All the best.

riccobabe: Pls doctor,am having this white thick discharge(like a paste)n I don't know y.I gave birth to my baby in May,not sexual active yet,but am having dis thick discharge(that I noticed like two weeks now)and its itching too.pls wat can I use or do.

NB-Am breastfeeding

By tradition, I would had advised you to meet a doctor. But I have to break from the tradition here and prescribe a medication for you. Mind you that it's unethical for a doctor to prescribe drug to a patient whom he did not examine. I hope that other doctors in the house will understand.

Follow these instructions below strictly:
Stop vag.inal douching with soaps, antiseptics or hot water.
Use only lukewarm water from time to time to douch.
Finally, buy mycoten cream and apply it to your private part liberally. Apply for atleast one month.

Bisjosh: Please my dear people what could cause abnomal menstral cycle? This happened to my cousin today. She saw her period 2 weeks after the previous She's in panic though she went to see a doctor and he ran a scan on her. The result showed that there is nothing wrong with her What could be the cause of this please


NB She is still a virgin

There is nothing wrong with her. The panic is unwarranted. This might be a simple case of simple hormonal imbalance. Human body physiology is not perfect and it tends to vary from time to time. I will be most worried if this becomes a pattern. Presently, there is no cause for alarm

A

Pls doctor, kindly explain....My result 4 HP is thus,
FSH - 4.3mIU/ml
LH - 1.7mIU/ml
Prolactin - 6.0mIU/l
Progesterone - 9.0nmol/L
.....pls explain EUPITUITARY, OVULATORY CYCLE
And my husband- total spermatozoa count per Ejaculate 25.2million/ejaculation

santagelo25:
Thanks a lot for the advice.I really appreciate.As per regular unprotected intercourse for 3days in a week,i really can not assure you that.There are times that we stay without having intercourse for 2weeks on a stretch. I have stop taking the natural herbs after the medical doctor told us that i will have to go for biopsy.They did culture of my semen and found out that it is not infection of any kind.I did an operation some time in 1983,that resulted to my having 1 testicle.The doctor confirm that it has nothing to do with my semen and will not stop me from impregnating my wife.He said i have chance of fathering a child like every normal being as long as my semen is active.I confirm it on WEDMB to be true.Everything about my semen analysis is nil,zero...The IVF option is somehow expensive for my level.

You should endeavour to have intercourse frequently. Especially during her ovulation period.
There must be a reason behind the request by the gynaecologist for a testicular biopsy. The most plausible reason behind this investigation is testicular failure. That is why I would want to peep into the result of the investigation for the sex hormones assay(FSH, LH and testosterone). So can you be kind enough to post them?

The history of surgery around your Instruments is very important to us because you might have had:
1. Chemical orchidectomy: Where an antibody produced against the removed testis, attacks with the viable testis. Thereby destroying its cells and rendering the non-functional, OR,
2. Vanishing testis syndrome: The operating surgeon might have mistakenly tampered with the blood supply to the viable testis. With time, the testis becomes smaller in size, then eventually becomes non-viable and forms a small ball of fibrous tissue.
Was the surgery you performed in 1983 elective or emergency?
If elective, did the surgeon request for se.men analysis prior to the surgery?

Any remote evidence to suggest primary testicular failure can prompt the doctor to request for testicular biopsy. This is the investigation of the last resort. It might interest you to know that the biopsy is not necessarily aimed at helping you. It is just to confirm the doctor's suspicion of testicular failure and for documentation.
If this is to be the case, then you may have to discuss the option of adoption with your wife.

tokerom: Pls doctor, kindly explain....My result 4 HP is thus,
FSH - 4.3mIU/ml
LH - 1.7mIU/ml
Prolactin - 6.0mIU/l
Progesterone - 9.0nmol/L
.....pls explain EUPITUITARY, OVULATORY CYCLE
And my husband- total spermatozoa count per Ejaculate 25.2million/ejacu.lation

Eupituitary means normal pituitary hormones.
Ovulatory cycle is the period when ovulation occurs(when ova are shed from the ovary). It is exactly 14 days to the start of the next mestruation. Someone with 28 days menstrual cycle is expected to ovulate on the 14th day.
The sp.erm cells count in your husband's eja.culate is normal and save for the morphology and motility of the spermatozoas, I wont expect him to experience the problem of male infertility.

P.S: post the normal values besides the laboratory values next time.

tokerom: Pls doctor, kindly explain....My result 4 HP is thus,
FSH - 4.3mIU/ml
LH - 1.7mIU/ml
Prolactin - 6.0mIU/l
Progesterone - 9.0nmol/L

In addition to what ACM10 wrote above,here is an interpretation of the result

FSH - 4.3mIU/ml, Your Follicle Stimulating hormone (FSH) is excellent.
It is used as a way to determine the level of your ovarian reserve.

LH - 1.7mIU/ml Luteinizing Hormone (LH) ok

Prolactin - 6.0mIU/l ok

Progesterone - 9.0nmol/L Will like to know if test was conducted on Day 3 of your cycle or Day 7 after
ovulation.

Thanks doc, test was conducted on Day 22 of my cycle .....I'm not sure of what day I ovulated

You should endeavour to have intercourse frequently. Especially during her ovulation period.
There must be a reason behind the request by the gynaecologist for a testicular biopsy. The most plausible reason behind this investigation is testicular failure. That is why I would want to peep into the result of the investigation for the sex hormones assay(FSH, LH and testosterone). So can you be kind enough to post them?

The history of surgery around your Instruments is very important to us because you might have had:
1. Chemical orchidectomy: Where an antibody produced against the removed testis, attacks with the viable testis. Thereby destroying its cells and rendering the non-functional, OR,
2. Vanishing testis syndrome: The operating surgeon might have mistakenly tampered with the blood supply to the viable testis. With time, the testis becomes smaller in size, then eventually becomes non-viable and forms a small ball of fibrous tissue.
Was the surgery you performed in 1983 elective or emergency?
If elective, did the surgeon request for se.men analysis prior to the surgery?

Any remote evidence to suggest primary testicular failure can prompt the doctor to request for testicular biopsy. This is the investigation of the last resort. It might interest you to know that the biopsy is not necessarily aimed at helping you. It is just to confirm the doctor's suspicion of testicular failure and for documentation.
If this is to be the case, then you may have to discuss the option of adoption with your wife.






We normally during her ovulation period but every other is optional base on when we are in the mood.The doctor didn`t do any further test after the semen analysis.I will send the datails of the test tomorrow because i dont have it here with me.I have not done the FSH,LH,Testosterone test.
I cant remember if the surgery is elective or emergency.I was 10 years old.I only know that my father took me to hospital because the balls in my scrotum normally run up to somewhere in my stomach(Cant explain it better).
I love your explanation..It has been relieving..
God bless you.

@Santagelo25,
Sp.erm analysis on its own is insufficient reason to order for a testicular biopsy. There must be hormone analysis.
I will tell you why this is important. There are 2 important areas in the production of male sex hormones in the body. They are the brain(hypothalamus and pituitary gland) and the testis. Hypothalamus produces the gonadotrophin releasing hormones(GnRH) which stimulates the pituitary gland to produce follicle stimulating hormones(FSH) and luteinizing hormones(LH). FSH and LH stimulates the testis. LH stimulates the Lehdig cells which produces testosterone, while FSH stimulates the Nurse cells which provides spermatozoa and substances that nourishes the sp.erm cells. So, it flows like this:

GnRH--->FSH & LH--->Testosterone

The level of each hormone in the system is tightly controlled through negative feedback mechanism. Therefore when the testosterone level is low in the system, a testosterone sensor in the brain will instruct the brain to produce more of FSH and LH to stimulate the testis to function in the production of more testosterone. If the testis fails to function, the LH level will double down with in the level of LH. The process continues till infinity. Thereby overflogging the testis. There is a level that FSH and LH will attain before we can safely say that there is primary testicular failure. Then the doctor is justified to perform a testicular biopsy. It's just like flogging a dead horse. So when the sex hormone analysis demonstrates very high level of FSH and LH in the presence of very low level of testosterone indicates primary testicular failure.

Mind you that sex hormone analysis may also indicate if there is hormonal imbalance. This can be corrected and your fertility restored. Therefore, sex hormone analysis is imperative in the management of your condition.

hello Dr more grease to ur elbow for all uv been doing in this thread,pls il love if u can explain this ultra sound scan result:bulky uterus with AP diameter - 6.35cm.irregular serosal outline;anteverted in position.multiple intramural and subserosal fibroid nodes seen in the anterior and posterior myometrial walls with the largest measuring - 3.97 in long axis diameter.The cavity is empty and the endometrial stripe is thick and echogenic.The adxena are obscured by acoustic shadows.pouch of douglas is empty.op to hear from u soon.

tokerom: Thanks doc, test was conducted on Day 22 of my cycle .....I'm not sure of what day I ovulated

That means some form of ovulation was detected but doctors will prefer to see a level of 10 on a natural cycle to confirm normal ovulation cycle.
How many days do you have in your menstrual cycle?

joesQ: hello Dr more grease to ur elbow for all uv been doing in this thread,pls il love if u can explain this ultra sound scan result:bulky uterus with AP diameter - 6.35cm.irregular serosal outline;anteverted in position.multiple intramural and subserosal fibroid nodes seen in the anterior and posterior myometrial walls with the largest measuring - 3.97 in long axis diameter.The cavity is empty and the endometrial stripe is thick and echogenic.The adxena are obscured by acoustic shadows.pouch of douglas is empty.op to hear from u soon.

The ultrasound report is consistent with the diagnosis of subserosal fibroid. It was even mentioned in the radiologist report.

goodmorn dr thx for ur reply,pls can one conceive with this?or shld one go for surgery to get rid of d fibroid b4 trying to conceive.op to hear from soon

God bless you doctors for the good work, well my cycle is being irregular since March, it always was 28 days n all of a sudden its either 29, 30, 31, 32 or 33 days but the last cycle was 31 days......April 21,may 24,June 22,july 20,august 20, pls what do you think happened to me

Just to follow the thread guys. I ain't here to attend to nobody.

tokerom: God bless you doctors for the good work, well my cycle is being irregular since March, it always was 28 days n all of a sudden its either 29, 30, 31, 32 or 33 days but the last cycle was 31 days......April 21,may 24,June 22,july 20,august 20, pls what do you think happened to me

Basically, hormonal imbalance is the main cause of irregular periods.Especially estrogen and progesterone.These hormones can be affected to a lot of factors not excluding pregnancy.Some of these factors includes stress,nutrition,birth control pills,additional weight gain,excess exercise,caffeine,alcohol,smoking also there could be an underlying medical condition causing it with a doctor musr verify.

joesQ: goodmorn dr thx for ur reply,pls can one conceive with this?or shld one go for surgery to get rid of d fibroid b4 trying to conceive.op to hear from soon

You can attempt to conceive. Many women were been able to conceive in the presence of bulky fibroid in their womb. But remember that fibroid can also cause infertility. If your attempt at conceiving fails, meet you gynaecologist.

Happy new week to everyone!
Doctor good morning o and I must commend the good work you're doing here..more wisdom and grace IJN. I've been ttc-ing for 2yrs 2 weeks now o...I need you to explain these medical terms in the several different results I have here presently..

Had Hormonal Profile test 21st Aug which says: LH - 10,FSH - 12 *both ranges are btw 4-20m/l*, Prolactin - 18ng/ml (6-24ng/ml),Progesterone - 12ng/ml (5-36ng/ml)

Had my HVS 10th sept Monday and the result collected 13th says,
MICRO:Pus cells: 1- 2hpf,Epithelial cells: +, others: Nil
CULTURE: yielded no growth after 48hrs incubation at 37°c
No drugs recommended in the result given.

Also,did FOLLICULOMETRY and The first Follicle test done 10th Monday sept *my cd 15*says follicle sighted at the right ovary 27mm,left ovary nil,follicle sighted in the right ovary has attained maximum ovulation diameter range,was advised to repeat process two days after..so,12th Wednesday sept my cd 17 another follicle test says right ovary 29mm,left ovary nil,previously sighted follicle in the right ovary has attained maximum ovulation diameter range but yet to rupture.,was told to repeat two days later.Then,14th Friday sept my cd 19 ,left ovary nil,right ovary eggs dropped..previously sighted Follicle in the right ovary had contracted with internal hemorrhage confirming ovulation...

Had PELVIC SCAN TEST on Monday 10th sept cd 15 which says:
USS shows a normal sized uterus with an AP diameter of 4.2cm,the outline is regular,the endometrial plate appears normal,the myometrial texture is normal,both ovaries appear normal in sizes and structure,the adnexae is free bilaterally,pouch of Douglas is free,no free pelvic collection sighted,no fibroid,no cysts,no cyesis or retained products..assessment given was: normal pelvic sonogram...
Just the Lil confusion is the spotting o on sept12th-sept13th*cd 17-18*
Well,I have been obeying the knackson instruction since Thursday o....
make God help person,our efforts will not be in vain! Taking folic acid alone too since Friday and hubby will run his SFA this Thursday! What do I do or take?
Thanks ,anticipating your response to my plenty test o..

@ACM10

Sp.erm analysis on its own is insufficient reason to order for a testicular biopsy. There must be hormone analysis.
I will tell you why this is important. There are 2 important areas in the production of male sex hormones in the body. They are the brain(hypothalamus and pituitary gland) and the testis. Hypothalamus produces the gonadotrophin releasing hormones(GnRH) which stimulates the pituitary gland to produce follicle stimulating hormones(FSH) and luteinizing hormones(LH). FSH and LH stimulates the testis. LH stimulates the Lehdig cells which produces testosterone, while FSH stimulates the Nurse cells which provides spermatozoa and substances that nourishes the sp.erm cells. So, it flows like this:

GnRH--->FSH & LH--->Testosterone

The level of each hormone in the system is tightly controlled through negative feedback mechanism. Therefore when the testosterone level is low in the system, a testosterone sensor in the brain will instruct the brain to produce more of FSH and LH to stimulate the testis to function in the production of more testosterone. If the testis fails to function, the LH level will double down with in the level of LH. The process continues till infinity. Thereby overflogging the testis. There is a level that FSH and LH will attain before we can safely say that there is primary testicular failure. Then the doctor is justified to perform a testicular biopsy. It's just like flogging a dead horse. So when the sex hormone analysis demonstrates very high level of FSH and LH in the presence of very low level of testosterone indicates primary testicular failure.

Mind you that sex hormone analysis may also indicate if there is hormonal imbalance. This can be corrected and your fertility restored. Therefore, sex hormone analysis is imperative in the management of your condition.




Here is the analysis

Colour------ Greyish white
PH---------- 8.0
Viscousity----- Moderately viscous
Consistency----- Transparent
%Sluggish----- Nil
Active ----- Nil
%Dead ---- Nil
Volume --- 5mls
Motile Spermatozoa --- 0%
Spermatozoa concentration ---- Nil
Total Spermatozoa count -- Nil
Mean Progressive Mobility -- NIL

Thanks a lot.

santagelo25: Here is the analysis

Colour------ Greyish white
PH---------- 8.0
Viscousity----- Moderately viscous
Consistency----- Transparent
%Sluggish----- Nil
Active ----- Nil
%Dead ---- Nil
Volume --- 5mls
Motile Spermatozoa --- 0%
Spermatozoa concentration ---- Nil
Total Spermatozoa count -- Nil
Mean Progressive Mobility -- NIL

Thanks a lot.

Thanks for posting the result of your se.men analysis. Though the outlook seems grim, but I still suggest that you must do a sex hormone assay before doing testicular biopsy. That's the standard protocol. I erroneously advised you to meet a gynaecologist in my previous comments. Pls meet a urologist in any teaching hospital or other tertiary institutions near you. They are the experts in the management of male infertility. Sorry for the mix up

slimphemmie: Happy new week to everyone!
Doctor good morning o and I must commend the good work you're doing here..more wisdom and grace IJN. I've been ttc-ing for 2yrs 2 weeks now o...I need you to explain these medical terms in the several different results I have here presently..

Had Hormonal Profile test 21st Aug which says: LH - 10,FSH - 12 *both ranges are btw 4-20m/l*, Prolactin - 18ng/ml (6-24ng/ml),Progesterone - 12ng/ml (5-36ng/ml)

Had my HVS 10th sept Monday and the result collected 13th says,
MICRO:Pus cells: 1- 2hpf,Epithelial cells: +, others: Nil
CULTURE: yielded no growth after 48hrs incubation at 37°c
No drugs recommended in the result given.

Also,did FOLLICULOMETRY and The first Follicle test done 10th Monday sept *my cd 15*says follicle sighted at the right ovary 27mm,left ovary nil,follicle sighted in the right ovary has attained maximum ovulation diameter range,was advised to repeat process two days after..so,12th Wednesday sept my cd 17 another follicle test says right ovary 29mm,left ovary nil,previously sighted follicle in the right ovary has attained maximum ovulation diameter range but yet to rupture.,was told to repeat two days later.Then,14th Friday sept my cd 19 ,left ovary nil,right ovary eggs dropped..previously sighted Follicle in the right ovary had contracted with internal hemorrhage confirming ovulation...

Had PELVIC SCAN TEST on Monday 10th sept cd 15 which says:
USS shows a normal sized uterus with an AP diameter of 4.2cm,the outline is regular,the endometrial plate appears normal,the myometrial texture is normal,both ovaries appear normal in sizes and structure,the adnexae is free bilaterally,pouch of Douglas is free,no free pelvic collection sighted,no fibroid,no cysts,no cyesis or retained products..assessment given was: normal pelvic sonogram...
Just the Lil confusion is the spotting o on sept12th-sept13th*cd 17-18*
Well,I have been obeying the knackson instruction since Thursday o....
make God help person,our efforts will not be in vain! Taking folic acid alone too since Friday and hubby will run his SFA this Thursday! What do I do or take?
Thanks ,anticipating your response to my plenty test o..

The standard protocol in the management of infertility case in any tertiary institution is that the men should be investigated first! Some studies shows that men contribute 30% of infertility problem, while women contribute 30%, both(30%), unknown(10%). Some recent studies even suggests that men contribute 40% of cases of infertility, women(20%), both(30%), unknown(10%). So any case of infertility which excludes men is a nonstarter. Researchers has found out that men contribute more to infertility compared to women. We've passed the age when women takes all the blame for infertility. So I expect you to post the result of your partner's se.men analysis.

Hey doc my friend is really in need of your help shes 19 and still a virgin she has had this whitish virginal discharge for a couple of years now she has had some tests done which indicated that she had staph and candida but she has takn lots of drugs now the test shows she has staph but the drugs dont work she has taking sooo many and the discharge is still there she has really painful menstruation she did a scan some years back which showed a mass in her stomach but didnt take it serious but now shes really scared what should she do

bambi17: Hey doc my friend is really in need of your help shes 19 and still a virgin she has had this whitish virginal discharge for a couple of years now she has had some tests done which indicated that she had staph and candida but she has takn lots of drugs now the test shows she has staph but the drugs dont work she has taking sooo many and the discharge is still there she has really painful menstruation she did a scan some years back which showed a mass in her stomach but didnt take it serious but now shes really scared what should she do

I have to make a general statement here.

1. Staphylococcus aureus neither causes urinary tract infection(UTI), nor sexually transmitted infections(STI).
Staph. aureus is part of the microbes that lives freely on our skin as normal flora. So much misinformations from charlatans.
Staph aureus in the test sample is a contaminant as a result of poor technique.

2. You don't do any form of investigation arbitrarily. Investigations must be requested by the attending physician or surgeon.

3. Don't take medication without doctors approval. Only doctors have the competence to prescribe drugs based on the clinical scenario presented to them. Anyone that insists on self-medication should be ready to live with its consequence(s).


Coming to your post.
1. She should maintain a proper body hygiene.

2. STOP VA.GINAL DOUCHING with soaps, antiseptics or hot water. Va.ginal douching can only be done once in a while with LUKEWARM water..

3. Finally, I hate to prescribe any form of medication online, but I got to do this one. Buy mycoten cream and apply it liberally in and around your private part for one month. I expect you to finish a tube every 3 days.

If your condition fails to improve. Meet a gynaecologist.

Yes,depending on the type and cause of blockage but from what I read hear,Fertility massage and the castor oil therapy can help unblock them.
THE CASTOR OIL THERAPY IS FOR DRINKING?

Good evening, I miscarried last month and had 2 go through an evacuation. The doc said it stopped growing @ 5wks 2days while I was supposed to be 9wks plus. My question is can I count my mc from the day of the evacuation?

mamapendo: Good evening, I miscarried last month and had 2 go through an evacuation. The doc said it stopped growing @ 5wks 2days while I was supposed to be 9wks plus. My question is can I count my mc from the day of the evacuation?

what is the meaning of the abbreviation "mc"?

Menstrual cycle. Soory 4 dat.