[quote author=maymay1 post=37952664][/quote]dr thanks, it all started with infection (yeast) treated , then delayed period later brownish spotting , bloody discharge, did scan saw nothing, started bleeding since then i have used m2tone, antibiotics, transcemic acid, i did scan again this week and they saw fibroid and submucous components. am now on combination 3 contraceptives. pls help me.

omicron:
Hi,

Menstrogen is not an abortion/emergency contraceptive pill.

Let her do a serum PT to rule out pregnancy.

All the best

Thanks a lot. Exactly what I've told him to do. I've told dem to go to a hospital/clinic for a proper check up cos she complained about sharp pains in her lower abdomen when she's stresses or does something strenuous like lift something heavy.

maymay1:
dr thanks, it all started with infection (yeast) treated , then delayed period later brownish spotting , bloody discharge, did scan saw nothing, started bleeding since then i have used m2tone, antibiotics, transcemic acid, i did scan again this week and they saw fibroid and submucous components. am now on combination 3 contraceptives. pls help me.

Ok.

But what is the diagnosis? Are you seeing a doctor physically?

Did you mean to say you are taking combined oral contraceptive pills (COP) or that you are taking 3 different types of contraceptives at the same time?

What are the exact descriptions of the fibroid, apart from the submucous components hinted?

kathyekiti:

My friend, a calendar does not show when you ovulate. Your body does not recognize our calendar. You have to create one based on the days of your cycle and then you will be able to figure out your ovulation day

doc good day! Thank God for the kind work and solution,advice u are offering in this forum. Pls I want to relate this problem to u. I Had my menses on 15th of August, after it,I had intercourse with my husband on my ovulation day as calculated aCcording to answers u supplied to people in this forum, I followed it, after about a week and,I discovered I was having high discharge accompanied with fishy odour,I met a gynacologist, he ran some test and started treament for infection. When I took the first injection on 8th of Sept, I discovered I had some blood stained wen I wanted to wee,the blood was so light,it contineued but the color is somehow dark brown and wen I clean inner vagina,I will notice little dark blood will stain the tissue paper. I decided to use HCG to test for pregnancy which came out positive. The positive line is so faint. I have discontinued the injection intake,but I still see slight brownish blood. a nurse prescribed ventoline,but am skeptical about taking it. pls what could be possible solution or is it normal? thanks in anticipation

Abeg which page was the ovulation period calculated? I wan chk am

mezebel:
doc good day! Thank God for the kind work and solution,advice u are offering in this forum. Pls I want to relate this problem to u. I Had my menses on 15th of August, after it,I had intercourse with my husband on my ovulation day as calculated aCcording to answers u supplied to people in this forum, I followed it, after about a week and,I discovered I was having high discharge accompanied with fishy odour,I met a gynacologist, he ran some test and started treament for infection. When I took the first injection on 8th of Sept, I discovered I had some blood stained wen I wanted to wee,the blood was so light,it contineued but the color is somehow dark brown and wen I clean inner vagina,I will notice little dark blood will stain the tissue paper. I decided to use HCG to test for pregnancy which came out positive. The positive line is so faint. I have discontinued the injection intake,but I still see slight brownish blood. a nurse prescribed ventoline,but am skeptical about taking it. pls what could be possible solution or is it normal? thanks in anticipation

Hi,

Vaginal discharge accompanied by a fishy smell is very indicative of Bacterial Vaginosis. That is what the Gynae must have treated you for.

It is likely that you are pregnant, going by the faintly positive PT. Brown discharge can normally be seen in very early pregnancy too. Are you ttc, and have you had miscarriages before?

Ventolin, which is used in late pregnancy to subside premature contractions/labour, has no place for such use in early pregnancy.

Do a serum PT tomorrow, or a scan next week.

Also let your gynae know for a likely review of your medications.

All the best.

omicron:
Hi,

Ultrasound will start detecting pregnancy about 5 or 6 weeks from the last menstrual period for transvaginal and transabdominal ultrasound respectively

If you mean 2 weeks after she had missed a period, then ultrasound will pick it up. Alternatively, pregnancy test then will also be positive.

All the best

thanks boss

omicron:
Hi,

Vaginal discharge accompanied by a fishy smell is very indicative of Bacterial Vaginosis. That is what the Gynae must have treated you for.

It is likely that you are pregnant, going by the faintly positive PT. Brown discharge can normally be seen in very early pregnancy too. Are you ttc, and have you had miscarriages before?

Ventolin, which is used in late pregnancy to subside premature contractions/labour, has no place for such use in early pregnancy.

Do a serum PT tomorrow, or a scan next week.

Also let your gynae know for a likely review of your medications.

All the best.

thanks

omicron:
Good morning,

Mycoten is good. Topical mycoten. I hope you complete the doses - 100mg for 1 week or 200mg for 3 days?

Elimination is possible, but may not be realistic in your pregnancy. It is very likely to recur as pregnancy continues as your present condition predisposes you to candidiasis due to lowered immunity and hormone changes.

All the best.

Hi Dr,Im using mycoten pessaries for 6 days.3 more days to treat.I'm much more better now.thanks a lot

Please I don't know how to write my own condition, can someone kindly put me through.

[quote author=omicron post=37950482][/quote]
She said she went to see a doctor dis morning and after her complaints she did a test which confirms she's pregnant. Though a scan was also recommended for her. How can she get rid of it. I've asked him to kip it but he says it's not an option ryt now. I asked a pharmacist friend who suggested 2 pills of cytotec tablets
NB: She also said she noticed some blood dis morning wen she woke up.

please doctor in the house what is the interpretation of this results. indication 1% infertility examination HSG report the demonstrated uterus has regular outline both fallopian tubes were delineated completely with free peritoneal spill. impression bilaterally patent fallopian tubes.

Koolmexxi:

She said she went to see a doctor dis morning and after her complaints she did a test which confirms she's pregnant. Though a scan was also recommended for her. How can she get rid of it. I've asked him to kip it but he says it's not an option ryt now. I asked a pharmacist friend who suggested 2 pills of cytotec tablets
NB: She also said she noticed some blood dis morning wen she woke up.

Ok.

Unfortunately, I cannot help you here for personal reasons, and abortion is still illegal in Nigeria too.

All the best.

broadstreet:
please doctor in the house what is the interpretation of this results.
indication 1% infertility
examination HSG
report
the demonstrated uterus has regular outline both fallopian tubes
were delineated completely with free peritoneal spill.
impression bilaterally patent fallopian tubes.

Indication is the reason why the HSG was requested. In your case it is primary (1') infertility, which means infertility in someone who has never conceived before.

The HSG report itself is entirely normal. It showed that your tubes are not blocked in any way. This shows that the tubes are not the reason for the infertility, so it could be either ovulation problems, implantation problems or male factor.

All the best.

Doctors please come to my aid, av been treating PID for the past five months, but relief are always temporary. Once I stop taking antibiotics pains returns after 4 days. Any that can help.

omicron:
Ok.

Unfortunately, I cannot help you here for personal reasons, and abortion is still illegal in Nigeria too.

All the best.

Thanks all the same. U've been quite helpful

Goodmorning doc and everyone,i have been Treating staph infection,and I have been have consistent pain on my lower right abdomen,went for test some Weeks after I completed d antibiotics,result showd candida,pls can I be directed to a good lab in Benin,thanks,i still feel the pains

Pls were can i get youghurt or kefir with live cultures in Nigera

doctor pls wen can I go for hormone profile test, am having pelvic pain during sex wot cud be d cause. thanks

Hello Dr Omicron, keep up the good work you are doing. I had miscarriage in may 29, 2015. Had my first period after evacuation on 23rd june, another july 15, aug 02 and sep 1st. I have been Ttcing since the evacuation and no BFP yet. I noticed a change in my cycle. I BD 3 times a wk. I have 28 day cycle before all this wahala.what could be the cause?.pls help me calculate my ovulation day, cause I don't know how to calculate my ovulation again with this irregular cycles. Thanks

Hi doc,tanks for all d good works. pls wat could b d cause of spotting immediately after my period? i normally bleed for 6days,bt i keep spotting for 4days more n d colour is dark brown like old blood. though it doesnt stain my panties i only notice it wen i put my inside my v-jay to clean up. should i b woried cos i ve bn observing dis nw 4 ova 6months.

Janix2:
Goodmorning doc and everyone,i have been Treating staph infection,and I have been have consistent pain on my lower right abdomen,went for test some Weeks after I completed d antibiotics,result showd candida,pls can I be directed to a good lab in Benin,thanks,i still feel the pains

Morning,

No doctor would diagnose you with "staph infection", and you should be going to the hospital, not a lab.

It is wrong practice to go to a lab for test and start taking antibiotics on your own. Medicine does not work like that, and it is usually counter-productive and a case of penny wise, pound foolish for patients.

UBTH, Central Hospital and Stella Obasanjo have good doctors at cheaper rates than many private hospitals if finance is the most important consideration.

All the best

eolowu1:
doctor pls wen can I go for hormone profile test, am having pelvic pain during sex wot cud be d cause. thanks

Hi,

Are you self-diagnosing and treating yourself?

Hormone profile to investigate what?

Causes of pelvic pain during sex are many. PID and endometriosis are quite common causes.

All the best

marcjane:
Hello Dr Omicron, keep up the good work you are doing. I had miscarriage in may 29, 2015. Had my first period after evacuation on 23rd june, another july 15, aug 02 and sep 1st. I have been Ttcing since the evacuation and no BFP yet. I noticed a change in my cycle. I BD 3 times a wk. I have 28 day cycle before all this wahala.what could be the cause?.pls help me calculate my ovulation day, cause I don't know how to calculate my ovulation again with this irregular cycles. Thanks

Hi,

Most likely, your cycles are not ovulatory (yet), hence the irregularity.

Give it more time; do not be stressed.

Three months is not enough to assume a ttc status in the real sense of the word, esp after a miscarriage. Or were you ttc before you conceived the last time?

For now, you need reassurance and counselling more than drugs and investigations.

All the best.

rainyday:
Hi doc,tanks for all d good works. pls wat could b d cause of spotting immediately after my period? i normally bleed for 6days,bt i keep spotting for 4days more n d colour is dark brown like old blood. though it doesnt stain my panties i only notice it wen i put my inside my v-jay to clean up. should i b woried cos i ve bn observing dis nw 4 ova 6months.

Hi,

Is it really spotting (spots of blood on pads, etc) or a brown-like discharge or stain? The latter can be normal after a period, close to a period or with early pregnancy; it does not specifically indicate a problem.

Continued spotting after "normal flow" of 6 days requires investigations.

All the best.

foriletie:
Doctors please come to my aid, av been treating PID for the past five months, but relief are always temporary. Once I stop taking antibiotics pains returns after 4 days. Any that can help.

Hi,

Treatment for PID should be prescribed by your doctor who must have made the diagnosis too.

I hope you are seeing a doctor?

One would need to know your drug history in order to offer any suggestions. Chronic PID is notoriously challenging to manage. Self or inadequate or stop-and-start treatment obviously reduces patients' chances of cure, as such practices encourage antibiotic resistance.

The advice is to see the doctor

All the best.

Koolmexxi:

Thanks all the same. U've been quite helpful

You're welcome.

omicron:
Hi,

Is it really spotting (spots of blood on pads, etc) or a brown-like discharge or stain? The latter can be normal after a period, close to a period or with early pregnancy; it does not specifically indicate a problem.

Continued spotting after "normal flow" of 6 days requires investigations.

All the best.

tanks doc for ur quick reponse. its wen i put my fingers inside dat i see it,it doesnt stain my pants. just like discharge inside d v-jay dat is white,creamy or slippery bt dis one is dark brown blood, den it clears up on its own

Hello Dr, kind help me to explain the results below:
Thank you

scan result for August 2015.
Report
scan through various planes revealed the following
Shape Anteverted uterus
Size 67mm in lenght
Endometrial thickness 35mm
Fibroids None
Menstrual phase secretory

OVARIES RIGHT LEFT
Normal yes yes
Size N/A 38x17mm
Not demonstrated No No
Cyst No No
Antral follicle count Only on TVS Only on TVS


FREE FLUID: no free fluid seen in the pouch of Douglas
COMMENT:
Multiple hypoechoic solid masses were noted.
Mass 1 measured 76x63mm ( posterior mid uterine subserous)
Mass 2 measured 30x25mm (intracautary)
Mass 3 measured 28x24mm (Anterior miduterine intramural)

IMPRESSION: Multiple uterine myoma

SCAN Result for September 2015
PELVIC SCAN
The uterus is bulky in size, non gravid and anteverted measuring 89mm in AP diameter.
there are well defined hypo echoic masses measuring 62mmx49mm and 21mmx18mm in sizes repectively noted at the anterior aspect of the uterus suggestive of multiple uterine myoma.
Endometrial echopattern is noted and normal.
Both adnexae are free
pouch of Douglas contain sizable collection of fluod suggestive of inflammatory.

CONCLUSION
* MULTIPLE INTRAMURAL FIBROID
* PID
* BULKY UTERUS
*HOWEVER ADVISED TO DO HVS/URINE MUS FOR FURTHER EVALUATION.

omicron:
Hi,

Treatment for PID should be prescribed by your doctor who must have made the diagnosis too.

I hope you are seeing a doctor?

One would need to know your drug history in order to offer any suggestions. Chronic PID is notoriously challenging to manage. Self or inadequate or stop-and-start treatment obviously reduces patients' chances of cure, as such practices encourage antibiotic resistance.

The advice is to see the doctor

All the best.

I went to general Hospital, so after the various test I was asked to do, the doctor prescribed drugs according to the test results, but after completing the dosage the symptoms still came. I went back to complain but I was asked to buy anti-inflammatory drugs and pain killer. I went back again to complain the same thing happened and I was asked to go carry out the same test. Please if you have some one u can direct me to, I will appreciate it, have spent too much on this disease.

omicron:
Hi,

Most likely, your cycles are not ovulatory (yet), hence the irregularity.

Give it more time; do not be stressed.

Three months is not enough to assume a ttc status in the real sense of the word, esp after a miscarriage. Or were you ttc before you conceived the last time?

For now, you need reassurance and counselling more than drugs and investigations.

All the best.

No, I wasn't ttc. Thanks

Good evening doctors in d house,I saw my period last 16th August and had unprotected sex on the 27th and 30th.After 3rd sept did a PT came out negative, was u to see my period on the 12th sept cos my cycle is normally 28days up till date period didn't come only for today I felt a very heavy pain wish later came out wit a brownish blood,pls what could be wrong nvr experience anything like this before