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Doctor In The House:Obstetrics And Gynecology - Health (132) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by Joodaaa(m): 7:03pm On Oct 26, 2014
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Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 6:32pm On Oct 27, 2014
went 4 a pelvic scan 2day, n d sonographer said all was well n deer was noting wrong with baby, bt I was surprise 2 c on d result dat I was 34 wks gone n edd is early DEC instead of 37wks n my edd being 2nd wk in Nov. I'm used 2 seeing a week differences in dis results, bt I tink 3 wks difference is just 2 much. my doctor did a tummy measurement n concluded dat my baby was way past 36 weeks n I shldnt b worried. its really hard not 2 worry even though I read some sites dat gave some assurances. I'd like 2 know wat can cause such huge difference in d edd date. awaiting ur quick response.
@ Twichnnie I won't also mind if u ans dis.

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Re: Doctor In The House:Obstetrics And Gynecology by JoeBenzema: 6:49pm On Oct 27, 2014
Good evening marc9. You doing a good job.
Can you give a prescription to someone who has been diagonized with cervicitis. I lost the prescription my doctor gave me and am not physically close to him.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 7:36pm On Oct 27, 2014
JoeBenzema:
Good evening marc9. You doing a good job.
Can you give a prescription to someone who has been diagonized with cervicitis. I lost the prescription my doctor gave me and am not physically close to him.


I wished I could, but I'm not allowed to to Rx on social media. Morever, I can't Rx drugs since I don't know the actual cause of your cervicitis. Infection most times is responsible, but how would I know the causative organism? It could be bacteria(N.gonorrhea,) or protozoa(Chlamydia trichomatis) or fungi(Candida albican). I'm sure your doctor examined you, and also ran a swab culture and sensitivity test. So he/she has an idea what organism is responsible, but I don't. I can't just ask you to get regimen against what I'm blind to. I lack knowledge of your sexual history, which could explain how the infection came about, and if you'll have to protect yourself after medication, lest your partner re-infect you.


But then, what happened to your physician's phone line? Can't you put a call across?
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 8:22pm On Oct 27, 2014
MumZ:
went 4 a pelvic scan 2day, n d sonographer said all was well n deer was noting wrong with baby, bt I was surprise 2 c on d result dat I was 34 wks gone n edd is early DEC instead of 37wks n my edd being 2nd wk in Nov. I'm used 2 seeing a week differences in dis results, bt I tink 3 wks difference is just 2 much. my doctor did a tummy measurement n concluded dat my baby was way past 36 weeks n I shldnt b worried. its really hard not 2 worry even though I read some sites dat gave some assurances. I'd like 2 know wat can cause such huge difference in d edd date. awaiting ur quick response.
@ Twichnnie I won't also mind if u ans dis.

@ marc9, u dint ans my question. pls kindly do. tank u
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:03am On Oct 28, 2014
MumZ:
went 4 a pelvic scan 2day, n d sonographer said all was well n deer was noting wrong with baby, bt I was surprise 2 c on d result dat I was 34 wks gone n edd is early DEC instead of 37wks n my edd being 2nd wk in Nov. I'm used 2 seeing a week differences in dis results, bt I tink 3 wks difference is just 2 much. my doctor did a tummy measurement n concluded dat my baby was way past 36 weeks n I shldnt b worried. its really hard not 2 worry even though I read some sites dat gave some assurances. I'd like 2 know wat can cause such huge difference in d edd date. awaiting ur quick response.
@ Twichnnie I won't also mind if u ans dis.


Such disparity is owing to human error. It is either the sonography wasn't accurately done and interpreted, or your doctor simply over-assumed after he palpated, observed the fetal heartbeat, and measured your tummy.
I'll advise you go run a confirmatory scan and check your EDD at another diagnostic centre and see if it tallies with the former or the latter.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:55am On Oct 28, 2014
Marc9:


Such disparity is owing to human error. It is either the sonography wasn't accurately done and interpreted, or your doctor simply over-assumed after he palpated, observed the fetal heartbeat, and measured your tummy.
I'll advise you go run a confirmatory scan and check your EDD at another diagnostic centre and see if it tallies with the former or the latter.

Sir,i am humbled by how your ways of rendering answers to questions of our women.Nice of you,thanks!

In respect to MumZ question,i would advice she worries little about her sonographical EDD,this is because sonographical EDD do show variability as the pregnancy progresses.I am not surprise that she might come to write another sonographical EDD from another diagnostic centre.But if you study these results you will understand that each of the records fall into a central tendency which can actually fall out a specific derivable average EDD.I do tell women to keep in mind all the EDDs shown and recorded to them and respectfully by mentality prepare for each day.Nevertheless,sonographical EDD at the early trimester (if done with least error) of gestation is more truer than any EDD gotten at the other trimesters.So the 1st EDD should be taken somewhat seriously.Now,as i usually may do for some confused cases of EDD,would be to calculate the average EDD for a preggy that has more than 3 EDDs.I will have a value that is close to all the EDDs,this insinuation has helped me again and again on attending to most women...

Marc9,i love your sense of view,hope mine is pardon?
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 7:58am On Oct 28, 2014
LuckyG1:


Sir,i am humbled by how your ways of rendering answers to questions of our women.Nice of you,thanks!

In respect to MumZ question,i would advice she worries little about her sonographical EDD,this is because sonographical EDD do show variability as the pregnancy progresses.I am not surprise that she might come to write another sonographical EDD from another diagnostic centre.But if you study these results you will understand that each of the records fall into a central tendency which can actually fall out a specific derivable average EDD.I do tell women to keep in mind all the EDDs shown and recorded to them and respectfully by mentality prepare for each day.Nevertheless,sonographical EDD at the early trimester (if done with least error) of gestation is more truer than any EDD gotten at the other trimesters.So the 1st EDD should be taken somewhat seriously.Now,as i usually may do for some confused cases of EDD,would be to calculate the average EDD for a preggy that has more than 3 EDDs.I will have a value that is close to all the EDDs,this insinuation has helped me again and again on attending to most women...

Marc9,i love your sense of view,hope mine is pardon?


One hand doesn't lift a hot pot of soup. It takes two hands.

Feel free to always chip in your view as well.

Well in regard to EDD, like I said, one of both medics erred or over-assumed. I don't know about EDD varying as pregnancy progresses. All I know is it takes 40weeks from the start of the last menstruation for a pregnancy to progress to a 'term'.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:03am On Oct 28, 2014
MumZ, can you remember the date of your last menstruation? If you can, I'll calculate your EDD, without a sonogram or palpation or tummy measurement.
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 9:49am On Oct 28, 2014
Marc9:
MumZ, can you remember the date of your last menstruation? If you can, I'll calculate your EDD, without a sonogram or palpation or tummy measurement.

yes o, Feb 8th, dats y I know dis last scan result is really off. all oda scan dates I got were all 2nd week in Nov, which I know is accurate, dis 1 just jumpd 2 1st week in DEC. like Lucky G said, I also read dat earlier scans r more accurate, bt I'm just worried cos of d 2 much time differences in d edd. my 1st child edd dates were all in dsame week. tanks 4 ur time doc.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 9:53am On Oct 28, 2014
Marc9:
MumZ, can you remember the date of your last menstruation? If you can, I'll calculate your EDD, without a sonogram or palpation or tummy measurement.

Naegele's rule or Parikh formula....?
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 10:00am On Oct 28, 2014
MumZ:


yes o, Feb 8th, dats y I know dis last scan result is really off. all oda scan dates I got were all 2nd week in Nov, which I know is accurate, dis 1 just jumpd 2 1st week in DEC. like Lucky G said, I also read dat earlier scans r more accurate, bt I'm just worried cos of d 2 much time differences in d edd. my 1st child edd dates were all in dsame week. tanks 4 ur time doc.

Was Feb 8th,the 1st day of your LMP? How many days cycle did you run before your preggy?

Don't worry,Dr. Marc can handle this out..

*peace*
Re: Doctor In The House:Obstetrics And Gynecology by kweenkong(f): 10:02am On Oct 28, 2014
Marc9
Nice job u are doing. God bless you. i have been TTC for close to 6 months now , had a miscarriage in Febuary ending at 8 weeks and my doctor couldnt find any issue although i suspected a non alcholic drink i had in excess the previous day . I just started ovulating in the past month what can i do to improve my chances. Thank you
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 10:37am On Oct 28, 2014
MumZ:


yes o, Feb 8th, dats y I know dis last scan result is really off. all oda scan dates I got were all 2nd week in Nov, which I know is accurate, dis 1 just jumpd 2 1st week in DEC. like Lucky G said, I also read dat earlier scans r more accurate, bt I'm just worried cos of d 2 much time differences in d edd. my 1st child edd dates were all in dsame week. tanks 4 ur time doc.
Your EDD is 15th of November 2014!!!!!
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 11:01am On Oct 28, 2014
Few ladies give birth on their EDD. Quite a lot of them seem to go into labour seven(7) or nine(9) days before their due dates or after their due dates.

MumZ, here's what your adorable baby now looks like..... smiley

Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 11:40am On Oct 28, 2014
kweenkong:
Marc9
Nice job u are doing. God bless you. i have been TTC for close to 6 months now , had a miscarriage in Febuary ending at 8 weeks and my doctor couldnt find any issue although i suspected a non alcholic drink i had in excess the previous day . I just started ovulating in the past month what can i do to improve my chances. Thank you

Since you've started ovulating, all you need do is ensure you meet your partner within your fertile period. I'm sure you'll take in, since ovulation has resumed.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 11:42am On Oct 28, 2014
kweenkong:
Marc9
Nice job u are doing. God bless you. i have been TTC for close to 6 months now , had a miscarriage in Febuary ending at 8 weeks and my doctor couldnt find any issue although i suspected a non alcholic drink i had in excess the previous day . I just started ovulating in the past month what can i do to improve my chances. Thank you

Even at 6months,you still have little to worry about not being pregnant after a miscarriage.Some miscarriage are unexplainable and to have pregnancy is to wait a proper integrity of the uterine lining if after some curetting done.

These times are allowable for reproductive hormones to balance up to their primary activities after which conception is receptable.

How do you know you have started ovulating? If trully you have been ovulating,then you really have no need to worry too much.It is known that during your ovulation wake the chance of conception is very high.Do yourself more good by keeping to this mid-cycle.

Nevertheless,other chances are open to help you if there is any assumable abnormality causing the sub-fertility,this service should render to you by a physical doctor.
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 12:32pm On Oct 28, 2014
LuckyG1:


Was Feb 8th,the 1st day of your LMP? How many days cycle did you run before your preggy?

Don't worry,Dr. Marc can handle this out..

*peace*

yep, dat was d 1st day, lasted for 3days.
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 12:36pm On Oct 28, 2014
Marc9:
Your EDD is 15th of November 2014!!!!!

tanks 4 going all out 2 do dis, appreciate picture 2. I also ffg baby centre so I get d weekly descriptions. I've done about 5 scans b4 yestdy n all d edd dates given were btw 11th - 16th Nov, me no know where yestdy scan now came up wit DEC date.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 1:02pm On Oct 28, 2014
MumZ:


tanks 4 going all out 2 do dis, appreciate picture 2. I also ffg baby centre so I get d weekly descriptions. I've done about 5 scans b4 yestdy n all d edd dates given were btw 11th - 16th Nov, me no know where yestdy scan now came up wit DEC date.


Well things like this happen though. Human error. Maybe the sonographer was thinking about his rent. The landlord might have given him a sleepless night.

Well, just take it as an iatrogenic mistake and pardon him!
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 1:34pm On Oct 28, 2014
Marc9:


Well things like this happen though. Human error. Maybe the sonographer was thinking about his rent. The landlord might have given him a sleepless night.

Well, just take it as an iatrogenic mistake and pardon him!

lol, tanks 4 ur time, really appreciated.
Re: Doctor In The House:Obstetrics And Gynecology by evankelly123: 1:45pm On Oct 28, 2014
Hello Doc,made mistake the last time... my result is
FSH....12.0m,LH 17.0,Prolactin 28.0,and Progesterone is 7.5ng.My boo went for Sperm Analysis and the result is.....
Morphology.....Normal ....75%
Viability......Abnormal ...... 25%
MOTILITY ....Active ..... 40% , Sluggish 20%
Dead/Non Motile .....40%. COUNT ..... 45.8×10 cull/mls.Comments... No growth after 24hrs of incubation. Went to see my gynae and he gave me...Tab Clomid 50mg Bd×5dayz ×3cycles. Tab Bromocrifitine(parlodel). Then he place my boo on Doxycap ,Secwid ,tab vit c and folic acid
Note:Had PID bfore ,was treated with doxycap and secwid so he decided to place him too on the medication.
Donot no why he didnt place him on drugs to improve his Sperm count. we have been trying for 10months. ls there anydrugs u can recommend for that. thanx
Re: Doctor In The House:Obstetrics And Gynecology by Wehnby: 4:58pm On Oct 28, 2014
Hello Doc, I have been following this thread for sometime now. I will like to seek your opinion here. I have been diagnosed with fibroids and my husband with low sperm count, we have been trying for a child for about five years now. I'm scared of going through surgery because of all the things I've heard concerning people that went for surgery and so many things happened along the line. Its either they die in the process or they find it difficult to conceive after that. I want to know if I can do IVF/IUI without removing the fibroids, please I need your opinion urgently.
Re: Doctor In The House:Obstetrics And Gynecology by lizzydamsel: 5:34pm On Oct 28, 2014
Kudos to the doctors in the haux, I just found dat I'm pregnant and I av been having sleppless 9t and day. I sleep for abt 3hrs every 9t and couldn't sleep during d day. I unconsciously took a sleeping pill last week but to no avail. Pls doc what can I do.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:42pm On Oct 28, 2014
Wehnby:
Hello Doc, I have been following this thread for sometime now. I will like to seek your opinion here. I have been diagnosed with fibroids and my husband with low sperm count, we have been trying for a child for about five years now. I'm scared of going through surgery because of all the things I've heard concerning people that went for surgery and so many things happened along the line. Its either they die in the process or they find it difficult to conceive after that. I want to know if I can do IVF/IUI without removing the fibroids, please I need your opinion urgently.


Well, it depends on the kind(location) of fibroids and the size of the fibroid.

If the size is not larger than 5cm, and not intramural or submucosal fibroids, then it shouldn't hinder implantation. In as much as fibroids are estrogen and progesterone dependent, they might not threaten the cyesis if implantation was successful.

But if the fibroids are larger than or up to 5cm, and are intramural or submucosal, then surgical removal is imperative.

So, before you go for IVF, let the gynae indicate a pelvic scan to know what location the fibroids are, and its size. IVF is quite expensive for you to resort to without resolving the fibroids
Re: Doctor In The House:Obstetrics And Gynecology by Bograd83(f): 8:58am On Oct 29, 2014
Gud a.m to all mama in d house, pls, is it good to be eatg 'efinrin' soup d leaf dey use 4 pepper soup in early preg like 4w +. Tnx 4 ur response.
Re: Doctor In The House:Obstetrics And Gynecology by Joodaaa(m): 3:01pm On Oct 29, 2014
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Re: Doctor In The House:Obstetrics And Gynecology by Wehnby: 3:15pm On Oct 29, 2014
Marc9:


Well, it depends on the kind(location) of fibroids and the size of the fibroid.

If the size is not larger than 5cm, and not intramural or submucosal fibroids, then it shouldn't hinder implantation. In as much as fibroids are estrogen and progesterone dependent, they might not threaten the cyesis if implantation was successful.

But if the fibroids are larger than or up to 5cm, and are intramural or submucosal, then surgical removal is imperative.

So, before you go for IVF, let the gynae indicate a pelvic scan to know what location the fibroids are, and its size. IVF is quite expensive for you to resort to without resolving the fibroids

Thank you Marc9
Re: Doctor In The House:Obstetrics And Gynecology by ohaleoghene(f): 8:04am On Oct 30, 2014
I'm 23years old. I was diagnosed of fibroid last month. multiple of four. the largest is 40mm*44mm. have been thinking of what exactly should I do. the doctor who did the scan advised me to get married soon. and then I can't marry myself. doctors in the house what are the possible treatments I can undergo to prevent the growth

secondly, there is a growth I feel in my cervix. It sometimes grow big and sometimes disappear. I ran a test was diagnosed with Candida albican. the woman said no bacteria. I need an advice on what to do please. I'm in Lagos
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 9:06am On Oct 30, 2014
ohaleoghene:
I'm 23years old. I was diagnosed of fibroid last month. multiple of four. the largest is 40mm*44mm. have been thinking of what exactly should I do. the doctor who did the scan advised me to get married soon. and then I can't marry myself. doctors in the house what are the possible treatments I can undergo to prevent the growth

secondly, there is a growth I feel in my cervix. It sometimes grow big and sometimes disappear. I ran a test was diagnosed with Candida albican. the woman said no bacteria. I need an advice on what to do please. I'm in Lagos


Some medics cld be so funny atimes. When has marriage become the solution to fibroids?! Instead of telling you the location of the fibroids, he was advising out of line.

Here's the fact. Fibroid is found in the uterus of most ladies. The size and the location simply determine how serious it is. Some ladies have inconspicuous sized fibroids(multiple and tiny), while others have conspicuous sized fibroids( which could be multiple and large).

Your fibroids are large, but not too large. Some fibroids could grow as large as 90mm. For a 40mm fibroids, well the gynae could review and indicate myomectomy if it's imperative, or could place you on estrogen/progesterone antagonists, since the growth of fibroids is hormone dependent(estrogen/progesterone).

The Vaginal Swab she did, I wonder why she would diagnose you with Candida albican, when every lady likely has yeast in her genital. The growth rate determines its pathogenic tendency. Was the resulted stated as mild, moderate, or heavy growth?
Re: Doctor In The House:Obstetrics And Gynecology by ohaleoghene(f): 12:56pm On Oct 30, 2014
Marc9:


Some medics cld be so funny atimes. When has marriage become the solution to fibroids?! Instead of telling you the location of the fibroids, he was advising out of line.

Here's the fact. Fibroid is found in the uterus of most ladies. The size and the location simply determine how serious it is. Some ladies have inconspicuous sized fibroids(multiple and tiny), while others have conspicuous sized fibroids( which could be multiple and large).

Your fibroids are large, but not too large. Some fibroids could grow as large as 90mm. For a 40mm fibroids, well the gynae could review and indicate myomectomy if it's imperative, or could place you on estrogen/progesterone antagonists, since the growth of fibroids is hormone dependent(estrogen/progesterone).

The Vaginal Swab she did, I wonder why she would diagnose you with Candida albican, when every lady likely has yeast in her genital. The growth rate determines its pathogenic tendency. Was the resulted stated as mild, moderate, or heavy growth?



I read myomectomy is surgical removal of fibroid. won't it be top early? I think I will prefer the antagonist drugs. I don't want to undergo surgery. I'm at work now,when I get home I will put up what the result reads.can you direct me to a gynaecologist here in Lagos? and pls I want to know the food and drinks I'm supposed to stay away from. and what to do to manage it. thank u
Re: Doctor In The House:Obstetrics And Gynecology by MumZ(f): 11:03pm On Oct 30, 2014
tank @marc9 n LuckyG, my princess decided 2 go against all odds n b born 2dy 2 d glory of God.

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