LuckyG1:


I have told you she should be patient and that with time she will take in again. Pertaining to helping her conceive in the least faster, of course there are helping drugs to cause induction of ovulation. She should seek the advice of a medical doctor incase of using any.

Thanks so much for your quick response....We do appreciate

Hi Dr. My gynae placed me on clomid, i saw my period two days late and it wasnt flowing normal so i went for a scan, the result of the scan is below:


Normal sized, non gravid uterus is seen - 49mm×41mm×44mm.
No adnexal pathology is identified
No collection seen in the P.O.D

Impression
1. A cyesis
2. Normal pelvic scan


Please help me out on the interpretation.

olajideojora:
Hi Dr. My gynae placed me on clomid, i saw my period two days late and it wasnt flowing normal so i went for a scan, the result of the scan is below:


Normal sized, non gravid uterus is seen - 49mm×41mm×44mm.
No adnexal pathology is identified
No collection seen in the P.O.D

Impression
1. A cyesis
2. Normal pelvic scan


Please help me out on the interpretation.

Good morning.
A normal pelvic scan was done. A normal sized womb was observed with no pregnancy with the other upper reproductive organs in conjunction, no disease condition was identified. The pouch,a space lingering between the womb and the outlet to the anal canal is fluidless.

Hi Doc,

I just bled and passed clot and I am 6 weeks pregnant. Blood test showed BHCG at 119,223nmol while progesterone is 50nmol. At conception, BHCG was 1438 while progesterone was 80. Seems BHCG has increased but progesterone is decreasing. A.m. on 2 vials Lubion, 2 pressures 400mg Cyclogst, omg progynova and one 75mg aspirin. I can't do a scan until tomorrow but could you advise whether to increase meds now?
Many thanks

Fynebouy:
Hi Doc,

I just bled and passed clot and I am 6 weeks pregnant. Blood test showed BHCG at 119,223nmol while progesterone is 50nmol. At conception, BHCG was 1438 while progesterone was 80. Seems BHCG has increased but progesterone is decreasing. A.m. on 2 vials Lubion, 2 pressures 400mg Cyclogst, omg progynova and one 75mg aspirin. I can't do a scan until tomorrow but could you advise whether to increase meds now?
Many thanks

Who gave the prescription?

Can staph aureus infection detected via hvs block fallopian tubes especially if it has stayed untreated for long? thanks doc

Janix2:
Can staph aureus infection detected via hvs block fallopian tubes especially if it has stayed untreated for long? thanks doc

Good morning.
There is no special clinical substantiality that provide claims S. aureus responsible for tubal occlusion. Specially concern organisms responsible for it are G. neisseriae and C. trachomatis. Reason being that these organisms are interiorly proactive than S. aureus.

Now,by virtue of time if a S. aureus infection lingers to the extent of the uterine adnexa by efforts of vagina penetration,douching or infectious toxaemia; strains of such species of less interior activity comes proactive in a polymicrobial relationship. This may lead to pus formations that are likable to occlude the tubes. However,it only for chronic assumed causes.

LuckyG1:


Good morning.
There is no special clinical substantiality that provide claims S. aureus responsible for tubal occlusion. Specially concern organisms responsible for it are G. neisseriae and C. trachomatis. Reason being that these organisms are interiorly proactive than S. aureus.

Now,by virtue of time if a S. aureus infection lingers to the extent of the uterine adnexa by efforts of vagina penetration,douching or infectious toxaemia; strains of such species of less interior activity comes proactive in a polymicrobial relationship. This may lead to pus formations that are likable to occlude the tubes. However,it only for chronic assumed causes.

Thanks Doc!

Hi Doc,
I had hsg test done and got this result. Pls I need a better interpretation of it. Thank you in advance for your reresponse.

Contrast film: Both fallopian tubes and uterine cavity were outlined. The outlined uterus is capacious however it is normal in position and outline. The round lucencies seen in the upper part of the uterine cavity are likely due to uterine fibroid. Air lucencies are also seen within the cavity. The fallopian tubes shows normal caliber and outline with free intraperitoneal spillage of contrast at their fimbrial ends. Delay film show loculation of contrast in the pelvis likely due to pelvic adhesions. Conclusion: Bilateral patent fallopian tubes.




Note: I did myomectomy last year, did pelvic scan April this year and the result was fine.

I wish Nigeria and all Nigerian women a happy independence day. Irrespective of the numerous challenges in and of life we still exist. It only shows we are more than conqueror. Don't give up,wives!

Redeemed:
Hi Doc,
I had hsg test done and got this result. Pls I need a better interpretation of it. Thank you in advance for your reresponse.

Contrast film: Both fallopian tubes and uterine cavity were outlined. The outlined uterus is capacious however it is normal in position and outline. The round lucencies seen in the upper part of the uterine cavity are likely due to uterine fibroid. Air lucencies are also seen within the cavity. The fallopian tubes shows normal caliber and outline with free intraperitoneal spillage of contrast at their fimbrial ends. Delay film show loculation of contrast in the pelvis likely due to pelvic adhesions. Conclusion: Bilateral patent fallopian tubes.




Note: I did myomectomy last year, did pelvic scan April this year and the result was fine.

Good morning Redeemed.
This is the interpretation of your HSG done.

Both tubes and your womb were seen and in normal boundaries covering the normal space naturally attributed.
The X-ray non-absorbing part with a contriving black appearance of the womb is an assumed uterine myomatic display (fibroid) .
Fallopian tube is shown to have normal boundaries consisting a normal internal diameter. A free spilled of the filming medium at the ovarian end of the tubes gave clues of patency.
However on delaying the filming were seen presumably scars around the tubes. These scars are located between surfaces on the tubes.
Finally, your both tubes are assumably non-occluded.

Redeemed.

Should you have viewed the reply I gave you before 3:03pm,you may kindly go over it again being that a little modifications were done.

Thanks for bearing with me.

Hello Dr. Happy Independence. Amen to your independence wish to us.
Yes it completed the 30days this time. It came on the 25th of September.

LuckyG1:

Has the 30-day completed before placing this complaint?

Azaebere:
Hello Dr. Happy Independence. Amen to your independence wish to us.
Yes it completed the 30days this time. It came on the 25th of September.

Now do you still have any reason to fear,or time has made you to learn something?

..

LuckyG1:


Now do you still have any reason to fear,or time has made you to learn something?

..

Rbae:
Hello Doctor. Please, my cousin has fibroid and after her menses ,clots do come out on the 6th day. Small clots.
She also have infections which shes treating, Shes so scared cos she always have abdominal pains and whenever she's urinating she farts all d time.
She is receiveing treatments but she's is so worried and down at the moment cos she's getting married next mnth. She's in my house now cos I cannot let her kill herself with worry.
Pls, what else can she do?

Hypermenorrhea( increase menstrual fluid volume) is a normal phenomenon with fibroid with clot removal. Abdominal pains are merely due to contraction of the uterine musculature and mass in proportion to when she is having her normal cyclic bleeding.

Removal of flatus(fart) during urination may only stand as an epiphenomenon to the fibroid but much more tending to result from lower abdominal infection or lower urinary tract infection.Infection,you said. What infection per se?
What test has she done to check it? And then,what sort if treatment is she into?

We richly applaud your kind gesture of housing her as to droop her worries and fears. We also encourage her to seek resolve to her problems by doing a removal of the fibroid from an established clinic if at all symptoms can't let her be or probably to eschew rooms for subfertility after marriage.

You may reach me: Kog315@yahoo.com.

LuckyG1:


Hypermenorrhea( increase menstrual fluid volume) is a normal phenomenon with fibroid with clot removal. Abdominal pains are merely due to contraction of the uterine musculature and mass in proportion to when she is having her normal cyclic bleeding.

Removal of flatus(fart) during urination may only stand as an epiphenomenon to the fibroid but much more tending to result from lower abdominal infection or lower urinary tract infection.Infection,you said. What infection per se?
What test has she done to check it? And then,what sort if treatment is she into?

We richly applaud your kind gesture of housing her as to droop her worries and fears. We also encourage her to seek resolve to her problems by doing a removal of the fibroid from an established clinic if at all symptoms can't let her be or probably to eschew rooms for subfertility after marriage.

You may reach me: Kog315@yahoo.com.

She did a scan, HVS and urine mcs. I will send u an email now. Thanks.

Rbae:











She did a scan, HVS and urine mcs. I will send u an email now. Thanks.

Hope you received the mail?

Hello Doctor please what is the daily dosage for cabergoline? My prolactin is at the border line, I don't secrete milk and my period is regular 26-28 days cycle. My doctor prescribed bromocriptine but when I took it in 2014 the side effects were terrible and I had terrible acne. When I told him he still insisted that I should buy bromocriptine. I went online and discovered that cabergoline is better so I just bought it and I need your help on dosage . Thanks.

Pls doc,what best herbal product or drug to boost sperm count and motility! goodevening doc!

swtbiddy:
Hello Doctor please what is the daily dosage for cabergoline? My prolactin is at the border line, I don't secrete milk and my period is regular 26-28 days cycle. My doctor prescribed bromocriptine but when I took it in 2014 the side effects were terrible and I had terrible acne. When I told him he still insisted that I should buy bromocriptine. I went online and discovered that cabergoline is better so I just bought it and I need your help on dosage . Thanks.

Initial dose should be twice a week for 0.25mg. But 1.0mg can be taken once in a week. This is for oral route administration.
Confirm this prescription with that written on the drug leaflet or as directed by a medical doctor.


Why should you want a lower prolactin when you have a regular cycle, no nipple discharge and no libido disturbance(assumed)? Borderline,as in?

Janix2:
Pls doc,what best herbal product or drug to boost sperm count and motility! goodevening doc!

Am sorry I don't know.

Good evening doc, after going for flushing, the result read 'minimal tubal opening of both tubes'... what is the implication and can I get pregnant with such report? My endometrial lining also measured 17mm on cd13. Will it affect implantation ? I normally ovulate on cd15. What is the solution to reduce the thickness of the lining? Thanks and God bless.

Queen1010:
Good evening doc, after going for flushing, the result read 'minimal tubal opening of both tubes'... what is the implication and can I get pregnant with such report? My endometrial lining also measured 17mm on cd13. Will it affect implantation ? I normally ovulate on cd15. What is the solution to reduce the thickness of the lining? Thanks and God bless.

Good morning madam.

Nothing much but at least an improvement to the former. Perhaps the flushing has done some good. As you know a tube may not be at it 100% functioning to promote fertilisation of the ovum,but for normal reproductive activities of which pregnancy is inclusive a greater percentage to normal functioning is required.

The rush to carry pregnancy is not needed now,you may have to see it necessary to give the tubes time to improve above what it is. This requires checking over time interval.

The reason for this is clear enough as to avoid any case of ectopic pregnancy. When the tubes calibre have been sustained and conditions causing the blockage is done away,then pregnancy is advised.

Do you actually think your problem is endometrial line thickening?

@Doc, thank you so much for kind gestures, only a few people can actually be so helpful. May God bless and honour you.

I have gone through your response to my post again and honestly speaking I don't know the next thing to do again. I'm in a confused state.
Sir, I would mind if you can recommend next line of action.
Thanks so much, I appreciate.

Redeemed:
@Doc, thank you so much for kind gestures, only a few people can actually be so helpful. May God bless and honour you.

I have gone through your response to my post again and honestly speaking I don't know the next thing to do again. I'm in a confused state.
Sir, I would mind if you can recommend next line of action.
Thanks so much, I appreciate.

Was it that you didn't understand me?

I understood the part which says patent tubes but the part that says scars are located around surfaces of the tubes, I understand not . Could it delay conception?

LuckyG1:


Was it that you didn't understand me?

Redeemed:
I understood the part which says patent tubes but the part that says scars are located around surfaces of the tubes, I understand not . Could it delay conception?

That's something related to Pelvic adhesion. It can be frustrating at times and could cause delay to conception. Pelvic adhesion may cause unnecessary attachment of the tubes to abdominal bodies causing a difficulty to conceive. It usually results from scar formation of a previous operation done on that organ.


Please I need you to run another check again-HSG to confirm the adhesion and fibroid.

Let us know about when done.

LuckyG1:


Good morning madam.

Nothing much but at least an improvement to the former. Perhaps the flushing has done some good. As you know a tube may not be at it 100% functioning to promote fertilisation of the ovum,but for normal reproductive activities of which pregnancy is inclusive a greater percentage to normal functioning is required.

The rush to carry pregnancy is not needed now,you may have to see it necessary to give the tubes time to improve above what it is. This requires checking over time interval.

The reason for this is clear enough as to avoid any case of ectopic pregnancy. When the tubes calibre have been sustained and conditions causing the blockage is done away,then pregnancy is advised.

Do you actually think your problem is endometrial line thickening?

Thank you very much doctor, I raised the issue of ectopic pregnancy to the doctor that did the flushing and he said he didn't think it can get to
that. He advised I should try to get pregnant within three cycles before deciding on the next step.
I'm actually not in a rush though, due to the nature of my husband job, we see about three times in a year that is why I try to maximise the opportunity whenever he is coming around.
I'm concerned about the endrometrial lining thickening because of the scary things I heard about it.I will focus more on the tubal opening. Thanks once again for the response. GOD bless.

Please how long will it takes a person that was put to bed through CS to conceive again.

Good evening doc and trust you had a rewarding day. I did a pelvic scan today in other to follow up on the hsg test I had two week ago.

Below is the narration:
USS shows a bulky uterus with an AP diameter of 5.2cm. The myometrium is expanded by solid tissue masses with echo textures and AP diameters of 1.0cm in the mid anterior wall and 1.6cm in the upper anterior wall. They are intramural in locations. Internal Os is closed. Both adnexae appear free. Pouch of Douglas is empty. No free pelvic collection sighted. No cyst. No cyesis.

Note: During the procedure, the man told me that he saw an un-ruptured egg and I'm even expecting menses to show tomorrow, I don't know what he means sir.
Thank you and God bless in Jesus name.

LuckyG1:


That's something related to Pelvic adhesion. It can be frustrating at times and could cause delay to conception. Pelvic adhesion may cause unnecessary attachment of the tubes to abdominal bodies causing a difficulty to conceive. It usually results from scar formation of a previous operation done on that organ.


Please I need you to run another check again-HSG to confirm the adhesion and fibroid.

Let us know about when done.