₦airaland Forum

broadstreet:
please doctor in the house what is the interpretation of this results.
indication 1% infertility
examination HSG
report
the demonstrated uterus has regular outline both fallopian tubes
were delineated completely with free peritoneal spill.
impression bilaterally patent fallopian tubes.

Indication is the reason why the HSG was requested. In your case it is primary (1') infertility, which means infertility in someone who has never conceived before.

The HSG report itself is entirely normal. It showed that your tubes are not blocked in any way. This shows that the tubes are not the reason for the infertility, so it could be either ovulation problems, implantation problems or male factor.

All the best.

Koolmexxi:
She said she went to see a doctor dis morning and after her complaints she did a test which confirms she's pregnant. Though a scan was also recommended for her. How can she get rid of it. I've asked him to kip it but he says it's not an option ryt now. I asked a pharmacist friend who suggested 2 pills of cytotec tablets
NB: She also said she noticed some blood dis morning wen she woke up.

Ok.

Unfortunately, I cannot help you here for personal reasons, and abortion is still illegal in Nigeria too.

All the best.

It is probably a mutually pleasurable experience

Inter-racial

mezebel:
doc good day! Thank God for the kind work and solution,advice u are offering in this forum. Pls I want to relate this problem to u. I Had my menses on 15th of August, after it,I had intercourse with my husband on my ovulation day as calculated aCcording to answers u supplied to people in this forum, I followed it, after about a week and,I discovered I was having high discharge accompanied with fishy odour,I met a gynacologist, he ran some test and started treament for infection. When I took the first injection on 8th of Sept, I discovered I had some blood stained wen I wanted to wee,the blood was so light,it contineued but the color is somehow dark brown and wen I clean inner vagina,I will notice little dark blood will stain the tissue paper. I decided to use HCG to test for pregnancy which came out positive. The positive line is so faint. I have discontinued the injection intake,but I still see slight brownish blood. a nurse prescribed ventoline,but am skeptical about taking it. pls what could be possible solution or is it normal? thanks in anticipation

Hi,

Vaginal discharge accompanied by a fishy smell is very indicative of Bacterial Vaginosis. That is what the Gynae must have treated you for.

It is likely that you are pregnant, going by the faintly positive PT. Brown discharge can normally be seen in very early pregnancy too. Are you ttc, and have you had miscarriages before?

Ventolin, which is used in late pregnancy to subside premature contractions/labour, has no place for such use in early pregnancy.

Do a serum PT tomorrow, or a scan next week.

Also let your gynae know for a likely review of your medications.

All the best.

maymay1:
dr thanks, it all started with infection (yeast) treated , then delayed period later brownish spotting , bloody discharge, did scan saw nothing, started bleeding since then i have used m2tone, antibiotics, transcemic acid, i did scan again this week and they saw fibroid and submucous components. am now on combination 3 contraceptives. pls help me.

Ok.

But what is the diagnosis? Are you seeing a doctor physically?

Did you mean to say you are taking combined oral contraceptive pills (COP) or that you are taking 3 different types of contraceptives at the same time?

What are the exact descriptions of the fibroid, apart from the submucous components hinted?

shakol91:
Hi everyone,please I want to know if ultra scan can detect 2 weeks pregnancy? If not, is there any other means to detect 2 weeks pregnancy? Please Your genuine replies are needed ASAP

Hi,

Ultrasound will start detecting pregnancy about 5 or 6 weeks from the last menstrual period for transvaginal and transabdominal ultrasound respectively

If you mean 2 weeks after she had missed a period, then ultrasound will pick it up. Alternatively, pregnancy test then will also be positive.

All the best

eolowu1:
doctor pls am suffering from recurrent miscarriage, 3times nw at 4weeks, 6weeks and 6weeks respectively. pls help wot cud be d problem, pls help

Hi,

There are many causes of recurrent early miscarriage.

Submucous fibroids are common causes, as are luteal phase problems (progesterone defficiency). Others are majorly genetic causes.

Koolmexxi:
Doc. I need ur advice. A friend of mine
thinks his girlfriend may be pregnant.
According to him, they had unprotected sex
about 2wks ago and he erupted inside her
once. She said she took 2 pills of menstrogen dat same night as a post pill. Now a couple of days ago she complained to him about having sore and swollen nips with whitish discharge coming from dem and
d first thought on his mind is her being
pregnant..

Hi,

Menstrogen is not an abortion/emergency contraceptive pill.

Let her do a serum PT to rule out pregnancy.

All the best

segzysexy:
My galfriend confirmed her 3 weeks pregnancy this week monday. She inserted 3dose of cytotec bt didn't bleed well so she performed a surgical abortion last 2days. Ever since den she has been complainin of stomach pains, feeling irritated and vomitting. Please doctors in the room should I take her to the hospital or she will be fine cause I'm scared.

Hi,

A level of abdominal cramps is normal in the days following a D & C, and some of the drugs she may be taking can induce nausea and vommiting.

Is she bleeding? A little spotting is normal but bleeding indicates a potential problem.

Is there a fever? If yes, she needs urgent medical attention. Otherwise, watch her symptoms for these signs.

If her present symptoms fail to improve in the coming days, let her go for a check up still.

All the best

maymay1:
hello houz, pls save a soul , i have been bleeding for d past 8wks i went to d hospital and i was given antibiotics, m2tone but d bleeding just reduced for awhile and continue again with little clot serious cramps on my lower abdomen and waist. now am on contraceptives and still seeing blood. pls help me ooo.

Hi,

Have you done a PT? If not, do one to rule out pregnancy complications.

What kind of contraceptives are you on? And what other tests have you done?

If your blood loss is heavy, please see a doctor asap. Iron supplementation is advised until a definitive diagnosis/treatment is found.

All the best

mumjk:
Thanks so much doc, I appreciate. But with d positions of d fibroids can go for a laparoscopy surgery?

Like Lucky said, the surgical approach depends entirely on the operating surgeon's descretion.

The sonologist did not specify precisely the locations of the fibroids, ie whether intramural, subserous or submucous.

It is likely they are multiple intramural fibroids. Open surgery might be preferred.

All the best

shat01:
Tnx for d response Doc. Am on metformin 500mg twice daily, I don't kw my bmi, but am 29yrs old, I weight 72kg and am 5.2inches. Am also in Nigeria. Tnx Sir.

i think you meant to say 5.2 feet. If so, your BMI is around 28kg/m2. More weight loss will help, to bring BMI closer to 20 - 25.

All the best

mumjk:
Dr pls I did a recent scan and result shows a bulky and non gravid uterus in an anterverted position with heterogeneous myometrial echotexture due to multiple fibroid masses measuring 1:74mm x 52mm is pedunculated
2:64mm x 50mm in anterior lower uterine
3-5: 53mm x 38mm,18mm x 30mm,and 31mm x 42mm in posterior region.
Endometrium is distorted in outline, Adnexae nothing remarkable, Cul-de-sac free. Impression : multiple uterine fibroids.
Pls can u explain wat dis means? Since I'm ttc what do u advice? Can I get pregnant and carry to term with it or I should go for a surgery?

Hi,

The scan showed you have many average-sized fibroids in your womb.

These fibroids have distorted, or affected adversely, the space in your womb where the embryo/fetus is supposed to develop (the endometrial cavity).

Due to their multiplicity, average (significant) sizes, and the distortion of your endometrial cavity, conception may be adversely affected, and chances of miscarriage are high should conception happen.

Ususally, when there is no other explanation for infertility, fibroids treatment is advised. Surgical removal, by open surgery or if possible by laparoscopy, is the mainstay of treating fibroids.

All the best.

dxtwr:
Hello Dr,

My Fiance's last period started on 24th August. She still had blood coming until friday 28th Aug. We had sex early on sunday 30th Aug but I didn't ejaculate into her. However, I suspect some pre-ejaculate fluid may have gotten into her somehow (still doubting that happened). She took a post pill on 01st Sept.

By 6th Sept. she told me of some light cramps she's feeling. By 7th Sept she told me she saw little blood in her urine.

She drank undiluted lime juice in the morning on 7th Sept and told me she started seeing blood like her regular period coming the same day.

8th sept, the blood still coming like she's having her period again. She just finished her period two weeks ago.

She took a home test in the morning of 09th Sept and she said she has a faint second line. Note:She took post pill about two days after sex (tue 01/09).

The cramps have stopped early on 10th Sept but the bleeding is still coming just like her normal period.

Is there a possibiity that she's had a chemical pregnancy?

Is it safe to say the bleeding she's having is as a result of the post pill she took last week?

Please enlighten me

Hi,

Both of scenerios are probable.

Scenerio 1: It could be a pregnancy, as she was not entirely safe on the day of intercourse, depending on her cycle length. And precum has been proven to contain some sperms. Also the weakly positive Home PT.

Sceneerio 2: Postinor side effects.


What to do? As long as blood loss is not heavy, she should watch and wait, and take note of any changes. If blood loss becomes heavy, see your doctor. Do a serum PT by next week. If positive, treat as early pregnancy complication with your doctor. If negative, regard it as postinor effects and watch the symptoms.

All the best

tatacherie:
Good morning Dr's in d building.weldone for d gudworks y'all doing here.
Pls wat can I use to relieve my self from candida A.I'm 22 weeks pregnant.I'm tired of going to see my Dr.his tired too I guess cos dis is d 4th episode he said anytime it reoccurs I shud use mycoten cream or gynodaktarin cream.but it seems dey r not totally eliminating d tin.I want it to die once n for all .kindly help

Good morning,

Mycoten is good. Topical mycoten. I hope you complete the doses - 100mg for 1 week or 200mg for 3 days?

Elimination is possible, but may not be realistic in your pregnancy. It is very likely to recur as pregnancy continues as your present condition predisposes you to candidiasis due to lowered immunity and hormone changes.

All the best.

lydiailenbiluan:
Thank GOD for this forum ,ever since i took postinor 2 my period pattern have changed, this is the first time am using it my waist kills me and i spot my period pain have increase ,when i first took it i did a scan they said nothing and vaginal swab nothing only UTI and yeast infection which i treated with antibiotic and probotics. it being 3 and the half months now i don't no what else to do .i'm thinking of going for another ultrasound. plssssssssssss help!!!!!!!!!

Hi,

Your enquiry is not clear.

You said you are spotting and have much menstrual pain since about 3.5months after taking postinor?

Is it that you spot in between your periods or that your periods now come only as spotting?

shat01:
Good afternoon doctors in d house, I ve been battling severe pcos for d past 3yrs now. I took clomid, injection and also lost 13kg but my menses didn't normalise. I met a pharmacist last week and he precribe duphason 1daily for 5days,I saw my menses today and it was scanty and dark. pls what else can I do? Seriously need a child and gyne here are too expensive.

Hi,

PCOS can be a stubborn condition to manage, but do not be frustrated.

You have already achieved alot in losing 13kg. What is your current BMI?.

Did your doctor place you on glucophage too?

Ovulation induction is usually with clomifene and hcg and this recommended to be taken not more than 3 - 4months at a stretch, although some authorities say maximum of 1yr.

Duphaston may help you to menstruate, help limit the adverse effects of unopposed estrogen on your womb as well as help prevent the miscarriage of a potential pregnancy due to low progeaterone, but it really has no effect on ovulation (which is the primary mechanism by which PCOS causes subfertility).

PCOS is really not straightforward to treat, but affected women still conceive with it.

Where are you? If in Nigeria, a Federal tertiary centre may be your cheapest option to access a Gynae.

Continue what you have been doing well. If BMI is not optimal yet, optimise it gradually. Exercise. Avoid taking prescription from any source or anybody whom you do not know their specialty. Consult with your gynae.

Subfertility due to unresponsive PCOS may justify assisted reproduction, but this should be the very last resort.

All the best.

KVN1:
Good evening peeps... This' a 200 level medic from the den (UNN)... Please i seriously need inspiration from those of you who succeeded with the mighty Last's Anatomy during your time... # PEACE

Last's is very good. In our time it was black and white, but newer editions are coloured. Initially it will appear hard to read, but soon you will get used to it. You will still need to use it with Atlas though, Grant's or Netter's

In UNEC, use Last's. But regularly browse through the blue boxes of Keith Moore for clinical applications. They like them a lot in UNEC esp in McQs and short essays.

How is Prof Obikili and co? Does Katcy still teach in the dept?

All the best.

Huskyfrancis:
IVF/IUI Talk!!!

In vitro fertilization or fertilisation (IVF) is a process by which an egg is fertilised by sperm outside the body: in vitro ("in glass". The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (egg or eggs) from the woman's ovaries and letting sperm fertilise them in a liquid in a laboratory.

If you will agree with me, IVF in practical understanding is the wisdom of God manifest in the knowledge and understanding of human. Anyways, we don't have to flog this.

While this medical practice is almost 100% (99.9%) success in some part of the world, it is still 50% with our best consultants here in Nigeria. Our government need help revamp our health sector.

If you need discuss your IVF or speak with a consultant free of charge, Panel of Consultants at Ruby Hall Clinic, India will be delighted to avail you right information.

To arrange video-conference session for you, speak with Folu:

Mobile: 08116950634, 08038243730
Whatsapp: 08038243730
BBM: 2BA5C16B
Facebook: Komolafe F. Francis
Skype: komolafe.francis
E-mail: folu_mgtworld@yahoo.com

If you also what gender/sex selection, we can arrange without network clinics outside india.

I am waiting! :-)

Hi,

IVF success rate is not 100% in any part of the world.

Average international success rates are still well below 50% for couples with the best chances.

We know IVF is a very important treatment regime for some couples, and that average rates in medically more developed societies may be higher than average rates in Nigeria, but distorting medical information for purposes of advertisement/marketting is detrimental to (potential) patients.

All the best.

dexcira:
Hello doc omicron...

Hi,

When was your last menstrual period? And are you on oral contraceptives?

An acute-onset vaginal discharge with fever indicate an acute PID, especially when there is a positive relevant sexual history. You may run an endocervical swab, a high vaginal swab, and a full blood count. It is better to see a doctor before the labs. You will require a dose of antibiotics, if so diagnosed.

I am not in Lagos, so I do not know many hospitals on the island. Reddington is on the island, and I believe they are of a high standard.

All the best.

Peacewealth:
pls dr in d house i need reassurance. i took a shot of depo that expired june 5. Had bleeding that lasted 4 2wks. Stopd, saw menses 21 aug. Dat lastd 4 7days. Had unprotectd sex. 4days later i ve been having lower abdominal sharp pain on my left ovary. Seems as if something is walking around my uterus. Nil bleeding, nil discharge. Feeling naesous did pt bt negetive. Just confused is pt too early?

Are you ttc again?

Since last period was Aug 21, it is a bit too early. Nxt week will be more reliable for a PT.

All the best

aolatunde00:
Thank you doctor.

I read inserting garlic in the vagina might help as well as using probiotics.
I tried the garlic thingy for the first time last night but I'm yet to begin using the forever living active probiotic I just got.
Are they probiotics and garlic in pregnancy?
Can they help?

Thanks

Ok.

I do not know about the use or effects of Garlic insert.

Probiotics are being tried in the orthodox management of BV, though their efficacy have been a subject of controversy. You may try them.

Opejibola01:
Morning doctor, what can i use for vaginal discharge odour. my hubby always complain whenever we av sex. note- im very neat and i dont have vaginal itching. thanks

Hi,

A characteristic, non-foul smellin vaginal odour may be normal. Oral contraceptives may also cause some vaginal discharge.

Offensive odours, esp with discharge, indicate an infection such as chlamydia, gonorrhea or trichomoniasis.

Women with bacterial vaginosis usually have a fish-like vaginal odour that is more noticeable after unprotected intercourse.

Your vaginal diacaharge/odour will be diagnosed in the hospital and pills prescribed for you.

Vaginal hygiene consists of washing regularly with plain water or unmedicated soaps. Most over-the-counter vaginal hygiene products and vaginal douching are not advised, as they may predispose to candidiasis or discharge. Nylon underwears may also predispose or worsen vaginal discharge/odour.

All the best.

Chili89:
Good morning doc. Pls I'm TTC and period goes thus June 28, July 24, Aug 20, and my hubby and I bd on the 31,1 of Sep and 3rd. Since the my temperature is a bit high though my next period is on the 16th of Sep.

Good morning,

Your Jun - july and July - Aug cycles are 26 and 27 days respectively.

The period of bedding was the correct time for those ttc, as your ovulation must have been around then.

You have not asked a specific question though, but if you were wondering whether you have conceived, I would advise that you wait till the end of your cycle to run a PT.

If your temperature is overtly raised, you should see your doctor.

All the best.

ciscajewel:
gud evenig doc, pls i don't know how many days cycle i run . in june i saw my menses on the 10th, in july it was on 8th and august it was on the

4th now sept it was 2nd pls help i am ttc.

Good morning,

To count your cycle, the first day of bleeding (June 10) is the 1st day of the cycle, while the the day before the next cycle (Jul 7) is the last day of the previous cycle.

Your june - july was 28 days. July - August, 28 days and Aug - Sept 30 days. Your average cycle is about 28/29 days.

It is a normal cycle in length and regularity.

aolatunde00:
Evening house,
Came across this thread for the first time today and I would like your input.
Sometime in January I started having discharges,I went to a pharmacy and was given some drugs but they didn't seem to work.I went to see a doctor,did a swab and tested positive for a yeast infection.i was given diflucan and augmentin.the discharge and itch stopped but returned two wks later.I did another swab and I still tested positive for a yeast infection and staph.Only that this time I was also pregnant so the doctor suggested I take no drugs at all.
So from that time till I was 25wks,I didn't take any drugs for the discharge or itching.At 25wks,I was given klovinal pessaries for 5day(since the itch and discharge had become really much and I suspected i had Bv as well)
The discharge stopped only to return after about a wk(I suspect this was due to a re infection by my hubby cos we made love).
I went back to the hospital and had a swab done.i was then given ampicillin tablets and klovinal pessaries again for 5days since I again tested positive to candidiasis and staph.its been 3days I ended this treatment but I still feel funny!I read online that candidiasis during pregnancy can be pretty difficult to treat Moreso as mine went untreated for 6straight months!
Pls what do I do?(now 30wks preg)

Hi,

Candidiasis is not really an "Infection" in the sense that many people understand it. Understand it as a condition that arises when one is exposed to some risk factors like obesity, antibiotic use/abuse, low immunity and pregnancy.

When any of these risk factors continue to be present, candidiasis is difficult to eliminate, and the person could be said to have recurrent candidiasis. I think that is the problem here, pregnancy being a major risk factor in you.

Ensure, however, that Bacterial Vaginosis, is ruled out as it could present with similar clinical features to candidiasis. BV, unlike candidiasis, may adversely affect pregnancy (premature labour).

Candidiasis will respond to Topical (recommended) or oral (not advised) antifungals, but it might return in the face of a persistent risk factor.

All the best.

mauryn87:
waoh!!! Is dere no alternative drugs for ulcer patient?

There are.

Paracetamol and its combinations can be used.

If your ulcer is not active, your doctor could still prescribe you NSAIDs (diclofenac and co) with an acid-blocking pill ( a controversial practice), to be taken a few times during the painful periods.

Your doctor may also use oral contraceptives to manage your painful periods if he determines that you can take it, and if you are not ttc.

nkem79:
She has regular periods (30 days as told), all tests are normal, her condition so far is unexplained. Tubes are are fine but she was told she is slightly pcos.

Ok.

Well, PCOS is PCOS. Nothing like "slight PCOS".

Approach to "unexplained infertilty" include "watch and wait" and assisted reproduction techniques like IVF or Artificial Insemination.

mauryn87:
thanks for your response. Mine falls in d primary category..d onli tym I experienced a painless period was d very first time I had it..when d pain comes @ tyms I can't stand it. Please is dere any other drug apart from felvin that I can take?

Ok.

You can only conclude it is the primary type when all likely secondary causes have been ruled out.

Other pain relievers used belong to the group as felvin. Mefenamic acid may be more effective. Diclofenac is also effective. Others are Naproxen and Ibuprofen.

These drugs are taken with food, and children, the elderly, and those with peptic ulcer should avoid them.

mauryn87:
Hello DOCs in d houx..is it normal to have painful periods? I have been battling with it for years and am tired of taking drugs..what can I do to help reduce d pains..thanks..awaitin your response

Hi,

There are 2 types of painful periods. The primary type has no known cause and it is usually common during the years after the first ever menstruation in adolescents and young adults

The secondary type is caused by a specific medical condition like a fibroid, endometriosis, adenomyosis, etc, and usually arise after extended period of painless mesntruation.

Pain relievers can help, and are available over the counter. There are other helpful medications that may be used when prescribed by a doctor.

Primary painful periods will improve with age, and pregnancy. Most would significantly subside after the first pregnancy.

All the best

nkem79:
Thanks to the docs in the house for giving us hope.

Here is a case study. Laura 35, was pregnant 2010, she had swelling and was later induced, in checking for dialation, junior doctor informed senior doc that her pelvis was smaller but was ignored. Gave birth with a tear to large baby but with complications, was referred to luth with a case of prenatal asphezia. Baby died 9 days later. Ttc till date, she has done hsg, scan, hormonal and swab. Ob/gyn said she is slightly pcos but had IUI done twice which failed.

Broke Laura is near giving up but we keep encouraging her. She gained some weight and sometimes she says she feels like walking away from it all.

My question: what can she do?

How does one manage being slightly pcos?

I share this case as a very close confidant, please advice

Hi,

So much information that needs to be known.

How is her period? Where exactly is the source of her problem? Ovulation? Implantation? Tubes? Male factor?

PCOS is a syndrome that causes lack of ovulation due to hormonal disturbances. It is treatable; aim of treatment being to restore hormone balance and ovulation.

She has to try to optimise her weight (very important), and continue standard treatments for any diagnosed conditions. Sometimes it takes time, but she could still conceive, of course.

If, for any reason, she chooses to have assisted reproduction, she should be counselled about their success and failure rates.

All the best

prettmum:
I gbadun you way Doc, you are so humble. Keep it up. May God crown ur effort.

thanks