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matrix199:
Laralabelle.... Ur report indicates all is well.

olaronkecristian:
on the 5th of Dec, 2015, I was diagnosed with high growth of staphylococcus infection, I took streptomycin injection from 7th to 16th Dec. I was expecting my af on the 18th But till today it never see Am. I now did hpt, I saw two clear lines to the glory of God. my fear now is that Hope d injection and lime that I took with gangaria all in the name of staphylococcus wont affect the foetus. thanks for your response. sorry for the long story.

olamitie:
Please have had three miscarriages in a row, all in first trimester, please what are the necessary test i need to check what is wrong? Dnt want to do any unneccesary one cos of financial constraint,im just a teacher.my blood group is O+ thnks

Blessedmum:
Gud day Doc, here is Dh's latest Sfa result, plz help torchlight it.Thanks.

Appearance: Watery
Viscosity: Normal
Volume: 2ml
Motility: Active 10%, Sluggish 40%, Dead 50%
Total Count: 56*10 raise to power 6 cells/ml(50-150*10) raise to power 6
Morphology: Normal 70%, Abnormal 30%
Pus Cells: ++
R.B.C: Nil
Epithelial Cells: 2-4Hpf
No infection.

olaronkecristian:
Reference to the complaint above

matrix199:


Check for bacterial infection. Run a progesterone assay. Run a pelvic scan.

Possible causes of your miscarriages are low progesterone to sustain the pregnancy.

A threat from a standing or lingering infection cld lead to miscarriage.

Anembryonic gestation is also a possible cause. So your partner shld also run a seminal analysis to check the quality of his sperm, since poor seemen quality cld lead to this.

olamitie:
thanks for your response, heart beat was detected in the first and third pregnancy before i miscarried so i dnt tink it anembroynic gestation, i was given progesterone shot in the 3rd pregnancy but still miscarried early, how do i check for bacterial infection?

tng:
Hello,

I am about 8 wks pregnant. Apart from the usual nausea, i keep having stomach upset and i am basically grounded. Cant do too much around the house or at work, cant eat well and just generaly unweĺl. I am currently on promethazine and paracetamol but its not doing much for me. What can i do?

matrix199:


There's nothing more you can do than endure the discomforts. It's just aggravated pregnancy symptoms, most common in primigravida. I'm sure it's your first pregnancy. Just be strong, the discomforts would abate sooner.
[b]
And please, discontinue the use of paracetamol. It's contra-indicated in pregnancy. [/b]Keep in touch with your gynae.

matrix199:


There's nothing more you can do than endure the discomforts. It's just aggravated pregnancy symptoms, most common in primigravida. I'm sure it's your first pregnancy. Just be strong, the discomforts would abate sooner.

And please, discontinue the use of paracetamol. It's contra-indicated in pregnancy. Keep in touch with your gynae.

matrix199:


His challenge lies in motility. Seems most of his sperm cells are immotile, with half been dead.

He needs to improve the quality of his sperm.

matrix199:


Run endocervical swab m/c/s

matrix199:


Well, I can't really say if the embryo was affected by the antibiotic and "gbogbonishe" you took, but I think it's less likely it did, since the pregnancy is stil running.

I'll advise you run a fetal ultrasound at week 8.

Also, heavy staph infection may pose as a threat to the pregnancy. Keep your doctor informed in time on any development.

olamitie:
thanks, is it same as hvs m/c/s

embassy69:
Pls where can nuchal translucency scan be done in Anambra, Enugu state or Asaba

matrix199:


Do you know what postinor is? I can sense you don't. Postinor is an emergency oral contraceptive pill. You don't take it like you take your antimalarial drug for prophylaxis. Postinor is an emergency pill. You're meant to take it when the situation you find urslf in having sex is beyond ur control. But from the complaint, I can tell you take this pill regularly after sex. I may be wrong tho. But you just have to be careful how you take this pill. It has some short and long terms adverse effects. Postinor works by inhibiting the secretion of progestational hormones, thus preventing implantation. It ends up imbalancing the hormones, leading to menstrual irregularities.

You had sex on the 17th of nov, 5days after the start of your period. Pregnancy was unlikely cos you were in ur safe period, except in a Short Menstrual Cycle of 21days, or as you mentioned, irregular periods where spotting or vaginal bleeding may be misconstrued for menstrual periods and you lose chart of the actual safe and unsafe periods.

You're not pregnant. You may run the scan if you wish to, though it's not necessary. I'll also advise you visit a gynae at the nearest hospital for review.

debehh:


tnk u doc. I went 4 d scan n d man said he thinks im showing signs of early pregnancy bt dat he wasnt sure. So he asked me to go for anoda blood pt and also a trans vaginal scan. He said d TVS was going to confirm it. D blood pt came out negative. Wen he carried out d TVS, he said my womb was empty. And dat dia is nothing in it 4 now. That was on d 21st. Today is the 46th day of my menstrual cycle. No period yet. Do i need to run another pt? Ive been having some pain in my abdomen. Thank u. Merry christmas.

Xtiana250:
Hello doc,pls can u help me and interprete my test result.it states here ;progesterone 14.2(2.5-32)mmol/L. Prolactin 27(8.3-20)ng/ml.

matrix199:


I don't think it's pregnancy. It's actually amenorrhea. Your amenorrhea is due to hormonal imbalance. The postinor must have disrupted your hormones. If you wld have to run an investigation, hormonal assay is the right investigation to run, with pelvic scan(to check the POD, cos PID may also be responsible for ur amenorrhea).