BeckyChinelo1:

Thank you doc. But the vaginal spotting I had was after my miscarriage which was from 1st to 5th of this month. I usually don't have any symptoms or anything. Infact I think I'm ovulating right now.
Please can you tell me more about the factors that could aggravate the fibroid size I need to prevent?
Secondly can I carry a pregnancy successful pregnancy with the fibroids?

If you are ovulating, carry on with doing sex, there's actually no problem getting pregnant at all.

Since fibroid tissues responds to estrogen levels, the growth and recurrence of growth even after remover are mere functions of the estrogen concentration level, in other words fibroid tends to get growing in size if the estrogen concentration level is somehow high.
You may want to avoid using substances or diet plans that could increase estrogen concentration level such soy, flaxseed etc. Apart from this, controllable risk factors such as overweight or obesity, being diabetic, some medications etc could be managed and review again all over with your doctor.

Yes! You can carry a successful pregnancy to term. You will need to have your doctor also explained to you the possible complications one being pregnant with fibroids can face. I think the former will completely reassure your confidence of his been able to handle your days through pregnancy to term.

BeckyChinelo1:

Good evening doc. In respect to this I did the scan and was told I have fibroid, and the doctor said I should just try and get pregnant again. I was given vitamin e to take. Here is the result. Is there anything you think I should do?

Already the anterior aspect of the uterus has started coming with a large submucosal mass dimension and then the other one below. These masses may be the reason to plan a future myomectomy (remover of the fibroid). Besides their locations are significant to affecting fertility in small percentages and a bleeding duress.

If you have no other complaint added to your vagina spotting, there is little to bother about. Seeking pregnancy should be done with little worry. Another pelvic ultrasound (>3months from the time the first was done) should be done to know if the dimensions are becoming remarkable or not. And if pregnancy has not occurred within this time, you may want to review your fertility status again with your doctor just to be rest assured if the masses were the reasons for your infertility or subfertility.

You may have to prevent use of tangible factors that could aggravate fibroid size. You may want to discuss with your doctor those factors. Meanwhile, the safest relief is remover of these masses.

All the best!

TinaJoe:
gud evening doc. Pls how can one conceive with endometriosis. I have done HSG, tubes are open, I ovulate well cos I normally do TVS and my hubby's sperm is very ok yet I can't conceive.pls any advice?Will be grateful

Kindly use my online private platform for this. This is not an invitation but an online service. Thus, charges may follow. If it doesn't sit well with you, you may have to see a fertility specialist on this.

Link to privacy: https:///2349075560712

MorningStar233:
Good morning all, pls doctors in the house I want to do general test to know the state of my reproductive organs, I called a lab and they said it must be done based on doctor's report...where can I do these tests on my own in Lagos pls?

What kind of tests you wanted to do that a medical diagnostic centre required a doctor's written note?

Giftshaw:
Good evening doc ...please I was prescribed ciprofloxacin because I had an infection in my pregnancy am 14wks now ..I want to know if I should discontinue my prenatal meds for now till I finish it or can I still take them ?

And secondly is ciprofloxacin safe for 14wks pregnancy? In respect to treatment of infection

Risk to teratogenicity is fair or average. It can be used in the absence of any other antibiotics. It is safe for a 14weeks pregnancy.

Using this drug together with your prenatal routines is obviously the choice of the doctor to make. While not hear from him regarding this.

All the best!

sodiqapril:


I can't really say because I don't really do anything stressful, I'm a graphic designer and a photographer.

Yeah...she felt the lower side of my stomach

It was a bit worse

You may want to see another doctor to further examine the lower aspect of flank again for inflammation of your vermiforme appendix, check for herniation if any sort or review your medication once if usage has any impact linked to it.

Soloblincus:
I took 2 tablets 2 times daily. I didn't take any herbs or supplement except camusunate. And it's d first time I noticed it. I spoke to a doctor but she said the weekening effects of the camusunate will wear off which actually happened but then it still takes longer to ejaculate and I can't proceed to next round within 30 mins of ejaculating unlike before.

Alright. If this complaint were as a result of the Amoxicillin use, by now it should have leave off this effect. You will have to be patient a little more longer for a full recovery, and when it is not improving or getting worse, kindly report to a doctor again for full health review.

Or, use my signature to plan an online private session with me.

ovalrose:
Good morning doc, it's been a while I checked in here. Hope you are great?��

I'm the lady you counseled last time after I had a miscarriage and I'm glad to announce to you I'm expecting again, praise God. I've a concern though.
I took Fansidar for malaria when I was fifteen weeks gone, this is not my first pregnancy so before then I used to feel slight flutters. Now, I noticed that since after taking that medicine, I no longer feel the flutters at all. I am saving for my 20 week ultrasound, otherwise I'd have just gone for scan to be sure my baby is doing okay. I need some expert opinion or reassurance, whichever is appropriate ����

Except benefit of use is greater than risk, it is not advisable to use Fansidar in the first trimester or early weeks to the second trimester. Having written this, use of this drug during pregnancy should be in line with a doctor's directives.

Meanwhile, you have nothing to bother about until you have full checking on the fetus during an ultrasound. This is because several other factors can affect flutter including your being sick.

BeckyChinelo1:
Good afternoon doc. I had a miscarriage last week at 6 weeks and I started bleeding with tissue on the 1st of November and it ended on the 5th of November. Right now I'm having just brown spotting. Do I need to go for evacuation or everything has passed naturally.

It is normal to have spotting around days of onset of a miscarriage. This is purely functional.
Since the pregnancy has not gone of age, it is expected and natural to have a complete loss of products of conceptus by normal uterine contraction automation.

Do a pelvic ultrasound (since it was 6wks) to confirm for retained products of conceptus, and if there is, a proper evacuation may be necessary.

Chipeculiar:
Good evening Doctor

Thanks a lot for this group.

I would like to ask.......I had not taken the prenatal drugs before I got pregnant but since i did, i started taking the regular folic acid and minerals.....after sometimes....the drugs nauseas me very badly....I cannot stand the smell neither can I take them. Pregnacare was suggested which I started taking.

Do you think I am on the right track? Kindly advice.....I am about 9wks......I believe it's not too late to get on track

It's normal to have irritation to the prenatal routine meds after times of use in the beginning of pregnancy especially for first timers. You should not really get bothered about that.

If smells of your routine were your only problem, you could severe your breath for awhile until you have them taken, and move a certain distance away quite sure of having none of them at sight before freeing your breath.

If dosage were the problem, take the least dosage for each, maintain this for awhile before going back to normal use.

Or, spread normal prescribed dose intake over hours of day so that even if you do not have them taken all out once, you would eventually have them taken on different time daily.

It is understandable the need for supplements, however the necessity is not 100% as most of every nutrients is accountable in a well nourished balance diet and fruit and veggies.

You are certainly not wrong supplementing with Pregnacare. You may want to try the other listed choices earlier on to continue use routines.

All the best.

Soloblincus:
Good day doctor. A doctor gave me camosunate and ammoxyl about 2 months ago to treat malaria. He said d ammoxyl was the main or original one from china. I discovered dat after taking it, it took me longer to ejaculate. To the extent i cant go more than one round within a short time unlike before and my ejaculate became smaller. What could be the cause and remedy?

Sorry for replying late.

Can I know the dose used by you?

Can I also know if you took along any medications/herbs/supplements/others together or not together with your Amoxicillin?

Is this your first time of have having this experience?

Also, have you reported this issue to a doctor?

sodiqapril:

Male
22
Like two month
Moderate

Heartburn ? Once in a while
Visits toilet at least once a day
Right side looks normal but I feel like there's something like a ball there when I lie on my back
Yes
Not really
No
No
No
Currently seeing a cardiologist for left atrial enlargement
On bisoprolol and cocodamol

Visited a doctor recently had an abdominal scan done and nothing was detected so I was directed to use antimalarial, antibiotics and deworming

If pain seemed to get worse in the evening, do you want to agree with me that it does not:

•increase with stress
•affect your daily activities
•show up with being active

Also; before the abdominal scan was done, did your doctor physically examine the region of complaint?

Was there any relief after you took treatment for malaria and the rest of it?

sodiqapril:
Hello good evening, I usually feel pain in the my lower abdomen, general stomach pain, feeling like there's something in the right part of my stomach and fever.. please what' can that be?

Gender?
Age?

How long has this pain been?
What's the degree of pain?
•mild?
•moderate?
•severe?
•stabbing?

Does the onset of pain start from the:
•right?
•left?
•neighter right nor left.

Does pain worsened :
•before a meal?
•after a meal?
•during a meal?

•before urination?
•after urination?
•during urination?

•morning period?
•afternoon period?
•evening period?

How do you position your body for a relief?
Does this pain radiate halfway to the upper back?

Do you feel full immediately you start eating?
Nausea?
Vomiting?
Heartburn?
Low frequency in using the toilet?

Can you describe how the right side of your lower flank looks like?
Does it appear tendered by touch or pains are normally observed on a deep push?
Do you feel serious pains on when it is being touched?

Any history of smoking?
Any history of STI?
Any history of UTI?
Any history of any health complaints you have had for the last three months?

Any history of drugs and medications use (good or bad)?

PLEASE TRY TO ANSWER ALL QUESTION.

LeellyBee:

Yes Doctor, this is my first experience before my menstruation. This issue got me worried doctor. I need solution on it. Thanks for your response.

Sorry to not have answered you this long. I do hope this complaint of yours have been attended else where. All the best.

Orubebe01:

Please, what type of supplement can you recommend for my aged parents. They are 76 and 63

Why are you searching for supplement for them?
Is it for nutrient relief?
for any special conditions?

Frezhkid10:
Good evening doctor...last 2 weeks while I was playing football..I observed that I was having headache while i run around the field.. it was strange because it has never happened to me before..the headache will reduce its intensity while I rest but when I come on again it comes back..I took paracetamol when I got home, it subsided and came back later in the evening..since that day the headache has refused to go..went to my company clinic was.tested for malaria and typhoid..all came out negative was giving amoxil and one other pain relieving medicine but still the headache refused to go..sometimes I have blurry vision..someone suggested cafergot..took it first day.. it went came back took it again it subsided but still keeps re occurring..
Visited general hospital..was asked to do urinalysis, FBC..did that but am yet to collect the result.. I feel the test recommended are not related in anyway to the way I feel.
Now the headache doesn't show in the morning but comes in the evening but whenever I want to do my morning exercise..it shows up..am tired I don't know what to do..plz help am getting scared hope it's not something serious

Can you post your laboratory report now?
Did you screen for low or high blood glucose concentration too?

UmmuFarrah:
Hi doc in the house.... please I want you to recommend drugs that can boost libido in woman and also drug to boost ovulation and then drug for increase in sperm count for men..... thank you

We can't make prescription here for avoidance of blatantly misuse and abuse. We will appreciate if you take this step further in your hope of getting a solution to your physical doctor to necessitate your request into relevance.

You may choose to write me privately (Charges following) for this using https:///2348176371308 for consideration to this request. Kindly understand that, prescription will not be made until:

1) laboratory report done to confirm/rule out abnormality to your low sex drive.
2) laboratory report done to confirm/rule out causes to your anovulation.
3)laboratory report done to confirm/rule out causes for the low sperm count.

Note that you can make a session to as well get direction to initiating management to this complaint of yours.

Julbu:
Please what is the best way to deal with fibroid and poly cystic ovarian syndrome...Also,please how much is AMH test in Nigeria and where can it be done?

If your fibroid is <4.0cm and not symptomatic in anyway, kindly let it be where it is. But if it is >4.0cm, equally symptomatic and situated within the nidus of your uterus as a pedunculated body, then you may have it removed by a doctor.

The best way to deal with PCOS will be provided by your doctor after some sessions of physical examination and proper signs and symptoms observation from him.

Treatment and management depends on signs and symptoms associating with PCOS.
You may likely choose for a treatment if you have any of the following signs and symptoms :

•Infertility or subfertility
•Excessive bleeding after a long time of observing your menstrual period.
•Growing hairs in male peculiar regions of the body
•Acne due to thickening of the skin
•Nipple discharge
•Increase weight gain
•others

AMH test costs 20-25k but could differ with laboratories in different locations of the country.

Should you want more Online assistance (Charges following), write me on: https:///2348176371308

LeellyBee:
Good morning Doctors, I have been having a slight sharp pain under my abdomen at the right side for a few days now. In four days now I should be in my monthly period. What is the cause and how can it be cure. Thanks

Is this your first experience of a lower abdominal complaint before menstruation?

mabeni:
Good morning Docs. Please, what does the scan result below says and should we do to help the baby turn head down. I'm scared.

Your baby in utero is a male by gender. The initial aspect of your OBSS contains various dimension which in quantification can provide knowledge to your baby's exact age or present age of your pregnancy and corresponding weight in direct variation.

The pregnancy is fine and well going. Granuum grading with positioning is also good.
There is still enough time for the baby predictably to turn head down to stir up an engagement.
Should it fails before a certain week (discus with your OBS), your doctor may see the need to do that simple magic on your abdomen to have him turned cervical.

ladyrachy:
pls doctor for someone undergoing irregular menses what day of the cycle can hormonal profile test be done since for three months now no period.

Whether the cycle is regular or not normal assay convention requires some hormones should be ran early days within when the cycle just began(Estrogen,FSH and LH) and the progesterone should be done at 21st day of the cycle, for the 28days cycle length. This could be adjusted for other cycle length.

Note that this request should be followed in line with a doctor's request as some may request moderation or changes to when some of these hormones could be ran.

Ninejaywon:


2 months ago
No
Yes
Pain is intense after sex and begins to dull some hours later.
Both testes
??
No medication
I don't smoke.
No.

If you have suspicion of a Blue Balls, then you are obviously right. It is basically a slowness in the veins draining the erectile tissues of the penis. This will sustain erection more than it is necessary unlike someone with priapism, pains from it does not last long.

There is no considerable treatment for it presently, it is not a common condition with the average male population. Management may require:
•Applying a cold compress on the penis and scrotal sac.
•Involvement in any activity simple enough to remove your mind from a sexual scene. Watching a movie, playing a comic parody and others
•Use of pain relievers to assuage the pains.
•Causing ejaculation to happen faster.

Pertaining to your problems with ejaculation, you will have to see a doctor to examine you and diagnosed causes limiting to problems linking to it.

Meanwhile, if you care to discuss this issue further privately, use https:///2348176371308 with charges following.

ifyjanie:
Good day Doc, I have been trying to conceive for more than 10 years without success, firstly my husband was diagnosed with low sperm count, but June this year his sperm count reads 51.8 x10 raise to power 6 celld/Ejaculate, Total motility is 40%, sperm viability (HOS) >50%. The final analysis says Normozoospermia. What do you think?
Recently I was diagnosed with uterine fibroid and I went for HSG, yet no conception, what should I do, I am 42 this year. How can I boost my egg and what supplements should I take to boost my chances of conception while we save up for IVF.

Normozoospermia means, a healthy spermatozoons by reason of comparison to acceptable standards. Motility is 40%, this is way below reference but by all means not bad. Sometimes one or two criteria may not just fit in but that does not totally write off the SFA as a terrible one. With time motility will boost up provided he keeps to normal life changes and good personal health hygiene practice.

What have you done on your own?
Do you have problem observing ovulation?
Do you experience irregular menstrual cycle?
Have you done a TVS to check for size of your ovaries and follow up with hormonal profiling for your reproductive hormones to write off POF?

Better still, use my link to privacy for timely interaction. Note that privacy follows with charges.
Link: https:///2348176371308

Kimzylove:
Hello Doc, For over 2 years i have become addicted to Buscopam.. My period comes with so much pain and the pain starts 2-3 days before my period. So i take buscopam 2 tablets:morning and night(my prescription). I just want to ask if this has a side effect.

Buscopan affects the parasympathetic control of the body. Side effects are noticed by the numbers of receptors they covered controlled by this system. Effects hence will last naturally by drug limit to function. Since Buscopan does not act long,effect( positive or negative) may generally not stay long provided that dosage to prescription is kept.

Olukokosir:
Good afternoon Doc, I will try to be brief sir. I noticed a lump beside my neck a year ago and early this year, I went to the hospital for examination, needle aspiration was done and I was told to go for surgery. I did that on May this year but couldn't remove all cus I was told some surrounding veins should not be tampered with. 2 weeks later, the result came out and I was told I have Non-hodgkin Lymphoma..

Being a private hospital, I was referred to a general hospital and when I was examined thoroughly and ask different questions which I answered negativity to it, the consultant insisted I do chemotherapy and radiation based on my first report.


I showed the blood test to some doctor friends online and they said they are not convinced it's Non-hodgkin Lymphoma because of my age, method of carrying out the test, and since I'm not exhibiting any symptoms associated with Non-hodgkin Lymphoma..

I was supposed to start chemotherapy treatment and radiation but due the financial problem, I have not been able to.

I need advice on this..


The big lump has been removed with one other with about 6 lumps still beside my neck

Seek the help of the Haematologist consultant of the Pathology Dep. of any University Teaching Hospital for a relief to this issue.

Soloblincus:
Good evening doctor. My wife was supposed to see her period on the 4th of this month. This is 9pm on the 6th and she is yet to see her period. What could be the cause?

It is actually too early to worry about a miss. It is normal to experience a miss as the hormones controlling the menstrual cycle are usually affected by several factors both internally and externally.

Is this her first time of experiencing a miss?
Does she has an history of irregular menstrual cycle?
Was she sick before now?
Has she been on any form of medications, or she just started using some medications including vitamins?
Is she experiencing a change in her mood or expressively being active?

Does this miss follows with signs and symptoms associating with early pregnancy?
If she is having such signs and symptoms, she could try some home pregnancy test to confirm for pregnancy. But if she has tried and it came out negative, she should be relax and confident that her will certainly show when it necessary.

Use My private link to support should she needs further assistance on privacy with charges following.

OsinaAmaka:


The fact is that the first time i noticed it i resorted to using condom still it re-occured when i asked my friend who is a nurse, he said it was as a result of her body system, that any contact of the semen to her body will result to pregnancy. I felt bad and decided to contact the professionals here before visiting any Hospital. Thanks for taking your time.

You have been answered.

Apcexchange:


I started the treatment since last month.
I took 10 injections and after that I continued with another set of tablets
Metrodonazole and levofloxacine.

Though I have not gone to recheck if i the infection is completely gone.

But i just feel like I'm free from the infection but i will still do the check but please I'm very much concerned about the sperm motility rate. because it's way too low.

Is there any hope for me?

How can I start improving it, and how long would it take to become normal

10 injections of what? of antibiotics?
Which antibiotics to say?

You have already done the said treatment for an infection, it is expected to have another SFA done at least a month from when the first one is done to confirm or rule out infection as the primary agent to the disabling motility of your spermatozoons.

Be patient! Maintain a good personal hygiene and a good balance diet, take fruit, avoid wearing multiple pants , no hard drug use/ no smoking/reduce alcohol use and attend to your personal stress on daily basis...

If you can sustain these then expect motility will improve.

OsinaAmaka:
Good day doc, and thanks for the good things you and your team are doing here.
Please Doc, my wife always take in anytime we have romance even without sex, this thing is really giving us problem, please is there any medication for correction of this problem, and what are they?

Parthenogenesis has not been shown to occur in humans and certainly proven, an ordinary romance couldn't just have led to conception.

You may need to give us details about this romance of yours.If your detail of description does not involve an intromission by the penis into the vagina at any level, then there is more to your wife's pregnancy than you know.

Vikkioshio:
Morning Dr.... Please I have peptic ulcer and it really disturbing on a daily basis, have tried omeprazole and gecrol suspension all to know avail. Please is there something else I can take, thanks in anticipation

I actually do not recommend the use of Antacid suspensions with any of the Proton pump inhibitors. Antacid often by my observation render them less efficient and sustains the peptic ulcer disease for a long time. Except you are using the antacid for side management, it is advisable that you don't use it together with the Omeprazole.

Mean while, get to see a doctor for special review to your medications. He may see the need to have you placed on a "Triple Therapy " management plan for your PUD instead of just mixing up treatment plans on your own.

Pasca07:
I will go to laboratory around my vicinity but the problem is what name should I tell them when I get there is the normal urine m/c/s or I should just tell them I want to test for schimatosis?

Tell them you want to have a test done to show or confirm egg of S. haematobium or even any of the S. species.
Preferably, Urine or faecal culture for the parasitic eggs. Usually microscopy. Easy!

A blood test may be done on your white blood cells for increase levels of eosinophils and basophils and a rapid urinalysis to rule out other causes. A confirm serologic test can be done in our Microbiology unit, Pathology in University teaching hospital.

Please see doctor for further help whether result is positive for S. haematobium or not should symptoms continues.

Ninejaywon:
@2ballz.

I can't remember when last I ejaculated during sex. I could have sex straight 6 days without ejaculating. But the issue I am battling with is that my testis often times "pain" me. I discovered it to be "BLUE BALL". How do I go about this??

How long has this problem being?
Do you have pains on your testes during sex?
Do you have pains on your after sex?
Does the pain on your testes seems to be low grade and always on the background?
Do you have pains on both testes or just a side?

Does this color change happens on erection of your penis only?
Does this this color changes happens even though there is no erection at all?

Have you being using any form of medications at all, be it for this problem or others?
Do you smoke?

Any history of discomfort or pains during urination?
Have you observed an abnormal folding around your testicular area?

Have you seen a doctor on this issue?