₦airaland Forum

juke3:
thanks omicron but would lik to know if low prolactin could affect conception too and what can i take to boost estrogen level

Low prolactin should not affect your chances of conception, but may affect breast milk production following childbirth.

If you have low estrogen, the treatment will depend on the cause. Problems in the ovary, pituitary gland, hypothalamus and many drugs and even stress may cause imbalances in your estrogen level.

If you treat it randomly or in isolation, you may just be scratching the surface alone or cause more harm than good.

Please see your gynaecologist to know why you have low estrogen. The treatment will be straightforward.

bintudon:
Microbiology student, commencing November, looking for where to summit it for now

ok. Will ask around

egbamio:
Doc, pls what do you mean by m/c/s of sperm and unremarkable about urine analysis?

M/c/s is microscopy, culture and sensitivity test of the sperm, used to comfirm if there is an infection affecting the sperm

Unremarkable urine analysis means there is nothing specially wrong with the result of the urine test.

Juzzybabe:
No complications of any kind.

Ok, I now understand that this is your response to my remark whether or not you have had issues with the pregnancy, and not an enquiry into the possible complications of induction.

In that case, you try it. The semmen contains prostaglandins, which are the natural forms of the compound used in producing some induction agents.

But do keep up with your appointment.

Juzzybabe:
No complications of any kind.

Like any treatment, there are potential risks. Increased risk of post delivery bleeding and increased risk of Caeserean section are perhaps most important to you. Rupture of uterus is rare in first-timers, but not impossible, esp in unqualified or inexperienced hands.

Note that these are potential risks, and the odds of them happening is very high

Moreso, most times the decision to induce a pregnancy is taken, the benefit of the induction would have far outweighed the risks associated with continuing that pregnancy.

I hope we shall get news of your safe delivery.

bintudon:
Gud morning doc's I'm an IT student from delsu, currently looking for where to do my assignment, please help, Abuja or benin city.

What department? When will your assigment commence?

egbamio:
Pls docs in the house. Help interprets and recommend for a couple who is TTC for about 1 year now.

URINE
UBG Normal 3.4umo1/L
BIL. Neg
KET Neg
BLD Neg
PRO Neg
NIT Neg
LEU. Neg
GLU Neg
SG 1.015
pH. <= 5.0
MALB. Neg

S ANALYSIS

Appearance- creamy white
FH - 7.0
Viscosity - hypervisied
Volume - 2.2ml
Count: 23.0 x 10 6/ml
Abnormality
Motility - 40% actively motility, 5% sugglish, 55% non motilie
Pus Cells - 1 - 2 /hpf
Culture
Epithetical cell - 1-2/hpf
Red cell - 2 - 3/hpf

Low normal count
Sub-normal quality
You may do m/c/s of sperm
The urine analysis is unremarkable

Should see a doctor to ascertain possible causes of the low normal count and explore medical options to boost count.
Should stop smoking and alcohol drinking!
Should consider vitamin c, e and zinc supplementation
Should optimise his weight if overweight and generally maintain active lifestyle (exercises)!
Should monitor the sperm every 3 months to track any increase or othetwise

Should be able to conceive though, all other things being favorable.

For the man the most important factor for fertility is quality (motility); should be above 50%

For the woman it is age. The lower the more favorable.

stylesco:
We've lost the baby

Sorry about that.

You must have done all your best.

Be consoled.

Juzzybabe:
Hello doctors! Please help me. Am 39 weeks gone and I have not been feeling any serious pain or contraction but mild ones at the abdomen and also I have been urinating so frequently lately and I feel pains as the urine come (no sign of infection). I also feel pain in my anus like i wanna to poo and the poo not coming. I went for antenatal today and my doc said am due and ask if I have been contracting I explain the feelings I have been having and she said if by Tuesday I don't deliver I will be admitted and labour will be induced. It's my first time and that admission and labour induced thing is getting me scared. I will be 40 weeks on that very tuesday,please advice me on what to do to avoid being admitted. I have serious phobia for hospitals

Do not be scared of induction. Induction itself is not labour and not painful.

Coituus may stimulate labour. If you have had any major complications during this pregnancy, particularly episode of bleeding, you are not advised to have coiitus.

MEILYN:
Please, few hours after using the toilet, I feel this pepperish sensation on my anus that makes me feel uncomfortable. please, what could be the cause of it and how can I get rid of it? Thanks.

It is possible you have anal fissure - a crack in the lining of the anus. View it as a little "wound". It is a relatively common problem.

The causes could be mechanical, such as frequent passage of hard stools. Most times though, it is caused following what are called "spasms" of the muscles or sphincter or valve around the anus, which constantly place the anus under tension and cause the cracks.

Because it is a wound, you feel the symptoms after each stooling, because each stooling esp if hard or very watery, could potentially worsen it. The peppery sensation can also be explained by the fact that stool comes in contact with the crack after u have used the toilet.

Treatment: Avoid hard stools (lots of water, fruits and vegetable); avoid diarrheoa; prefer to wash gently after stooling as against using tissue paper; practice Sitz bath twice a day (pls browse it). There are prescription medicines used in treating selected cases, and surgery is used for extreme ones. Anal fissure can be stubborn to heal usually because each stooling episode counteracts the treatment efforts, but straight forward cases abound.

Please see a doctor for proper diagnosis and treatment.

As long as God and the Community are aware they have taken each other as man and wife, other stuffs, including white and yellow wedding dem, na jara...

Managin one no easy let alone 17...No wonder he crashed!

theV0ice:
he just made the couple feel so special.

but wait o....why dem look advanced like this na??

well it doesn't matter....after all a state governor graced the occasion. haters go and die

Bridgetown:
Wetin both of them dey wait for since. Grandpa nd grandma

donphilopus:
But these guys advance o... What were they waiting for

It is an open secret Bride price in Imo towns is exhorbitant. By the time the man fit arrange the money finish, him children don even enter secondary sch

collinspro:
What do u do if ur rhesus negative wife gets pregnant. Doctors in the house pls help. The cost of the treatment would be helpful.

Most important step is to register at a tertiary hospital for antenatal as early as possible. If this is the first pregnancy and she had no history of miscarriage or TOP or bleeding in this pregnancy then this baby will not be affected.

To prevent future pregnancies/babies from from being affected, she would receive anti-d immunoglobulins (Rhogam) at various points during her antenatal.

If she had had any of the incidents mentioned above, she should have started receiving Rhogam.

So, the best thing is to register for antenatal at a tertiary hospital and take it from there.

stylesco:
Doctors in the house my friend gave birth to a premature baby 3 weeks ago.
Although the baby is jaundiced but he's fine.
The problem is he has not cried since he was born. He's still in the incubator cos he's not up to 1.5 yet.
but why hasn't he cried despite all the needles.
IS He OKAY?
The doctors ain't saying anything.

How many weeks was the pregnancy when baby was delivered? This is the most important factor for survival.

Such babies seldom 'cry' the way you may expect. They usually only attempt to cry or make funny faces in response to pain.

Key areas of managing the baby are incubator nursin(temperature control), fluid/electrolyte management (drip), nutrition and control of jaundice and treatment/prevention of infections, among others.

I believe doctors are already doing those and more to keep the baby.

juke3:
helooo to d docs in the house need ur help can i take bromergon and clomid together i hav issues ovulating. and wat other ways will u sugest coz am ttc

If the cause of your lack of ovulation is high prolactin, bromergon is the drug of choice. You should bring down the prolactin level first before you may add clomid.

As a ttc, are all you and your dh's tests clean?

calisha555:
gudevening doc in the house happy easter....doc I want to ask I missed my period for like 6mnth after which I went to d hospital n d doc ask me to run urine analysis n scan n d result said I had mild pid thou m on treatment BT m scared cos I HV bin treating d infection for a year BT it goes n com back doc my question is DT do u think d infection will b cure n will I b able to conceived

Bacterial infections are curable, though chronic PID is harder to cure.

How do you mean it goes and comes? How was the PID diagnosed? I hope you are seeing a proper doctor and hospital, and not a laboratory facility?

Chronic PID and complications from poorly managed acute PID adversely affect pregnancy chances.

You should be able to conceive unless you have had serious complications from PID such as blocked fallopian tubes.

Immaangel:
Will there be need for evacuation if d bleeding stops?

Not necesarily. The advice however is to scan for retained products. If any, do evacuate them. Even theoritically insignificant retained products may cause practical problems later on. A gentle curretage will do.

fatme:
Hello doctors in the house, thank you for your helpful answers.
I'm 23,ive had irregular menstrual cycle for 9 years. First hospital I visited, after a scan and hormonal profile, the doctor said I have pcos and that my condition have to be managed . he prescribed an oral contraceptive which I took for some time and stopped. After two years, I went to another hospital which I've done some tests like pelvic scan, hvs, blood count, hormonal profile. The doctor said pcos is ruled out cos I don't have excess hairs, normal sized, and no acne. He gave me a combined oral contraceptive [combination 3 to be precise] which I took f9r three months and asked me to watch for the fourth month if I would see my period without the drug. I watched and didn't see, I'm totally confused . when I did the Hormal profile, it should my estrogen level is very high. My questions are
1.what could be the cause of my hormonal imbalance.
2.is it possible I have pcos without obesity, acne and hairs on my chin like a man
3.if I'm to take an ovulation inducing drug when I'm ready to get pregnant, what's the probability of sucess, I mean how long would I have to wait before I conceive
4.is the any final remedy for hormonal imbalance

1. Causes of reproductive hormonal imbalance are many. Any problem affecting the function and structure of any of the organs that control the production and or release of the hormone will result in imbalance. These include, problems of the ovary, pituitary gland and the pituitary gland inside the head. Psychological factors abound too. Usually, hormonal profile/pattern will give a clue as to where the problem is from.

2. Yes, the diagnosis of pcos must not include those symptoms. There are 3 group of symptoms in pcos. Any combination of 2 of the 3 groups is what is needed. The symptoms you mentioned are under just one group.

3. Nobody can say with certainty. But usually clomid is precribed initially for 3 successive menstrual cycles, after which it can be reviewed. Other factors upon which pregnancy success would depend include your age (the lower, the better. This is the most important too), your hubby's age and his sperm characteristics.

4. Hormal balance is only a symptom of an underlying problem, whether known or unknown. Any medical condition for which the underlying causes are known and understood usually has a cure. For eg, if it is caused by a tumor in the ovary and the tumor is removed, cure is expected.

Your high estrogen is very much against the diagnosis of pcos. Typically, pcos will cause increase in the opposite hormone, the male hormone - testosterone. However, only a doctor who has seen and examined you can draw reasonable conclusions. Hope you have seen a gynaecologist?

You should ensure that everything has been done to rule out estrogen-secreting tumors in the ovaries, or any other tumours anywhere capable of disrupting hormonal balance. There are many of such otherwise-harmless tumors that are common withing your age group.

Dooh

ronkiss:
am a girl, av tried most of this things.

Your condtion is medically called enuresis. There are many causes including physical, behavioural, developmental and psychological ones. Many times there are no known causes too.

Since you have tried the common behavioural changes advised, I think it is time you saw a doctor. There are pills known to help, but they are prescription medicines. You would need a neurologist and or a psychiatrist.

Don't stress yourself out. Nothing is permanent. Just take informed steps toward the solutions.

henribj:
Alright, duly noted.
op EggovinMma please take note, before they say i yaf kill you for them o

lol

Miroslavklose:
thanks for the response

But I don't think your read the post well.

The car passed all scan test, so its not a matter of posting result here.

I have a professional scanner that reads Airbag and power train as well. It also reads freeze frame (not all scanners can do that as this scanner cost about $900)

I also checked the two O2 sensors and they passed, neither is the car ready for emission testing.

Car is still in factory mode, no modifications altered as per factory default

Then consider your driving habits

Or consult the gods

henribj:
just be careful with that piritin prescription though, it contains chloro-quine or so if i am not mistaken, it really messes up my system when i take it, have only taken it once when i had malaria + typhoid and it was given to me without my knowledge/consent... come see itching nah, i do vigil by force.
by the way, that your smile is a killer, do come to Lagos soon.

Piriton is an antihistamin sir. It does not contain chloroquine. It is chlorpenamine, a 1st generation antihistamin. It is usually given along with chloroqine in order to relieve the itching caused by the chloroquine.

Your information is misleading, and it is based on a one-off experience you did not understand. Do not give health/medical advice if you are not certain of the facts. Though, your intentions are good, you may be doing more harm than good.

Immaangel:
Thanks. A doctor told me that there is need for evacuation. But I really can't afford it, he said 26k

welcome. If there are retained products, the choice of management is evacuation/suction curretage. The cost varies across different hospitals depending on many factors. 26k is neither cheap nor expensive for a regular Nigerian hospital in an urban area.

Immaangel:
Bleeding its normal cos I always have heavy flows, and its just like my normal heavy menstrual flow. I took it exactly 2weeks and 3days ago. Its 3weeks old pregnancy

You may do a pelvic scan to check for retained products, and see a doctor.

Immaangel:
Pls help me. I'm bleeding for over 2weeks now. I took misoprosol before d bleeding started, what do I do now?

What did you take the misoprostol for? If it was for TOP, how many weeks was the pregnancy? When was the TOP and how severe is the bleeding?

omedit:
I'm 34yrs old, it has lasted for 9yrs now. Dr said my prolactine is very high, it was around 93.7 when ℓ first did hormonal profile test, after some treatment it has come down to 37.0 dat was around Dec. & ℓ still continue d drug till last week but I'm tired of it, ℓ need to see my AF. ℓ was seeing a Dr before but since ℓ lost d pregnancy ℓ had tru IVF to blighted ovum ℓ av not been to any Dr. Still trying to gather money for anoda cycle

Sorry about that. Normal levels should be below 30ng/ml. You have made significant progress so far. You should repeat the test to know the current value. You should continue seeing your doctor so he can follow your progress. And limit your worries. Psychological stress can greatly complicate your menstrual problems.

Having said that, 9 years of ammenorrhea is a long time. I hope they have ruled out conditions such as premature ovarian failiure and Asherman's (esp if there was a history of TOP)?

YOu may also require a new diagnostic work-up to check if the initial diagnosis of hyperprolactinemia is still the most likely cause of the problem.

EggovinMma:
Thank.Guess I will get the drugs you suggested because all the swollen areas is now looking sore and red.

Sorry about that. Maybe you 'over-cratched' the rashes. You may get the drugs from any pharmacy. Tabs loratidine 10mg daily. You may add any of Piriton or Phernegan to it esp at nights.

Other drugs you may need, esp when severe or complcated, are prescription medicines.

EggovinMma:
Please can someone explain why I have swollen skin, dizziness and blurred vision whenever black ants bite me . Currently I have swollen skin at various part of my body usually it take days, before it gets to normal.

It's an allergic reaction. Your body reacts to the chemicals released in your body when you are stung by the ants. This is usually in the form of rashes, swelling of the sting sites and itching of the skin. Normal over-the-counter antihistamins such as Piriton, Phernegan and Loratidine will relieve these symptoms. The former two may cause drowsiness, but not the latter.

However, in severe reactions -which can happen following repeated stings - you could have dizziness, blurred vision, fainting and breathing problems. Seems like your symtoms are approaching the severe. While oral antihistamins can provide little relief here, you will need to see your doctor when you have features of severe allergic reaction/anaphylaxis

The best treatment however is prevention of ant bites, as there will be nothing to react to if you do not get bitten.

omedit:
Good evening Drs in d house. I'm still
battling with secondary Amenorhea (Absence of
menstruation), ℓ av taking parlodel tired. ℓ av
read about M2-tone, pls can ℓ try it maybe it will
bring back ♏y AF & at Wɑ̤̥̈̊† dose? Is it safe to take it with combination 3, ℓ want to take dat too?

What is the cause of your secondary amenorrhea? How old are you, and for how long has the amenorrhea lasted?

The mosr imprtant step in managing your situation is to properly diagnose the cause. This depends on the history of the problem and some tests. Are u seeing a doctor offline? What have they said?

Ejisz:
Hi doc.
First, I want to commend your effort coming here to help people. You are blessed.

I have been on this thread before and your advice helped me a lot.now I am back again cos my girlfriend is in a very bad state right now.

It all started when she and I decided to stop using protections during sex. So ever since, we make out without. Protections and I often ejacualte into her. Though she sometimes takes postinor 2 if it happens during ovulation and sometimes she take ampiclox when not ovulating ( that's after she has expeled almost all the sperm from her system by pushing it out).

Recently, while we were making out, she felt this sharp pain in her abdominal cavity.the pain was so strong that we had to stop. The pain lasted for about 3 hours before it became mild. But till this day she feel the pain once in a while but mild.

After the last occurence, she missed her flow and I urged her to run PT. She did at first but It was negative. After a week interval still no flow so she ran another PT and now it was. Positive. So we decided to abort. We thought it was still too early for D and C so she took abortion pills but it did not work. She took another prescription after sometime still no bleeding. So she had to go for scan and that was when we realized she has ectopic pregnancy and a small fibroid growing but not inside her uterous.

So doc. Pls I need to know if there is a way to go about this without surgery cos I can't afford it right now. The pregnancy is not up to 10 weeks yet. Just a month and few a week now.

Thanks.

There are pills used to treat ectopic pregnancy but I doubt they would be available ordinarily in Nigeria. Sometimes too it can resolve by itself

But usually, in our environment surgery is the main treatment, esp when it ruptures. Rupture of ectopic pregnancy is a lifethreatening situation.

Do see a doctor near you and prepare for surgery too.

Na wa o. Jega fast na