₦airaland Forum

telim:
pls. how long does varicocele surgery takes and is it painful any scar after healing?

How long a surgery lasts depends on who is doing it-expertise and experience to say. It should not last more than 45-60mins except it is bilateral with plenty of varices.
Anaesthesia is local (common). Mildly painful. There are always scars after every incision. But with great suturing, it will almost look scarless.

jamesbridget13:
Good evening mamas. Please I need help with trusted recommendations with regards to sperm boosting supplements please mamas. My chat with my sister trying to conceive below

My sis: Good afternoon sis,
I have done the HSG test everything was okay the two fallopian tube is open. And the hormonal profile test was good too. Just my husband low sperm count doctor said it's not too low but need to be boosted
We were told to buy vitamin e supplement

Me (after all excitement with the good news) : Why did the doctor not prescribe drugs?

My sis: The doctor said we should also find sperm count booster supplement


Please help me mamas. Na only here I trust bikonu. Please

You may want to post the SFA result of this person so that holistic attention will be given to this report.
Putting a grade to this low sperm count is essential.

What other tests have been conducted to rule out other causes for this low sperm count?

The intention of care is to find the cause or risk factors that are enabling the problem. Nutritional supplements will play a greater role as a support option along with treatment of the major concern.

Some helpful suggestions :
-vit E
-vit C
-vit D
-zinc
-selenium
-omega-3-fat

Don't self-medicate. Use of these supplements should follow with a doctor's written dose plan.

obonujoker:
Please who can interpret this result.

Someone said Progesterone level is low.

Can we use Vitamin B6?

What cycle days were these tests done?
The LH:FSH ratio =2
The progesterone is below the reference range.
Having a low progesterone does not necessarily require treatment for it. In this case, the progesterone is relative to the event preceding the Luteal phase.

In some cases where the cycle wasn't ovulatory, the follow-up progesterone after 7days will not be elevated. To have any concern about this progesterone would be to conduct a series of assays in consecutive cycles to determine if this progesterone level is consistent with an abnormally low level or due to failed ovulation.

LH:FSH >/=2 is just a clue, but not diagnostic of hormonal imbalance. But it is necessary to have a TVUS done to rule out PCOS.

Use of vitamin B6 does not help to improve progesterone blood levels.

The intention of care is not to increase progesterone blood levels but to treat the underlying cause of the low progesterone blood levels.

Luckybrother1:
My girlfriend supposed to see her menstruation on July 1, so the menstruation came and stopped the second day. Then on the 14th of July. Menstruation came again and lasted for 6 days., that 14th July supposed to be her fertile window.

There's little to worry about this concern for now.
First, it is now a common thing for younger reproductive females to observe mid-cycle bleeding. Mid-cycle bleeding is vaginal bleeding that occurs several days before, during, or even after ovulation. Some midcycle bleeding could last 2-6days. The bleeding could be mild to moderate in flow. This is also one reason most women will say, " I got pregnant when I was seeing period oh." Mid-cycle bleeding is almost functional with little to no organic cause.

Secondly, a normal menstrual interval typically ranges from 2 to 8 days. A woman's bleeding interval is affected by so many factors: stress, diet, drugs, emotional disturbances etc.

A general outlook on this complaint does not look disturbing, but it is very important to have reassurance from the doctor after a visit to the clinic. He may likely want to rule out: uterine fibroids, early pregnancy symptoms, PID, PCOS, previous abortion history etc.

Should you need any more help, use the signature.

overdrive:
Hello doc of recent I started having nose bleeding, what could be the cause.it comes out from one nostril and doesn't bleed much.
I am confused.

How many times have you had this experience recently? What are the episodic intervals like?
Is this your first time having a nosebleed?
What is your gender?

Most sudden nosebleeds are innocuous. However, if a nosebleed occurs frequently, with or without other symptoms, it is always advisable to seek a doctor's help for expert review.

The cause of nosebleeds are mostly functional and less systemic. Common causes I should expect in a Nigerian society:
- vigorous nose picking
- accidental trauma to the nose
- nasal polyps
- allergic rhinitis
- hypertension
- bleeding disease ( haemophilia- male, VWD-female)
- use of blood thinning medications.

Should this be a concern, seek a doctor's help for a physical examination and a blood work done for a full blood count, coagulation/clotting profile test, liver function test etc.

africanman85:
I am having this problem. I met a new girl which I have the intention to marry. When I tried to have sex with this girl, my dike go flaccid, I tried again with taladafil 20mg prescribed by a Doctor and same thing happened again. Since then, I no longer have morning erection. My mind is always on my dike and each time the erection try to come and my mind go there, my dike will just go flat. I need serious help. Another thing is I ones masturbated in the past. I have been having poor sleeping habits for sometime too.

When you give too much attention to your penis, your fear becomes your expectation and that's what you will get. Why?

Your worries tends to drive up adrenaline leading to reduce blood flow to the erectile tissues of the penis. When this happens, erection will fail on several attempt.
Your Performance anxiety is quite palpable, and until you work on it things will remain unchanged.

How then do you go about this?

- Enjoy intimacy. Avoid judging your penis erection degree. Even if it fails. Laugh it off.

-Enjoy intimacy. Involve yourself fully without penetration for some sexual intercourse. Not because you are afraid of flaccidity but to engage in other sexual behaviors that will keep your mind of the penis.

-Enjoy intimacy. Don't engage your fantasy in a rush.

-Limit use of alcohol and hard substances prior to intimacy.

- Seek a doctor's helps for a review to proceed with the Tadalafil or initiate something else.
You may need something why trying to build your confidence.

@ All,

I am not opening a new thread on this. We already have a previous thread that carries a similar name.
Hence the link to that previous one is posted below so every who are in need of seeking help on their reproductive challenges should post on that thread and not this one.👇👇👇

https://www.nairaland.com/104493/doctor-house-obstetrics-gynecology/284

africanman85:
Hello Urologist in the house, what could be the cause or Rising and falling of Penis B4 penetration. My BP, testosterone, cholesterol are all good. I noticed I can't sleep past 1am in the night and I will wakeup. If I stand up, my penis will go down

The cause of penile detumescence before penetration may likely be normal or abnormal.

NORMAL CAUSES:
- relationship problems or conflict
- occupational stress
- poor sleep
- performance anxiety
- history of childhood abuse or molestation
- medication-induced
- medication abuse

ABNORMAL CAUSE:
- chronic illnesses like hypertension, diabetes, SLE, thyroid problems
- BPH
- age related (?age)
- hormonal changes relating with high prolactin and estrogen levels in the blood though testosterone seemed normal
- varicocele

Why are you worried about this?

Mofetemi:
Hi doc in the house. What could be the cause of sudden dry & burning throat symptom

The cause of sudden dry and burning of throat is commonly noticed after:

1) poor or reduced intake of fluids
2) allergic reaction with respect to some medications, or even after some meals, and then use of some recreational drugs.
3) throat infection
4) GERD with waterbrush symptoms
5) others


There is little to worry about this complaint except if symptoms persist more than a week.

I am reposting this thread again.

It's been unused for a long while now.

So, if you have any health problems, just have it posted and it will be attended to.

Thank you!

It's been quite a while. This great thread has since been left redundant. Times have really changed and almost everyone have moved on.

I turned in last night to see if i could still log in after 3yrs or more, and I could after resetting password.

My intention:
To wake this thread up. Give few of my time to attend to various health issues within the stipulate reason for creating this thread.

PLEASE YOU CAN POST YOUR COMPLAINT.

I woke up on Friday morning, and this phone just stopped charging. No fall or exposure to any fluid of such.

In the evening time, it resumed again. But right now it is not. There is this " USB connected, USB disconnected" message that come with it severally but it is not charging.

Charger is okay, and USB cord is okay too. The same thing for other charger and USB. I am just wondering what the problem is and how to go about it.

Any help?

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).

Masab:
Pls is this a healthy result?
Thanks

Motility is okay.
Morphology is okay.
Every other quality except for sperm count.

Sperm count is moderately poor by the way.
Semen culture and microscopy yielded Proteus spp. This may implicate for the low sperm count.

Treatment: use of prescribed sensitivity may improve count.

BrightShine:
Please help me to interprete this, advice, comments. Thanks

Please provide a brighter image.

Keziehenry:
Pls someone should kindly help interpret this test result.
FBC
Hb..... 11.8(12-16)g/dl PCV.....32.8(36-47)% WBC(T)..6.2(4.5-11)x10/uL
Differential
N 27(40-72)%
L 65(20-45)%
M 05(2- eight(%
E 03(1-6)%
B 0(0-0.5)%
Film Report hypochromic Anisocytosis ++ poikilocytosis +
thanks in anticipation.

Your hemoglobin concentration is low
Pack Cell Volume is low.

Though the white blood cell is normal, the neutrophils are abnormally low with an associating high levels of lymphocytes. This represented a chronic inflammation with several differentials rounding fron infectious causes ( mostly likely viral origin and selective bacterial background) and also, cancerous changes with the blood system.

What were your signs and symptoms before you had this test done?

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.

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?

I stumbled on Star set up for my page, which inevitably leads to pay out instructions for Stars. I discussed this with someone and I was told this option is not for Nigerians and if I were to have this option, the only way would have been to get someone abroad to run the Pay out account set up even if I have my TIN (Tax identification number).

Is this really true?

Godliness05:
Good day doctors in the house. My wife had large intramural fibroids before pregancy, as we thought of surgery or other treatments, she get pregnant with it. It was initially painful in the first semester but the pains had reduced. Recent Scans shows reduction in the size of the fibroid and the placenta posterior just like the fibroid. In her 6th month and I want to ask what are the risk factors as the delivery approaches, can the fibroid reduced further or totally disappear to make normal delivery possible and safe?

How do you know the fibroid is decreasing?
The fibroid may actually not disappear even if it shrinks. The rich supply of estrogen will always have it to grow or even remain at that same size where it was first seen. A placentae located posteriorly is not a problem if it is not located in the lower uterine segment. And a fibroid may not impact negatively for a poor obstetric outcome if it is not in the lower uterine segment as well. She can still deliver her baby normal in the absence of any other problem.

Lagbenjo:
Doctors in the house , i beg you in the name of the God .Help interpret this result for me and hubby. Thank you

The Semen Fluid Analysis report wasn't really. Even with my pair of glasses on I could not see any more better. You may want to have it snapped again.

For the other one, right impression here is:
-normally low LH.
-(normally) low FSH.
Assuming that assays for these hormones were done in your CD 2-5.

-low progesterone.
Assuming assay was done on CD21.

And lastly, a normal prolactin concentration level thriving to the upper limit.

We safely assume that:
1) there was no ovulation in this cycle.
2) negative feedback mechanism controlling the cycle is slightly altered.
3) the rising prolactin concentration level is impacting on the cycle.
4) a thyroid hormone assays may be necessary.

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.

I will have need of some people to really make me understand why my PC window always crash. This is making it the 3rd time now.

I don't use this PC for any serious activities except for reading through my PDFs and PowerPoints files, yet it crashes again and again. No music files and no movies. And just after putting in Window 8.1 about a week ago, it crashed off again.

I would need some one to really make me understand why my PC window always crash?
I don't use this PC for any serious activities except for reading through my PDFs and PowerPoints files, yet it crashes again and again. No music files and no movies. And just after putting in Window 8.1 about a week ago, it crashed off again.

I would need some one to really make me understand why my PC window always crash?
I don't use this PC for any serious activities except for reading through my PDFs and PowerPoints files, yet it crashes again and again. No music files and no movies. And just after putting in Window 8.1 about a week ago, it crashed off again.

MBKOOL:
Good day Dr. I have been suffering from infection for over two (2) year now. I had taken different antibiotics drugs all to no avail. My scrotum (testicle) bite me so hard which has given me great discomfort. Recently, I went for CULTURE urine M/C/S test in the lab & this is the result; SENSITIVITY: Tetracycline+++, Netillin+++, Levofloxacin+++, Ceftriaxone+++, Ofloxacin+++, Co-trimoxazole+++, Gentamicin+++
RESISTANCE: Amoxyclav.
This is the medication I took after the test;
(a) Tab levofloxacin (TAVANIC) 500mg daily for 5days (b) Im gentamycin 160mg daily for 5days
YET THE PAIN STILL INCREASES. WHAT SHOULD I DO PLS? THANK YOU.

Write me privately on this and if you have seen a doctor on this, I wish you a great recovery.

Kindly use the signature for that, terms and conditions following.

FKBZ:
@2Ballz please can u answer this....
[
quote author=FKBZ post=16840530]hello doc,

i have been wondering a lot about my period.although am ss,but i have never had very flow of blood b4. am just 22.

started my period wen i was 14 and since den till now i menstrurate but it always just droplets of blood,mostimes i dont use pad cos i feel its waste of time i use tissue instead because i know the flow would be very minimal.


please what could be wrong with me and what can i use to have a regular period.

Though it may be distressing to find one having a scanty period, but it is also good to know how long does the scantiness last.

How does your scanty flow last?

mommafertile:
Good afternoon, doctors in the house.
Please I have a vaginal infection over 7 years ago when I was still in school, we all thought it is the popular toilet infection, cos I was not the only one affected.
I used mycoten insertion tablets, without the whitish discharge and stomach pain going away.
I later realized I could not achieve pregnancy, I did ultrasound scan last year which shows PID and fluid in Pouch of Douglas, my hvs test shows scanty ecoli. I treated with drugs written on the hvs test, I noticed the egg white mucus which I've not seen for over 7 years, the abnormal discharge came back within 4 days, before I even finished the drugs.
I have to go back to treat with injection, but still no changes.

I went for another hvs which shows moderate growth of staphylococcus app in the test and shows moderate growth of staphylococcus aureus in the urine test.
Thelis time, I was told the urine got some drugs that will work for me(sensitivity), but the hvs was resistant to all antibiotics.

The picture below is all the symptoms I'm having.

Please help me doctors, what can I do to be totally free and achieve pregnancy?
Thank you.

If these are all your symptoms, then you will need to see a doctor for help.

Or, if it is okay by you write me privately on my online WhatsApp for a closer interaction. Charges are applicable.

Nono312:
Good evening Doctors, please how can someone treat breast discharge which the lab indicated as high prolactin and she has taking parlodel and Dostinex but still to no avail, she sees her monthly period and ovulation, pls any other solutions for that?

The treatment of high prolactin largely depend on using medications with a mode of action to reducing prolactin activities and increasing dopamine in circulation. Prescription is usually approved by your doctor primarily after confirming a fatty droplet in your nipple discharge on microscope or a blood test confirming a high prolactin level. Common among prescribables are Bromocriptine and Cabergoline.

It is also necessary for him to find out if any other secondary condition could be linked to the the high blood prolactin as numerous factors can hinder treatment plans for example, chafing of the nipples by the a wearing bra, some medications and even having thyroid gland/hormone problems.

Recurrence is another thing to take note of, most women have cases of high prolactin coming and going withing month interval. Recurrence may be attached to size of tumour causing the prolactin secretion in the brain or/and related to listed factors. He will take note of that.
For prescription use your clinic, or use my private session on WhatsApp. Get to my profile signature for that.

Lushbarbie:
i want to know too, how to treat high prolactin

The treatment of high prolactin largely depend on using medications with a mode of action to reducing prolactin activities and increasing dopamine in circulation. Prescription is usually approved by your doctor primarily after confirming a fatty droplet in your nipple discharge on microscope or a blood test confirming a high prolactin level. Common among prescribables are Bromocriptine and Cabergoline.


It is also necessary for him to find out if any other secondary condition could be linked to the the high blood prolactin as numerous factors can hinder treatment plans for example, chafing of the nipples by the a wearing bra, some medications and even having thyroid gland/hormone problems.

Recurrence is another thing to take note of, most women have cases of high prolactin coming and going withing month interval. Recurrence may be attached to size of tumour causing the prolactin secretion in the brain or/and related to listed factors. He will take note of that.

For prescription use your clinic, or use my private session on WhatsApp. Get to my profile signature for that.

Dazzle86:
Dr please can you interpret this. I have a 3 year old and I am ttc. Should I be concerned about the pelvic adhesions? I have had 2 surgeries, myomectomy and CS

Normal body internal space of your womb or uterus. Spillage of contrast identify with an opened functional uterine tube.

Pelvic adhesion could have resulted from the operation done, this may have certain effect on getting pregnant but you will to try for some time more before seeking help on the pelvic adhesion.

Tayomi37:
Good day Doctors in the house. Thanks for the good works.

My wife had 3 C.S (2009, 2011, 2013,). she used to complain that the C.S point hitches her once a while. We report to the Doctor and they said it's due to healing that it will stop.

The major issue here now is that in the last two years, she used to bleed at any slight provocation, scaring, of anything that cause her to fear/panic. This happened between few hours and two days. This is nothing to do with her normal mensural cycle. She is 44yrs.

Please what could be happening.

Where is she bleeding from?

Obim225:
Hello Doctors
Is surgery the only way to get rid of a bartholin cyst?
It is not infected (abscess) and I have had it since April 2020.
Are there other ways to make it go away? I really don't want to get a surgery done.
Pls help, thanks.

Surgery should be the last options. So your doctor may not be opting for a surgical procedure in treating your inflamed Bartholins gland if the options are yet to be tried upon.

You may want to have a Sitz bathing for some weeks with use of antibiotics as a follow up, just to see if the cystic condition is improving. And if it is barely a bigger one draining the cyst in the doctor's office may just be the common next option at hand.

Surgical procedure may only be next for any existence of recurrence.