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Doctor In The House:Obstetrics And Gynecology - Health (284) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by Omobithousand(f): 4:39am On Aug 05, 2022
Please how much did u run the endometriosis test,cos my daughter is about to run the test too






Lagbenjo:
Good evening mothers and fathers of nations

We have done all fertility tests. My hubby SFA Is okay. Nothing is wrong with my tubes, I ovulated when I had ovulation tracking test, did hormonal profile, but my LH and progesterone is low, although it was collected on day 21. I read that it should be collected on day 3 or so .

I complained to doctor that I do have yellowish watery discharge from my breast and I have never been pregnant . Squeezed my breasts in his presence and he saw it himself . He asked me to check my prolactin levels . I did three prolactin tests at different labs and they all came out normal. I used all series of bromocriptine for a long time , even though my results are normal , but the discharge is still there.

Tests also showed that I have endometriosis. I have done myomectomy Feb. Ist to take out the cyst and fibriods. The doctor said we could start trying a month after the surgery , but I waited for 2months . Went back for scan after the second month and was told my uterus is free. After the second month we tried actively every other days and ovulation days, but nothing for 2cycles now.

Please who else have or had endometriosis, who is experiencing breast discharge and prolactin is still normal and what did you do to conceive? Thanks

My mind is telling me that maybe am suffering from luteal phase defect as a result of the low LH and progesterone or it is as a result of the breast discharge . I stand to be corrected
Re: Doctor In The House:Obstetrics And Gynecology by mignone(f): 5:01pm On Aug 17, 2022
MrEgghead:
What later happened? My gf is in the same dilemma.
Emergency contraceptives like postinor work by disrupting the hormones for a while, so can sometimes mess up the menstrual cycle.
It's not advisable to take them often, hence d adjective 'emergency'.
U need to be patient, d body should regulate itself over time.
Re: Doctor In The House:Obstetrics And Gynecology by myhero: 5:43pm On Aug 17, 2022
Nice thread
Re: Doctor In The House:Obstetrics And Gynecology by nikkyakins: 11:50am On Sep 22, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by nikkyakins: 11:51am On Sep 22, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by Lasisieniola77(m): 3:39pm On Oct 09, 2022
Thank you for all you do in house, Docs
I have been noticing a foul smell in my menstruation, last month my menstruation supposed to last for four days but i had it for only 3 days in which the first day i had a heavy flow, so for the month of October, i had a very heavy flow on the first day to an extent that i changed my pad 4 times on that first day, fast forward to the second day, i started seeing black blood and on the third too too i also see black blood with a foul smell. And i was already 3 days late before it came.
Doctor in the house, my questions is what could be the cause of these black blood with a foul smell and also irregular period.
Re: Doctor In The House:Obstetrics And Gynecology by Talkshealth15: 11:44am On Oct 11, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by kannyluv(f): 9:19pm On Oct 12, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by aiyornim: 10:24am On Oct 13, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by nikkyakins: 5:48pm On Oct 19, 2022
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Re: Doctor In The House:Obstetrics And Gynecology by Stormborn86: 7:25pm On Nov 20, 2022
2Ballz:


The Semen Fluid Analysis report wasn't really. Even with my pair of glasses on I coul

A short term course of Cabergoline or Bromocriptine may be necessary. However see your doctor for help. Or better still, use my private line to hold consult.
Hello doctor. Can you please interprete this result. What do they mean by moderate uterine cavity, is that a problem?

Re: Doctor In The House:Obstetrics And Gynecology by Adhufe: 9:48am On Nov 29, 2022
Good morning docs, pls I took a positive blood pregnancy test at d hospital on d 19th and it came out positive, I started spotting on d 25th, I rushed to d hospital, did an emergency vaginal scan and d results said I have thickened endometrium. I was placed on duphaston 10mg tablet. The bleeding stopped on d 26th. Then overnight it started again at every 3 hrs interval. I couldn't sleep, I went to d hospital on d 29th, scan still says thickened endometrium at 18mm. I was told to come back for a rescan next two weeks and to continue using duphaston. I am scared. I have been a ttc for 3 yrs plus before eventually getting pregnant dis month. Does dis mean I am miscarrying?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 7:03am On Mar 28, 2023
Adhufe:
Good morning docs, pls I took a positive blood pregnancy test at d hospital on d 19th and it came out positive, I started spotting on d 25th, I rushed to d hospital, did an emergency vaginal scan and d results said I have thickened endometrium. I was placed on duphaston 10mg tablet. The bleeding stopped on d 26th. Then overnight it started again at every 3 hrs interval. I couldn't sleep, I went to d hospital on d 29th, scan still says thickened endometrium at 18mm. I was told to come back for a rescan next two weeks and to continue using duphaston. I am scared. I have been a ttc for 3 yrs plus before eventually getting pregnant dis month. Does dis mean I am miscarrying?

Perhaps a miscarriage has occurred.

The endometrial plate is well thickened, even without the Duphaston it should be able to sustain a viable early pregnancy. In such cases the Duphaston may hardly play any better role, but should be given for normal reassurance purposes.

So, how did it go?

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 7:10am On Mar 28, 2023
Quite a long time friends. This thread on O and G has sudden gone quiet over time. I am hoping to revive it again by giving some few minute of my time to attending to posts as they comes.

Feel free to drop your complaints.

3 Likes

Re: Doctor In The House:Obstetrics And Gynecology by shalyboye(m): 6:08am On Apr 01, 2023
Thank you sir..

I'm having an issue, I did SFA last year and I was diagnosed of infection and low sperm count(Oligospermia), after using series of medications I went for test this month and I was told I am now having Azoospermia.. I did hormonal profile, testoreone level is normal @ 5.1g

Pls what could be the cause? Oligospermia to Azoospermia






2Ballz:
Quite a long time friends. This thread on O and G has sudden gone quiet over time. I am hoping to revive it again by giving some few minute of my time to attending to posts as they comes.

Feel free to drop your complaints.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 8:21am On Apr 01, 2023
shalyboye:
Thank you sir..

I'm having an issue, I did SFA last year and I was diagnosed of infection and low sperm count(Oligospermia), after using series of medications I went for test this month and I was told I am now having Azoospermia.. I did hormonal profile, testoreone level is normal @ 5.1g

Pls, what could be the cause? Oligospermia to Azoospermia







Common causes of oligozoospermia and azoospermia are:

METABOLIC CHALLENGES:
- diabetes mellitus
- thyroid abnormalities
- chronic alcohol use
- illicit drug use
- adrenal problems

INFECTIOUS DISEASES:
- mumps virus
- Chlamydia trachomatis infection of the sperm duct
- tuberculosis
- polymicrobial infection with Klebsiella spp, E coli, Pseudomonas, Staphylococcus aureus, Ng, etc.

OTHERS:
- previous scrotal/testicular/sperm duct operation
- varicocele
- trauma to the testis
- autoimmunity from exposure of the semen to blood
- severe stress
- malnutrition
- acquired abdominal testis

These are a few notable risk factors for oligozoospermia and azoospermia common with secondary types. If the report moved from oligozoospermia to azoospermia, it is simply from bad to worse. Maybe, the treatment wasn't effective, or the right treatment wasn't applied depending on the diagnosis reached.

I can't conclude about your testosterone result because I have to analyze the report with respect to the laboratory laid-out reference range which was not provided. For a case of azoospermia, it would be rather beneficial to have a full androgen hormone profile done than just the testosterone and a follow-up testicular ultrasound for structural abnormality.

There are other things to do but it depends on the doctor's diagnosis (seeing one is very necessary). Else, go to my signature, and book privacy( Whatsapp).

2 Likes

Re: Doctor In The House:Obstetrics And Gynecology by shalyboye(m): 2:04pm On Apr 01, 2023
Hmm OK... U mean by paying for a one on one session?
2Ballz:


Common causes of oligozoospermia and azoospermia are:

METABOLIC CHALLENGES:
- diabetes mellitus
- thyroid abnormalities
- chronic alcohol use
- illicit drug use
- adrenal problems

INFECTIOUS DISEASES:
- mumps virus
- Chlamydia trachomatis infection of the sperm duct
- tuberculosis
- polymicrobial infection with Klebsiella spp, E coli, Pseudomonas, Staphylococcus aureus, Ng, etc.

OTHERS:
- previous scrotal/testicular/sperm duct operation
- varicocele
- trauma to the testis
- autoimmunity from exposure of the semen to blood
- severe stress
- malnutrition
- acquired abdominal testis

These are a few notable risk factors for oligozoospermia and azoospermia common with secondary types. If the report moved from oligozoospermia to azoospermia, it is simply from bad to worse. Maybe, the treatment wasn't effective, or the right treatment wasn't applied depending on the diagnosis reached.

I can't conclude about your testosterone result because I have to analyze the report with respect to the laboratory laid-out reference range which was not provided. For a case of azoospermia, it would be rather beneficial to have a full androgen hormone profile done than just the testosterone and a follow-up testicular ultrasound for structural abnormality.

There are other things to do but it depends on the doctor's diagnosis (seeing one is very necessary). Else, go to my signature, and book privacy( Whatsapp).
Re: Doctor In The House:Obstetrics And Gynecology by lakakhan: 9:07pm On Apr 09, 2023
I'm sorry to hear about the challenges you're facing with trying to conceive. Endometriosis can affect fertility, but it's good to know that your tubes are clear and your husband's semen analysis is normal. It's also encouraging that your prolactin levels are normal despite the breast discharge.

Regarding the low LH and progesterone levels, it's important to note that day 21 testing is typically done for women with a regular 28-day menstrual cycle, with ovulation occurring on day 14. If your cycle is longer or shorter than 28 days, or if you ovulate later than day 14, it's possible that day 21 testing may not be the best indicator of your LH and progesterone levels. You may want to speak with your doctor about repeating the testing earlier in your cycle, around day 3 or so, to get a better understanding of your hormone levels.
Check: alcohol test kit
In terms of the breast discharge, it's possible that it may be related to your endometriosis, but it's difficult to say for sure without further evaluation. If your prolactin levels are normal and the discharge is not bothersome, it may not be something that requires further treatment. However, it's important to continue to monitor it and discuss any changes with your doctor.

Regarding the possibility of luteal phase defect, this can also be a potential factor in infertility. If your doctor suspects this may be the case, they may recommend further testing and potentially treatment with medications such as progesterone to support the luteal phase.

It's important to continue to work closely with your doctor and discuss all of your concerns and questions. There are many different factors that can impact fertility, and it may take time and patience to find the right solution for you. Wishing you all the best on your journey to conception.
Re: Doctor In The House:Obstetrics And Gynecology by harbighsohlarh: 2:03pm On Apr 10, 2023
Hello ma,I got the bolded during scan,please did you eventually get the cause of it
Chili89:
Good morning Doc, pls kindly inteprete and suggest solution. PELVIC SCAN : Uterus - Normal Size, Anteverted. Empty cavity, normal endometrial thickness, No fibroid. Ovaries - Normal size on both sides. No cyst. No mass. Urinary Bladder - Uniformly filled, normal outline. No Stones, no mass. Adnexae/POD - there's significant inflammatory tissue reaction in both Adnexae as well as in the pouch of Douglass causing poor interface between pelvic organs[b][/b]. There is no free fluid collection in the Pouch of Douglas.
Re: Doctor In The House:Obstetrics And Gynecology by lakakhan: 9:04pm On Apr 13, 2023
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Re: Doctor In The House:Obstetrics And Gynecology by FreeSTDSelfTest(m): 7:58am On May 12, 2023
Testing of new partner firstly is key to prevent Syphilis, Herpes, Chlamydia, HIV, etc


2Ballz:


Common causes of oligozoospermia and azoospermia are:

METABOLIC CHALLENGES:
- diabetes mellitus
- thyroid abnormalities
- chronic alcohol use
- illicit drug use
- adrenal problems

INFECTIOUS DISEASES:
- mumps virus
- Chlamydia trachomatis infection of the sperm duct
- tuberculosis
- polymicrobial infection with Klebsiella spp, E coli, Pseudomonas, Staphylococcus aureus, Ng, etc.

OTHERS:
- previous scrotal/testicular/sperm duct operation
- varicocele
- trauma to the testis
- autoimmunity from exposure of the semen to blood
- severe stress
- malnutrition
- acquired abdominal testis

These are a few notable risk factors for oligozoospermia and azoospermia common with secondary types. If the report moved from oligozoospermia to azoospermia, it is simply from bad to worse. Maybe, the treatment wasn't effective, or the right treatment wasn't applied depending on the diagnosis reached.

I can't conclude about your testosterone result because I have to analyze the report with respect to the laboratory laid-out reference range which was not provided. For a case of azoospermia, it would be rather beneficial to have a full androgen hormone profile done than just the testosterone and a follow-up testicular ultrasound for structural abnormality.

There are other things to do but it depends on the doctor's diagnosis (seeing one is very necessary). Else, go to my signature, and book privacy( Whatsapp).

Re: Doctor In The House:Obstetrics And Gynecology by Blebby(f): 10:43pm On Jul 20, 2023
Plenty does anyone know where I can get it🙏

Re: Doctor In The House:Obstetrics And Gynecology by pamito: 8:48am On Aug 30, 2023
Good morning good people!

Please I need possible suggestions on what to do.

I married my wife as a virgin about 18 months ago and ever since having a child is becoming an issue. We have been experiencing series of miscarriages/ chemical pregnancy.

We recently did HSG and were told one of her tube block but the other is open.
I also did semen analysis again and it came out fine(178million count & 70motility with 50 morphology).

Every time we visted the hospital, they ask her to use dusphaston and vasoprine ,still no improvement.

This time she went in for hormonal test at the lab. Everything came out ok except her T3 and T4 with (less than 0.2) and the Doctor says is insignificant.

She was placed on clomid for this month and she was late for 5days, which we tested negative on home strip and blood work. Today she started bleeding.

I am confused and don't know what to do.Please what do you suggest or think we can do.
Thank you as I await your responses
Re: Doctor In The House:Obstetrics And Gynecology by tiwor(f): 2:23pm On Oct 14, 2023
I have heamorrhagic cyst on one of my ovarian,and it's painful,where can I drain or remove it
Secondly I'm not seeing my ovulation mucus again
Re: Doctor In The House:Obstetrics And Gynecology by kindness111: 9:07pm On Oct 14, 2023
Dr's and experience people in the house, please explain this result to me I beg 😢

Re: Doctor In The House:Obstetrics And Gynecology by Orubebe01: 7:10pm On Dec 04, 2023
Pls how best can a pregnant woman treat pneumonia
Re: Doctor In The House:Obstetrics And Gynecology by Kittangal: 12:41pm On Jan 26
Hello doctors in the house , I'm experiencing something that is really disturbing me. I'm a 1st time mum & menses returned 6months after I gave birth to my daughter but since then it has been as if I menstruate every week or 2weeks. My period will just come unexpectedly. Before I conceived itt was regular 28days (even though I ttc for 8years before I finally conceived) but once the period comes today it may come again in few days time. And it's bright red & much, no clot. I complain to my Dr. But she said it's because I'm breastfeeding that hormone haven't return back to normal but pls sisters is it normal? Has anyone experienced this? I'm really worried because I'm trying for another pregnancy. My baby is 9months but not actively sucking anymore because she's eating solid food small small. Pls help. Thnx
Re: Doctor In The House:Obstetrics And Gynecology by Mrvictorwrite(m): 9:52pm On Jan 26
Wow
Re: Doctor In The House:Obstetrics And Gynecology by Mofetemi(m): 5:53pm On Oct 28
Hi Doc. Good evening. Due to my job, i engage in sedentary lifestyle alot. I am married but i masturbated on 24th October, 2024 and after ejaculation, i noticed a swell on my penis shaft. After waiting for about 12-24hours, the shaft returned to normalcy 100%. My testes don't ache at all nor my penis. After shaft normalcy, i noticed the following:

(1). Ache on a particular spot on the left side of my mon pubis (though not tender at all). If i hard press on this spot, i feel pain (i have been applying cold & hot heat though which gives me 100% relief).

(2). The flesh of my penis shaft looks like a skin that fluid has been drained away from when not erected (My erection is intact though)

(3). Lower Abdominal ache and waist ache but immediately i give cold or hot heat to the aching spot on my mons pubis, the abdominal and waist aches subside.

What could be the cause of these observations?
Re: Doctor In The House:Obstetrics And Gynecology by Confi100: 5:52pm On Nov 09
Pls I need your input on this matter
A pregnant friend in Canada noticed cervical funneling in thier scan at 18wks, the doctor had 2 option 1 is stitching 2, tablet insert, his preference was tablet insert because the funneling was seen at the top and not down of the cervix
She was going for check up until she notice water yesterday and doc confirmed the water was from the membrane, they said they can't sticht with the water presence in order to avoid infection even tho she's on bedrest for close monitoring
She's 20wks gone and they can only deliver the baby at 23wks
Pls any suggestion on what's best to do at the moment ?

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