Nurse In The Building: Sexual Health

yes i do have minor cramps during these short period. thanks

Thank yo very much

the last date is 17th of July -28th of july

Hon. Nurse in the house,



Please  i need your  advice , my wife used to complain that her private itches her with white fluid coming out of it , but now the white fluid is now turning yellowish. From my own end i dont experience any itching but once a while i do. Really, before we have treated syphilis taking anti-biotics.Right now she is pregnant, during her fisrt pregant she complain similar thing but thank God no problem at all. What do you think can be done to rectify this irritation once and for all?


What pill can someone take for birthcontrol? especially if the couple decided to go on flesh-to-flesh all the time?

Thanks.

Hello Dajonez,

Just wanted to know how possible it is for a pregnant woman to still menstruate. I heard it happens sometimes but i find it very hard to believe. please explain.

Secondly,

i read once that the withdrawal form of birth control is not effective because sperm around the vulva can still find its way up the virgina in the prescence of fertile fluid. is it therefore possible for a virgin, in her fertile phase, to get pregnant if she involves herself in sex play with a guy and the guy releases sperm around her virgina even without penetration. hope my questions are not silly, just being curious

Looking forward to your response

Thank you

Pls can i know d causes& symptom of pelvic inflammetory disease and the risks too

Please Nurse, she is 23 years
1.     my Girl friend's period has changed from 4 days to 2 days,
2.     She also has pain in the breast 15 days before her period.
3.     and recently has a white discharge in her vagina, she finds this there whenever she wakes up in the morning.

Please help, otherwise, i won't have sex with her again.

Can you please give your phone number so that she can give u a call, because she is not ready to go to the hospital or discuss this with anyone, but i am not happy.

Sorry am not a doctor, but l am tempted to respond to you.

Personally l dont think your gf has a problem.  l usually have breast pains one to two weeks before my period. thats hormonal changes (dr will give it a better name).  And the whitish slippery discharge she sees, if she counts or knows her ovulation period, she will notice that its purely ovulation discharge.  And l know some pple period last for 2days, and still no problem with it.  However, encourage her to go for HVS test, it will cost her about N2500 at any good lab, if you are in Lagos.

@DaJonez

Goodluck and success in your project!

That is quite good, but their is more to calculating the ovulation stages in a woman. you guys are only calculating based on a 28 day cycle, where different women, have different cycles (Especially if their cycles are irregular). Now lets get down to business for calculating.

Step 1:

You should make a note of when your next period starts, and also make note when your period comes again, in the following month, then you count the days in between them, this gives you the length of your cycle. You might want to do this for more than one month, You see, this is where an irregular cycle comes into the scene, as an irregular cycle is unpredictable, you might see it one month, then not see it for a month or two.

Example:
Period starts = 1st January
Next period starts = 3rd February
Days in between (including 1st Jan but not 3rd Feb) = 33 days.

Your menstrual cycle length is 33.

Step 2:

You can use this chart as a guide, to find the right number in the cycle legnth of your period. (for example the 33 calculated above) and read across for your ovulation day and most fertile days.


Cycle length: 22 Ovulation: Day 8  Most Fertile: Days 7-9

Cycle length: 23 Ovulation: Day 9  Most Fertile: Days 8-10

Cycle length: 24 Ovulation: Day 10 Most Fertile: Days 9-11

Cycle length: 25 Ovulation: Day 11 Most Fertile: Days 10-12

Cycle length: 26 Ovulation: Day 12 Most Fertile: Days 11-13

Cycle length: 27 Ovulation: Day 13 Most Fertile: Days 12-14

Cycle length: 28 Ovulation: Day 14 Most Fertile: Days 13-15

Cycle length: 29 Ovulation: Day 15 Most Fertile: Days 14-16

Cycle length: 30 Ovulation: Day 16 Most Fertile: Days 15-17

Cycle length: 31 Ovulation: Day 17 Most Fertile: Days 16-18

Cycle length: 32 Ovulation: Day 18 Most Fertile: Days 17-19

Cycle length: 33 Ovulation: Day 19 Most Fertile: Days 18-20

Cycle length: 34 Ovulation: Day 20 Most Fertile: Days 19-21

Cycle length: 35 Ovulation: Day 21 Most Fertile: Days 20-22

Cycle length: 36 Ovulation: Day 22 Most Fertile: Days 21-23

Step 3:

Work out your ovulation and most fertile dates. From the guide:

First day of last period = 3rd February 2008
Cycle Length = 33
Ovulation (19 days later) = 22nd February 2008
Most fertile (18-20 days later) = 21st and 23rd February 2008
If you find it complicated, do let me know then I'll calculate your ovulation/fertile dates for you.

Once you know your ovulation date, as a rule, you are most fertile the day before, during and the day after. Having have typed this, because sperm can survive for up to seven days in the right conditions, you could be fertile before and after these days. Also is it possible to ovulate during your period (according to research).


Pls Doctor i am in a fix at the moment. I can't and dont know how and when my ovulation starts and ends. The only thing i know right now is the length of my cycle which is so so irregular  . Soonest i shall be joining my husband to start a family but i dnt seem to know anything about pregnancy, cycle, ovulation etc. I hurt terribly over this. Although i have been chatting my menstrual dates for almost a year now and it does nothing as in i dnt understand it one bit.

Pls dearie help me out.
First, here is the last 8 months chat of my menstruation dates-

Jan- 3rd
Jan- 28th
Feb- 22nd
March- 21st
April- 16th
May- 7th
May- 31st
June- 28th
July- 23rd
August- 17th.

Please, I need you to;

1)help me calculate my ovulation dates, as in when i can ovulate and how i ca ngo about calculating it easily
2)Help me calculate my safe and unsafe periods for the next 6 months.
3) what is the actual length of my menstruation my cycle length?

Thanks so much. May the good Lord continuse to Bless you , Amen.

@ estilo, am not a medical practitioner. Let me deputise for the Nurse :

Pelvic inflammatory disease (or disorder) (PID) is a generic term for inflammation of the female uterus, fallopian tubes, and/or ovaries as it progresses to scar formation with adhesions to nearby tissues and organs. This may lead to tissue necrosis and sometimes abscess formation. Pus can be released into the peritoneum. Two thirds of patients with laparoscopic evidence of previous PID were not aware they had PID.[1] PID is often associated with sexually transmitted diseases, as it is a common result of such infections. PID is a vague term and can refer to viral, fungal, parasitic, though most often bacterial infections. PID should be classified by affected organs, the stage of the infection, and the organism(s) causing it. Although an STD is often the cause, other routes are possible, including lymphatic, postpartum, postabortal (either miscarriage or abortion) or intrauterine device (IUD) related, and hematogenous spread.

@estilo,
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Sexually Transmitted Diseases  >  Pelvic Inflammatory Disease Fact Sheet
Pelvic Inflammatory Disease - CDC Fact Sheet

 
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What is PID?
How common is PID?
How do women get PID?
What are the signs and symptoms of PID?
What are the complications of PID?
How is PID diagnosed?
What is the treatment for PID?
How can PID be prevented?
Where can I get more information?





Pelvic inflammatory disease (PID) is a general term that refers to infection of the uterus (womb), fallopian tubes (tubes that carry eggs from the ovaries to the uterus) and other reproductive organs. It is a common and serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea. PID can damage the fallopian tubes and tissues in and near the uterus and ovaries. PID can lead to serious consequences including infertility, ectopic pregnancy (a pregnancy in the fallopian tube or elsewhere outside of the womb), abscess formation, and chronic pelvic pain.



Each year in the United States, it is estimated that more than 1 million women experience an episode of acute PID. More than 100,000 women become infertile each year as a result of PID, and a large proportion of the ectopic pregnancies occurring every year are due to the consequences of PID.

 

PID occurs when bacteria move upward from a woman's vagina or cervix (opening to the uterus) into her reproductive organs. Many different organisms can cause PID, but many cases are associated with gonorrhea and chlamydia, two very common bacterial STDs. A prior episode of PID increases the risk of another episode because the reproductive organs may be damaged during the initial bout of infection.

Sexually active women in their childbearing years are most at risk, and those under age 25 are more likely to develop PID than those older than 25. This is partly because the cervix of teenage girls and young women is not fully matured, increasing their susceptibility to the STDs that are linked to PID.

The more sex partners a woman has, the greater her risk of developing PID. Also, a woman whose partner has more than one sex partner is at greater risk of developing PID, because of the potential for more exposure to infectious agents.

Women who douche may have a higher risk of developing PID compared with women who do not douche. Research has shown that douching changes the vaginal flora (organisms that live in the vagina) in harmful ways, and can force bacteria into the upper reproductive organs from the vagina.

Women who have an intrauterine device (IUD) inserted may have a slightly increased risk of PID near the time of insertion compared with women using other contraceptives or no contraceptive at all. However, this risk is greatly reduced if a woman is tested and, if necessary, treated for STDs before an IUD is inserted.



Symptoms of PID vary from none to severe. When PID is caused by chlamydial infection, a woman may experience mild symptoms or no symptoms at all, while serious damage is being done to her reproductive organs. Because of vague symptoms, PID goes unrecognized by women and their health care providers about two thirds of the time. Women who have symptoms of PID most commonly have lower abdominal pain. Other signs and symptoms include fever, unusual vaginal discharge that may have a foul odor, painful intercourse, painful urination, irregular menstrual bleeding, and pain in the right upper abdomen (rare).



Prompt and appropriate treatment can help prevent complications of PID. Without treatment, PID can cause permanent damage to the female reproductive organs. Infection-causing bacteria can silently invade the fallopian tubes, causing normal tissue to turn into scar tissue. This scar tissue blocks or interrupts the normal movement of eggs into the uterus. If the fallopian tubes are totally blocked by scar tissue, sperm cannot fertilize an egg, and the woman becomes infertile. Infertility also can occur if the fallopian tubes are partially blocked or even slightly damaged. About one in ten women with PID becomes infertile, and if a woman has multiple episodes of PID, her chances of becoming infertile increase.

In addition, a partially blocked or slightly damaged fallopian tube may cause a fertilized egg to remain in the fallopian tube. If this fertilized egg begins to grow in the tube as if it were in the uterus, it is called an ectopic pregnancy. As it grows, an ectopic pregnancy can rupture the fallopian tube causing severe pain, internal bleeding, and even death.

Scarring in the fallopian tubes and other pelvic structures can also cause chronic pelvic pain (pain that lasts for months or even years). Women with repeated episodes of PID are more likely to suffer infertility, ectopic pregnancy, or chronic pelvic pain.



PID is difficult to diagnose because the symptoms are often subtle and mild. Many episodes of PID go undetected because the woman or her health care provider fails to recognize the implications of mild or nonspecific symptoms. Because there are no precise tests for PID, a diagnosis is usually based on clinical findings. If symptoms such as lower abdominal pain are present, a health care provider should perform a physical examination to determine the nature and location of the pain and check for fever, abnormal vaginal or cervical discharge, and for evidence of gonorrheal or chlamydial infection. If the findings suggest PID, treatment is necessary.

The health care provider may also order tests to identify the infection-causing organism (e.g., chlamydial or gonorrheal infection) or to distinguish between PID and other problems with similar symptoms. A pelvic ultrasound is a helpful procedure for diagnosing PID. An ultrasound can view the pelvic area to see whether the fallopian tubes are enlarged or whether an abscess is present. In some cases, a laparoscopy may be necessary to confirm the diagnosis. A laparoscopy is a surgical procedure in which a thin, rigid tube with a lighted end and camera (laparoscope) is inserted through a small incision in the abdomen. This procedure enables the doctor to view the internal pelvic organs and to take specimens for laboratory studies, if needed.


PID can be cured with several types of antibiotics. A health care provider will determine and prescribe the best therapy. However, antibiotic treatment does not reverse any damage that has already occurred to the reproductive organs. If a woman has pelvic pain and other symptoms of PID, it is critical that she seek care immediately. Prompt antibiotic treatment can prevent severe damage to reproductive organs. The longer a woman delays treatment for PID, the more likely she is to become infertile or to have a future ectopic pregnancy because of damage to the fallopian tubes.

Because of the difficulty in identifying organisms infecting the internal reproductive organs and because more than one organism may be responsible for an episode of PID, PID is usually treated with at least two antibiotics that are effective against a wide range of infectious agents. These antibiotics can be given by mouth or by injection.  The symptoms may go away before the infection is cured. Even if symptoms go away, the woman should finish taking all of the prescribed medicine. This will help prevent the infection from returning. Women being treated for PID should be re-evaluated by their health care provider two to three days after starting treatment to be sure the antibiotics are working to cure the infection. In addition, a woman’s sex partner(s) should be treated to decrease the risk of re-infection, even if the partner(s) has no symptoms. Although sex partners may have no symptoms, they may still be infected with the organisms that can cause PID.

Hospitalization to treat PID may be recommended if the woman (1) is severely ill (e.g., nausea, vomiting, and high fever); (2) is pregnant; (3) does not respond to or cannot take oral medication and needs intravenous antibiotics; (4) has an abscess in the fallopian tube or ovary (tubo-ovarian abscess); or (5) needs to be monitored to be sure that her symptoms are not due to another condition that would require emergency surgery (e.g., appendicitis). If symptoms continue or if an abscess does not go away, surgery may be needed. Complications of PID, such as chronic pelvic pain and scarring are difficult to treat, but sometimes they improve with surgery

@aquita, thanks for the info.

I appreciate.

Esther