Welcome, Guest: Register On Nairaland / LOGIN! / Trending / Recent / New
Stats: 3,165,809 members, 7,862,680 topics. Date: Sunday, 16 June 2024 at 11:08 PM

Doctor In The House:Obstetrics And Gynecology - Health (161) - Nairaland

Nairaland Forum / Nairaland / General / Health / Doctor In The House:Obstetrics And Gynecology (884638 Views)

Ultrasound Machine Training On Obstetrics Pregnancy & Pelvic Scan in 2016 / Questions And Answers In Obstetrics, Gynaecology And Reproductive Health Issues / Re: Doctor In The House:obstetrics And Gynecology (2) (3) (4)

(1) (2) (3) ... (158) (159) (160) (161) (162) (163) (164) ... (284) (Reply) (Go Down)

Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:22am On Apr 29, 2015
aadetoyin:
Good evening Doc, please how best can one conceive even with PCOS. Was on metphomin and Clomid for some months last year but with no result. Lately I have to induce my cycle with Primolut N. What is the best way to regulate the cycle.

Were you told to use this Primolut Noresthisterone by a doctor?

Primolut N can be useful sometimes but does not help in actuality and that is just the fact.This is because,it can tensed up pseudomenorrhea(false menstruation) which is an ordinary uterine bleeding and the woman may feel she is on her cycle pull.

Metformin and Clomiphene citrate seem to be the bench drugs for PCOS if other health odds are met.It is adviceable to use use the CLOMID for an interval of 3-4cycles before one call it a shot but the Metformin should be continually be in use till your doctor advised otherwise.If your case is not that of amenorrhoea(total obstruction or cess of menstruation),then there is a good chance that you can be pregnant.Be in sound mind,regular exercise,good diet with fruits and as well on some helping pills that supplies both the minerals and vitamins.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:26am On Apr 29, 2015
Omicron, kpè lè o.....
We are grateful for your sound and candid gift of gab.Please keep it up.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by saheed2532(m): 12:41pm On Apr 29, 2015
This is one of the best fat burner used by body builders and female to reduce fat concentration in their system and look more healthy http://­ www.t5fatburners.com.ng/?t_id=SaheedUthman
Re: Doctor In The House:Obstetrics And Gynecology by adebusola09: 9:36pm On Apr 29, 2015
Good evening Doctor. A month ago, i went to d hospital for scan nd i was told i have ovarian cyst and dat i also ve fluid in my pouch of douglas. I also did lab test for vaginal discharge in which i was told i have candidan albican . This week I went for another scan in another hospital (federal medical center) nd i was told i ve bulky uterus, no fluid in pouch of douglas nd no ovarian cyst nd also no growth in my discharge dey took in d laboratory. My menstrual cycle changed from 30 to 37 since october last year.
Re: Doctor In The House:Obstetrics And Gynecology by adebusola09: 9:41pm On Apr 29, 2015
LuckyG1:


Have you carried a pregnancy before?
Or,you just had one months back?
Did the scan implicate an heterogeneity of uterine tissue?

I have not been pregnant before. nd pls qot wot do heterogeneity of uterine tissue mean
Re: Doctor In The House:Obstetrics And Gynecology by lululuv(f): 10:14pm On Apr 29, 2015
Pls Docs. In the house I need your help. I am 3oyrs, single and had abnormal bleeding which led me to the hospital and I was scanned and the doc said am developing fibroid. Though its small. Had to go to a specialist who did anoda scan and confirmed the fibroid. But I need explanations wit the test result.
The abdominal organs are normal(there is no hydronephrosis)
UTERUS: intramural echopenic or echopelvic mass 4.2x5.6cm & intramural echope... Mass 3.9x4cm siting on the cavity.
The orgarn os enlarged by the masses
Endometrium:- it is 0.55cm thick and linear.
Adnexae:- the ovaries are normal. The cul-de-sac is free
Urinary bladder is normal.
Pls what's my fate with all that
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:38am On Apr 30, 2015
lululuv:
Pls Docs. In the house I need your help. I am 3oyrs, single and had abnormal bleeding which led me to the hospital and I was scanned and the doc said am developing fibroid. Though its small. Had to go to a specialist who did anoda scan and confirmed the fibroid. But I need explanations wit the test result.
The abdominal organs are normal(there is no hydronephrosis)
UTERUS: intramural echopenic or echopelvic mass 4.2x5.6cm & intramural echope... Mass 3.9x4cm siting on the cavity.
The orgarn os enlarged by the masses
Endometrium:- it is 0.55cm thick and linear.
Adnexae:- the ovaries are normal. The cul-de-sac is free
Urinary bladder is normal.
Pls what's my fate with all that
Please when posting a medical report,it is unwise to assume the doctor or health agent knows what you are saying by the use of ....Always write your report as written on your sheet.

No HYDRONEPHROSIS means,there wasn't observe clogged of water in your KIDNEY or that,the kidney was not made abnormal by water obstruction.

INTRA-MURAL as to do with smooth muscles of the womb(uterus).The written numbers are dimensions,from the look of things.It is not an obvious large one.However,this has slight provocation in causing an increase in the passage or mouth to the womb.

Adnexae(other pelvic organs) of the likes of your tubes,ovaries and ligaments were observed to be okay.

Cud-de-sac is free means,the pouch or space or cavity between your womb and extreme end of the abdominal cavity is minimally fluided or no fluid in it at all.

What are your fate with all these? As in?

The growth are small in their respective dimensions.Intramural fibroid do hardly show difficult symptoms like pains and increase urine output.But to some extent they are usually disturbing due to uterine bleeding excessive menstrual fluid flow.This is because,they are located in the very muscle of the womb,not on the mucousal or/and sub-serous side of the womb.

Women with fibroid still carry pregnancy even to term.It is usually not a cause to infertility.

It will be wise to stay-off estrogen pills or diet inwhich such of it is given.Some drugs can help to minimize the bleeding and other considerable complications.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 4:49am On Apr 30, 2015
adebusola09:


I have not been pregnant before. nd pls qot wot do heterogeneity of uterine tissue mean

Non-uniformity in the material texture of the uterine tissue.

I thought Omicron had answered you on the bulkiness before?

Yes,he had.

Bulkiness is normal if no growth is observe.Bulkiness can show up as in-

1)Increase in size of the uterus

2)during the cycle

3)pregnancy/post-pregnancy

4)others
Re: Doctor In The House:Obstetrics And Gynecology by lululuv(f): 9:55am On Apr 30, 2015
@luckyG1, sorry for the ...., thar was used wasn't sure what he wrote there. I have been spotting since 2months now. Went to the hospital and have been taking treatment still the spotting hasn't stopped. Have also done Hysterosalpingography, the doc said when the bleeding stops and after my next circle I should come for another check-up and if need be we do evacuation of the womb I guess. But till now am still bleeding. Don't know what else to do
Re: Doctor In The House:Obstetrics And Gynecology by lululuv(f): 10:01am On Apr 30, 2015
Is this normal too.
Endometrium:- it is 0.55cm thick and linear.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 2:34pm On Apr 30, 2015
lululuv:
Pls Docs. In the house I need your help. I am 3oyrs, single and had abnormal bleeding which led me to the hospital and I was scanned and the doc said am developing fibroid. Though its small. Had to go to a specialist who did anoda scan and confirmed the fibroid. But I need explanations wit the test result.
The abdominal organs are normal(there is no hydronephrosis)
UTERUS: intramural echopenic or echopelvic mass 4.2x5.6cm & intramural echope... Mass 3.9x4cm siting on the cavity.
The orgarn os enlarged by the masses
Endometrium:- it is 0.55cm thick and linear.
Adnexae:- the ovaries are normal. The cul-de-sac is free
Urinary bladder is normal.
Pls what's my fate with all that
Your symptoms of abnormal bleeding is most likely due to the fibroid sitting on the cavity.

Fibroids cause menstrual problems whenever they affect the endometrial cavity, whether they are intramural (within the musle/body of the uterus), intracavitary (growing into the cavity{the space where the embryo develops}) or submucosal (beneath the lining of the cavity). Your scan showed a moderate-sized fibroid sitting on your uterine cavity. If this was not a transvaginal scan, you may do one so as to enable a better appreciation of the relation of the fibroid to the endometrial cavity. I would also want to rule out endometrial polyps in your case.

Having said that, since they are causing you these much problems, and especially if you have been ttc, the advice is to remove the fibroids. This can be done laparoscipically or via open surgery.

Laparoscopic surgery is better, but lack of expertise and equipment-coupled with much higher cost- means open surgery is what is commonly done in Nigeria.

Your endometrium of about 5mm is normal, although this varies with the stage of the menstrual cycle.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 2:54pm On Apr 30, 2015
lululuv:
@luckyG1, sorry for the ...., thar was used wasn't sure what he wrote there. I have been spotting since 2months now. Went to the hospital and have been taking treatment still the spotting hasn't stopped. Have also done Hysterosalpingography, the doc said when the bleeding stops and after my next circle I should come for another check-up and if need be we do evacuation of the womb I guess. But till now am still bleeding. Don't know what else to do
If the cause of your bleeding is structural, such as due to a fibroid or polyps, drugs will not make any difference. Drugs for shrinking fibroids will of course subside the symptoms, but these are rarely prescribed in Nigerian regular hospitals.

Gentle endometrial curretage (what you understood as evacuation of the womb) will help, especially if your symptoms are due to a polyp, or a functional disorder. But if due to a fibroid, the help -if any- will be temporary.

In the mean time, I hope you are taking iron supplements to prevent blood loss anaemia.
Re: Doctor In The House:Obstetrics And Gynecology by breadplanets(f): 4:24pm On Apr 30, 2015
Hello Doctors. You are doing a great job here. Pls i need your advice on the prenatals to be taken now in preparation for pregnancy later in the yr by Gods grace. Im in my 30s i would be tying the knot later in the year. I heard folic acid is good what, else can i add to it and how do i take it? Thank you very much
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 5:36pm On Apr 30, 2015
breadplanets:
Hello Doctors. You are doing a great job here. Pls i need your advice on the prenatals to be taken now in preparation for pregnancy later in the yr by Gods grace. Im in my 30s i would be tying the knot later in the year. I heard folic acid is good what, else can i add to it and how do i take it? Thank you very much
Folic acid is good to prevent Neural Tube Defects in the baby (a kind of abnormal development of the brain). Should be taken before conception and through the first 3 months of pregnancy.

For general wellbeing preparatory to conception, balanced diet and exercise are recommended. Unless you have any specific challenges, no need to take other pills, unless as otherwise precribed by a physician.

After the 1st month of pregnancy, you may commence brands like Pregnacare.

Congrats on your marriage and wishing the best.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 5:40pm On Apr 30, 2015
LuckyG1:
Omicron, kpè lè o.....
We are grateful for your sound and candid gift of gab.Please keep it up.
thanks bro, and welcome back
Re: Doctor In The House:Obstetrics And Gynecology by breadplanets(f): 7:00pm On Apr 30, 2015
Thank you doc

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by aadetoyin(f): 10:02pm On Apr 30, 2015
LuckyG1:


Were you told to use this Primolut Noresthisterone by a doctor?

Primolut N can be useful sometimes but does not help in actuality and that is just the fact.This is because,it can tensed up pseudomenorrhea(false menstruation) which is an ordinary uterine bleeding and the woman may feel she is on her cycle pull.

Thank you Doc. Yes my Gyn recommended the Primolut N. I stopped using Metformin, guess I will resume. Thanks

Metformin and Clomiphene citrate seem to be the bench drugs for PCOS if other health odds are met.It is adviceable to use use the CLOMID for an interval of 3-4cycles before one call it a shot but the Metformin should be continually be in use till your doctor advised otherwise.If your case is not that of amenorrhoea(total obstruction or cess of menstruation),then there is a good chance that you can be pregnant.Be in sound mind,regular exercise,good diet with fruits and as well on some helping pills that supplies both the minerals and vitamins.
Re: Doctor In The House:Obstetrics And Gynecology by Dadsonval(f): 11:37am On May 01, 2015
Pls, tell me d best drugs for infection or PID. Thnks
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 3:49pm On May 01, 2015
Dadsonval:
Pls, tell me d best drugs for infection or PID. Thnks

Drugs are render on sensitivity,specificity and kinesis and dynamics(basically on action and reaction)

It is unclinical to prescribe drugs on the basis of BEST with no lab test sheet on substantiality.

How can we help you?
Re: Doctor In The House:Obstetrics And Gynecology by Dadsonval(f): 4:31pm On May 01, 2015
pls i did urine msc, its yielded scanty growth of staphylococus spp after overnight incubation of 37C. i have being feeling a little itching since 2 days ago. I have a little pains @ d right pelvic area, also i urinate often day and night since two month ago, that makes me assume that maybe its UTI. What do u think sir?
LuckyG1:


Drugs are render on sensitivity,specificity and kinesis and dynamics(basically on action and reaction)

It is unclinical to prescribe drugs on the basis of BEST with no lab test sheet on substantiality.

How can we help you?
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 7:55pm On May 01, 2015
This thread always scare me. God have mercy!
Re: Doctor In The House:Obstetrics And Gynecology by Juzzybabe(f): 11:03pm On May 02, 2015
Pls is there any gynecologist here from UCH Ibadan,I have some urgent questions please!
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 8:42am On May 03, 2015
Dadsonval:
pls i did urine msc, its yielded scanty growth of staphylococus spp after overnight incubation of 37C. i have being feeling a little itching since 2 days ago. I have a little pains @ d right pelvic area, also i urinate often day and night since two month ago, that makes me assume that maybe its UTI. What do u think sir?
Am not a doctor but I doubt if what you need is online consultation.
Even though Staph. could cause UTI, I would advice you go to the hospital again..

UTI is easy and inexpensive to treat. Stop stressing yourself bearing it for too long

2 Likes

Re: Doctor In The House:Obstetrics And Gynecology by mizright(f): 10:32am On May 03, 2015
Dr pls what is the best medication for pid
Re: Doctor In The House:Obstetrics And Gynecology by mybose: 2:18am On May 04, 2015
Please doctors on the thread, I need ur
urgent help. I'm five month old pregnant
and I've been noticing serious challenges
in my body lately. Infact, I've been
admitted in hospital since yesterday due
to the fact that one side of my head (my cheek, lips and eye) is not functioning
well. One side of my lips is bending
towards another side and one of my eyes
is growing deep to the extent I cannot
walk alone. After beeing treated
yesterday, I noticed that my second eye was being affected too. What could have
lead to this? I never had or experienced
any deformity in my life. When I got to my
doctor b4 admission, he read my BP as
100/60 and till now, my BP is still
between 100/60-110/70. Please, somebody in the house should help
because I don't knw what is happening to
me. Thanks in advance.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 5:50am On May 04, 2015
mizright:
Dr pls what is the best medication for pid

We make treatment in line with sensitivity and specificity.Drugs are prescribe with respect to the causal factor(s).
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:04am On May 04, 2015
mybose:
Please doctors on the thread, I need ur
urgent help. I'm five month old pregnant
and I've been noticing serious challenges
in my body lately. Infact, I've been
admitted in hospital since yesterday due
to the fact that one side of my head (my cheek, lips and eye) is not functioning
well. One side of my lips is bending
towards another side and one of my eyes
is growing deep to the extent I cannot
walk alone. After beeing treated
yesterday, I noticed that my second eye was being affected too. What could have
lead to this? I never had or experienced
any deformity in my life. When I got to my
doctor b4 admission, he read my BP as
100/60 and till now, my BP is still
between 100/60-110/70. Please, somebody in the house should help
because I don't knw what is happening to
me. Thanks in advance.

This is a clinical issue.I hope by now all should be well.

Roughly,this One-sided face paralysis is due to cranial nerve dysfunction.Some person find it hard to move a side of the body,inability to move the lips and one eye may be busily open.

BELL'S PALSY....

A known palsy as this,may be Lime disease,Myasthenia gravis,HSV-1 and others.Pregnancy related DM may also be involved,and the likes of strokes.

TREATMENT OPTION:

Don't underlook AFRICAN MEDICINE in this regard.I have experience somebody with such a case from Benue,and all done on him was herbal medication.A good african herbal specialist can be of help.

The use of Corticosteriod of the like of PREDNISOLONE.

Thirdly,a good PHYSIOTHERAPY is a must, or the doctor can assume this position.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:07am On May 04, 2015
favoured234:

Am not a doctor but I doubt if what you need is online consultation.
Even though Staph. could cause UTI, I would advice you go to the hospital again..

UTI is easy and inexpensive to treat. Stop stressing yourself bearing it for too long

Madam,long time.

How the family?
Re: Doctor In The House:Obstetrics And Gynecology by mybose: 6:48am On May 04, 2015
LuckyG1:


This is a clinical issue.I hope by now all should be well.

Roughly,this One-sided face paralysis is due to cranial nerve dysfunction.Some person find it hard to move a side of the body,inability to move the lips and one eye may be busily open.

BELL'S PALSY....

A known palsy as this,may be Lime disease,Myasthenia gravis,HSV-1 and others.Pregnancy related DM may also be involved,and the likes of strokes.

TREATMENT OPTION:

Don't underlook AFRICAN MEDICINE in this regard.I have experience somebody with such a case from Benue,and all done on him was herbal medication.A good african herbal specialist can be of help.

The use of Corticosteriod of the like of PREDNISOLONE.

Thirdly,a good PHYSIOTHERAPY is a must, or the doctor can assume this position.

Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 7:09am On May 04, 2015
mybose:
Please doctors on the thread, I need ur
urgent help. I'm five month old pregnant
and I've been noticing serious challenges
in my body lately. Infact, I've been
admitted in hospital since yesterday due
to the fact that one side of my head (my cheek, lips and eye) is not functioning
well. One side of my lips is bending
towards another side and one of my eyes
is growing deep to the extent I cannot
walk alone. After beeing treated
yesterday, I noticed that my second eye was being affected too. What could have
lead to this? I never had or experienced
any deformity in my life. When I got to my
doctor b4 admission, he read my BP as
100/60 and till now, my BP is still
between 100/60-110/70. Please, somebody in the house should help
because I don't knw what is happening to
me. Thanks in advance.
You are five months pregnant, please do not take herbal drugs especially. It could very dangerous for you and or the foetus.

Your condition is facial muscle weakness. Many central nervous system causes abound, such as strokes. It occurs most commonly in pregnancy.

But in the majority of cases no cause is found, when it is called Bell's Palsy (googl it)

Usually it will resolve with time on its own (weeks to months), but steroids and other anti-imflammatory pills can acelerate its resolution.

Please remember anything you take isn't just for you, but also for your innocent baby. Do not take drugs/substances indiscriminately, but take only those prescribed by your doctor who has seen and known you.

I know how scary it could be, but in time it will all resolve, so long as no serious underlying cause is responsible.
Re: Doctor In The House:Obstetrics And Gynecology by jones2014: 4:54pm On May 04, 2015
dear Docs in the house,

please assist to analyse my results below and advice;

Sperm Count - 18million
morphologhy - (90% normal & 10% abnormal)
Viscousity - watery
PH - 6.0
Motility - (5% actively progressive, 5% sluggish & 90% percentage dead)

please i need, my wife and myself are trying real hard and its been a while already.

i will appreciate useful suggestions as my doctor is not helping matters as well.

thanks
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:16am On May 05, 2015
jones2014:
dear Docs in the house,

please assist to analyse my results below and advice;

Sperm Count - 18million
morphologhy - (90% normal & 10% abnormal)
Viscousity - watery
PH - 6.0
Motility - (5% actively progressive, 5% sluggish & 90% percentage dead)

please i need, my wife and myself are trying real hard and its been a while already.

i will appreciate useful suggestions as my doctor is not helping matters as well.

thanks
What does the test result mean?


The typical volume of semen collected is between 1.5 and 5.5 milliliters (mL) of fluid per ejaculation. Decreased volume of semen would indicate fewer sperm, which diminishes opportunities for successful fertilization and subsequent pregnancy. Excessive seminal fluid may dilute the concentration of sperm.

The semen should initially be thick and then liquefy within 15 to 30 minutes. If this does not occur, then it may impede sperm movement.

Sperm concentration (also called sperm count or sperm density) is measured in millions of sperm per milliliter of semen. Normal is at least 20 million or more sperm per mL, with a total ejaculate volume of 80 million or more. Fewer sperm and/or a lower sperm concentration may impair fertility. Following a vasectomy, the goal is to have no sperm detected in the semen sample.

Motility is the percentage of moving sperm in a sample and graded based on speed and direction travelled. At least 50% should be motile one hour after ejaculation, moving forward in a straight line with good speed. The progression of the sperm, best measured using an automated system, is rated on a basis from zero (no motion) to 4, with 3-4 representing good motility. If less than half of the sperm are motile, a stain is used to identify the percentage of dead sperm. This is called a sperm viability test.

Morphology analysis is the study of the size, shape, and appearance of the sperm cells. The analysis evaluates the structure of the sperm, whereby greater than 50% of those cells examined must be normal in size, shape, and length. The more abnormal sperm that are present, the lower the likelihood of fertility. Abnormal forms may include defective heads, midsections, tails, and immature forms. More than 14% should have normal heads. To see an image of a normal sperm, see the MedlinePlus Medical Encyclopedia page on sperm.

Semen pH should be between 7.2 and 7.8, fructose at 150-600 mg/dL, and there should be fewer than 2000 white blood cells per mL. A pH of 8.0 or higher may indicate an infection, while a pH less than 7.0 suggests contamination with urine or an obstruction in the ejaculatory ducts.

http://labtestsonline.org/understanding/analytes/semen/tab/test/
Maybe you should read up more online

1 Like 1 Share

(1) (2) (3) ... (158) (159) (160) (161) (162) (163) (164) ... (284) (Reply)

How Do I Calculate My Safe Period? / Anyone Trying IVF/IUI/ICSI (Fertility Treatments)? / NEW BORN BABIES! Are U A New Mum? Then Lets Discuss Babies Here!!!!!

Viewing this topic: 1 guest(s)

(Go Up)

Sections: politics (1) business autos (1) jobs (1) career education (1) romance computers phones travel sports fashion health
religion celebs tv-movies music-radio literature webmasters programming techmarket

Links: (1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Nairaland - Copyright © 2005 - 2024 Oluwaseun Osewa. All rights reserved. See How To Advertise. 88
Disclaimer: Every Nairaland member is solely responsible for anything that he/she posts or uploads on Nairaland.