₦airaland Forum

Titay:
Hi doc, I am really new in this thread. I can see you are doing a great work. God bless you. I have been ttc for about a year now, God finally did it I am like 6wks gone. But I have a problem, I usually experience stomach pain-like ulcer pain, if after I use gascol it wl subside, but please help me what do ii do, cause d pain is usually intense. Thank u

Hi,

Thanks and congrats on your pregnancy.

Heart burn is one of the common complaints of pregnancy, because of the effects of pregnancy hormones on the stomach.

Since you are still in 1st trimester, and because no drug is absolutely safe in pregnancy, you should try managing it first by behavioural changes like eating less quantities of food at a time, not eating late at night, sleeping with head and chest propped up, not keeping the stomach full. Caffeine and chocolate may worsen it, as are some spices. Avoid them.

Antacids (like Gascol) are ok, but are also category C drugs, meaning that they can only be used when their benefits outweigh the risks. You should avoid antacids containing aluminium.

Drugs like cimetidine and ranitidine are relatively safe too, and more powerful than antacids.

Omeprazole is not advised, but other PPIs like lansoprazole are relatively safe.

If behavioural changes are not enough, you should see your doctor.

All the best

anthney87:
Am using his profile tho.

4mths now since after we got married in april. Since after the marraige i cant seems to know my ovulation. everytin has changed

Ok.

Well, 4 months is rather too early to conclude that you have difficulty with conceiving.

Maybe you are psychologically stressed or anxious, as it all seemed to have begun once you got married.

Take it easy. Live your normal healthy life. Unless you are above 34 years, you can wait till a year before you start fertility work up.

All the best

cionon:
Yes I meant submucous. But scan is not detecting submucous fibroids and I read it's only submucous fibroid that causes heavey and elongated periods. So I am confused how come about the painful, heavy and long periods. Never used to have such pain to the extent I could barely walk sometimes.

Not only submucous.

Multiple large fibroids can present as heavy menses too.

Moreso, submucous fibroids are easily missed.

cionon:
Tnx one last question
My tummy is big like I am 3-4mnths pregnant. I av about four fibroids intramural and subserous fibroids. Then for three months , my period has been very heavy lasting about 8days. Do you think there is fibroid inside the womb?

The fibroids can explain your "big tummy".

Eight days of heavy menses is abnormal. Your fibroids can explain it too.

The subserous and intramural fibroids already are in the womb, specifically the subserous is on the womb, and the intramural within the body of the womb.

If you meant to ask if you could have submucous fibroids, those located just beneath the uterine cavity (space inside the womb), yes you could.

Pelvic unltrasound (transabdominal and transvaginal) will show you the locations of the fibroids, how many they are and their various sizes.

cionon:
Can you have high prolactin without lactating? Is it possible? Tnx

By lactating, you mean breastfeeding? Yes.

It is also possible to have high prolactin without non-lactational (when not breastfeeding) milky nipple discharge, although many women with high prolactin will have milky discharge.

Sometimes this is only apparent when the milk is manually expressed by pressing them out, or when the nipple is stimulated especially by touch.

Laboratory test is more objective in terms of assessing prolactin level.

All the best

anthney87:
Good day doc omcron.

We have veen trying to have a child for some time now but cant. My flows and ovulation has been normal but for the past three months i dont understand mysef anymore. My flow is now irregular(cant even use up to 3-4 pads)cant notice my ovulation. Am confuse abt wats happening.

Good day,

I presume you are speaking about your wife, as your moniker is showing you are male.

How long have you been ttc?

kite02:
Good morning, doctors in the house, thanks for the wonderful work you are doing. God bless you!
Please, l need your advice, I and hubby treated for staph a in Feb this year with streptomycin injections. ( by the way, is it sexually transmitted? ) In June, I had bloody discharge intermittently through out the month. Didn't experience that in July. In August, I saw my period twice ( 18th and 29th) The flow of 29th was normal but after then, I have been having bloody discharge that sometimes can only be seen when I wipe with tissue. My periods used to be 4 days with normal flow but that has changed to heavy flow of 6 days for about 18 months ago now. My circle which has always been 28 days has changed to 24 -27 days.
I am 35 with two children aged 6 and four and ttc for a third child for about a year now. My hubby is 43.
Your help will highly be appreciated.
Thanks and best wishes.

Good morning,

S. Aureus is not an STI, not sexually transmitted, not implicated in neither PID nor in other pelvic infections. It is usually a normal flora (normal/good bacteria) in several parts of the body like the skin, lower reproductive tract, and upper throat. It commonly causes infections of the skin, bone and respiratory tract.

The prime STI and PID causing agents are gonorrhea and chlamydia. Most regular Nigerian labs and hospitals cannot diagnose them due to lack of special media required for their culture and diagnosis.

In truth, most lab results of HVS in Nigeria (always in Nigeria) come back with Staph due to contamination from organisms in the instruments used in testing, the person testing, or from the skin around the lower vagina.

It is one of the commonest scams by pseudo-health workers/ alternative medicine pratitioners.

You have intermenstrual bleeding (bleeding in-between your main periods) with possible menorrhagia (heavy menses) and secondary infectility (ttc after initially given birth).

You require detailed work-up, including pelvic scan, hormone assay, and hysteroscopy and cervical screening (pap smear).

Do you have signs of ovulation?

Thyroid problems, high prolactin, PCOS, endometrial polyps, submucous fibroids, PID and of course tubal problems are likely explanations.

Are you seeing a gynae? Have you done any of those tests?

All the best.

LuckyG1:
Omicron.I can see your input to this thread,it is a thing i must admit is great and plausible.

Thanks lucky.

Your own input is commendable too

eridemilade:
Had dis pain with my lower abdomen region for about 2 days during my cd13 and 14 could this be ovulation pain? Last time I counted my cycle was 30 and consistent. So I thought it shld be around cd15. So confused...

Hi,

There is no way to know for sure if this pain is due to ovulation or not.

However, cyclical mid-cycle pain, not severe, is assumed ovulatory pain until proven otherwise.

If actually it is your ovulation, your period is expected on day 27 - 28.

All the best

nutarious:
Been following page by page and i must commend all doctors who has taken time to respond to peopels questions, querry and issues...............


Our Heavenly Father will bless you all, thank you so much, This is proudly Nigerian.

Thanks so much.

Thanks

Lynsunny:
Thanks doctor. I ve been for 3yrs plus. Ok on the IVF idea as you said but I thought he should have done something about the low level of gonadotropin to increase. Yeah I am planning on seeing another doctor concerning that. Please I don't know how to use Pm to send mail here, can you please email me with my email nazunwa@gmail.com or you give yours. Please bear with me.

Ok.

3 years+ is significant.

No, medicine is not like that. It is not the lab result that is being treated but you as a whole. The "low" gonadotropins do not add up. Causes of true low gonadotrophins are very rare and would cause major symptoms such as absence of period or lack of puberty or other hormonal derangements.

And I mentioned that according to some lab reference ranges, the values you got are even normal. It would have been a different thing had they been "high". So, do not focus on that result negatively.

I had replied your PMs. I will send you a direct mail to the address you gave.

All the best.

Lynsunny:
Thanks for the response. Yes am ttcing ooo hmmm. Yes seeing a gynea but have not seen any for the past two months cos I was not satisfied with the response he gave after going through my result. He just landed in "madam go and prepare for IVF" without proffering any way out. He said unexplained infertility. Pls advice and suggest any way out. Thanks.

Ok.

How long have you been ttc?

The idea of "unexplained infertility" is plausible. A third of patients with unwanted delay in conception are actually diagnosed with that, when routine and special evaluations fail to reveal an abnormality.

IVF advice is in order too, but not absolutely.

Some patients may elect to watch, wait and hope, so long as their reproductive parameters are not worsening. Naturally, however, fecundity (ease of conception) decreases with age, especially the woman's.

Lower-cost assisted reproductive treatments such as artifical insemination may be the first choice option, imstead of the more costly, more sophisticated procedures.

You may seek expert information from a fertility specialist.

In the meantime, maintain a positive attitude.

All the best.

Perculiar:
Good Afternoon to the most humble doctor
I know. Pls I have come again o.More grease to your elbow. Pls kindly enlighten me about hot/warm semen. I always feel it when my hubby discharges except when i'm ovulating. I know it has to do with acidity or alkaline of the semen and vagina but pls Will like to know if such semen affects conception. God blessings.

Hi,

Do you mean to know if there is anything wrong with the ejaculated sperm semen being warm? Nothing is wrong with that. I have not come accross any studies that associate warm ejaculatte with any abnormality. Semen is ejaculated warm, as warm as one's core body temperature, as are most things from inside the body. Has nothing to do with conception.

All the best.

Lynsunny:
Doctors in the house pls you should look into my post. I am begging oooo. Happy sunday all.

Hi,

Your hormone assay showed slightly low gonadotropins (LH and FSH) according to the given reference range. The clinical significance is not clear to me though, as you must have a normal menstrual cycle, your progesterone is normal (comfirming ovulation), and serum prolactin normal. With some lab reference ranges too, those values are normal. So, I cannot say that your hormone assay is abnormal.

Your dh's SA is ok. Though I do not know some of the abbreviations you used, but the most important parameters -morphology, count and progressive motility- are all normal.

Are you ttc? Seeing a gynae yet? Any speficic cause/diagnosis yet found?

All the best

anthney87:
hello doctor,
please i will not advice a secret message here to end this thread of discusion. Alot of people are suffering from this same issues but are shy to speak up but are secretly following. pls lets discuss all here so others can benefit..
thanks. so in this case what should we do? advice pls

Hi,

I honestly found your post amusing

Treatment of PE depends on the cause. Few drugs licensed for its treatment are prescription drugs, to be prescribed by a physician who has seen the patient.

There are behavioural changes too that can help one to overcome it. That is where counselling comes in.

Kegel exercises help in the long term. Training oneself by way of increasing will power, "distraction mechanisms" and reducing the refractory period are good short term measures, though these are hard to master and takes time to perfect.

Normally, after ejacuulation, the peniss goes flacid for a varying period of time ranging from a few minutes to a few hours. That period is what is called the refractory period. By reducing this period, the gap between the 1st and 2nd round is almost eliminated, prolonging the sexual experience and improving the man's confidence (which is a therapy on its own).

Chronic masturbation is a common cause of PE through some mechanisms whereby the brain is "addicted to early gratification" following repeated masturbation. Cessation of masturbation will help in the medium term, although the problem could worsen temporarily following abrupt stoppage of habitual masturbation.

There are other common causes too apart from habitual masturbation.

Some prescription drugs, which are not licensed for the treatment of PE, such as tramadol and some antidepressants, can delay ejaculation substancially in a lot of people. These drugs are not medically advised for treatment of PE due to concerns about their long term safety and adverse effects, including the possibility of erectile dysfuction/impotence. Moreso, they are prescription medicines, meaning that the use of them without a doctor's prescription may constitute an offence or a crime.

In summary, PE is a common sexual complaint. It is responsible for a small amount of infertility cases, and can become a threat to success in relationships. Treatment is mainly via counselling (psychothery/sex therapy). A few licensed drugs for its treatment will require prescription.

All the best

lily19:
Good day doc. Pls I need ur help, I've 28 days cycle, I do notice slight pains on either of my ovaries at d middle of my cycle (Wch I want to believe maybe ovulation), but I'm confused cos after such experience my pelvic gets extreme bloated, what cld be wrong n Wch test do u suggest I go for? I'm ttc. Thanks

Hi,

What do you mean by "bloated pelvis"?

Any othet associated symptoms?

Caringpro:
Gd day doc omicro. plz i hv ths serious hotness at my bck region. that is my waist is hotting me around my waist. Plz wht could be the cause of ths pain/hotness. I jst treated infection. plz wht could be the cause.

Hi,

Is it hotness or pain, or both?

Causes of waist pain are quite many. It is difficult to say which it could be from the information you gave

Do you have any associated symptoms?

I have been much busier offline of late, hence the late replies.

GoodKay:
Hi doc, I recently had a miscarriage at 8 weeks. D doc did a d&c to clean out any left tissues and gave me an appointment for a week. When I went after a week, I was given an injection which terribly ached my butts and legs for almost 2 days d pains later disappeared. (I dont know d name of d injection or its purpose) Then I was also given brameston (bromocriptine) 30 tablets. When i started taking the drug, i felt like hell. Sick to my bones. The doc told me I will feel that way but I shouldn't stop taking it. He said he wants to start preparing me for my next pregnancy and i should avoid intercourse or use a condom for the next one month. Then come when my next period starts. but isnt this preparations too much? Its my first miscarriage and i think it was as a result of stress as i seriously overworked myself the day before my miscarriage and i have a son who is a year plus. I was thinking of stopping the drugs as I felt I don't really need it and for so long (30days)cos I don't think I have a problem. (They didn't run any test for me) The doc is one of the very best in town when it comes to women matters though and a very qualified one too. What do u think? Is this too much for me? Why bromocriptine?

Hi,

Normally, bromocriptine is not indicated post-first trimester miscarriage. Even in latter stage pregnancy loss/still birth when it may used to suppress milk production, it is used as a second-option. And I cannot understand why intercourse must be delayed, or contraception used, since it was a simple D and C.

Since he is an experienced doctor as you said, probably a gynaecologist/obstetrician, you should ask him for more education concerning the drugs and their intended functions, especially as you seem not to tolerate them.

He may be trying to bring your prolactin hormone down (which must have started rising due to the pregnancy). Personally, I think it is not necessary as all hormonal changes following pregnancy will resolve few weeks after termination of pregnancy.

All the best.

GideonG:
I am currently in Ilorin for the first time in my life, and I am here to stay, at least for the next 4 years then I'll move to Ibadan for 2 more years and lastly to Lagos for additional 3 years. By then I will have a Ph.d then I will go back to the North were I came from and one day I will be one of the best candidate for a ministerial position, then I will be invited to the national assembly for screening where I'll murder all dem Law makers, then I'll be one of Nigeria's best Minister and from there It will happen that I'll be the best candidate for Governor then I'll contest and win just as I've been Headboy in both my primary school and my secondary school. All those are plan B, my real passion is computer programming and entreprenuership. I WANNA INFLUENCE THE ENTIRE AFRICA. Tech billionaires are my role models. But meanwhile Thank you lord for seeing me through a very long journey of 2days all the way from Gombe to Ilorin, thank you lord for making me score 80% in my post ume. Please make me a "Scholar" I don't wanna settle for less. I am determined to go for the best because I deserve to be better by far! I LOVE UNILORIN!!!

Congrats!!! Brilliance is easy to spot. Your write up above is an evidence you deserve your score and your dreams. All the best

Peacewealth:
gd. p.m doc. i took depo inj on march 5th dis yr, which expired june, 2weeks later i bleed for 10days. All to see another menses on 21 aug. Which z scanty With severe cramps that has stopped now. Does it mean my cycle is back? Will i ovulate by september? I want to be pregnant again should i take glucophage? Tks for ur kind response

Hi,

No need to take glucophage. Not advisable.

There could be delay of return to fertility following Depo use. This can vary from a few weeks to several months.

There is really no way to say for sure that you will ovulate this or that time.

Relax. Live your normal life. You will not even know when you took in.

All the best

guitarmanpharell:
Bt its part of the accredited in Nigeria...so what happens?

Usually, before you can practise abroad, especially in developed countries, you must first write and pass the country's Medical Licensing Exam. Only those who graduated from Schools listed in the directory are qualified to write the exams, usually.


Accreditation in Nigeria means your school can train and produce doctors, who will be licensed by MDCN to practise in Nigeria.

But most foreign Medical Licensing Councils define 'International Medical Graduates' as those who graduated from Colleges in that Directory.

Maybe in time your school will be listed.

Doclight:
What of Unizik and Esut?

they are both listed.

dearpiriye:
Pls is uniport part of those unis they give preference to?

I don't really know about uniport.

guitarmanpharell:
I just want to know if there is no problem..just a lil bit scared.

As long as you are accredited, no problem in Nigeria.

However, check to see if your school is listed in the WHO World Directory of Medical Schools. If not listed, it means your medical college is not recognised internationally.

You should also know that a country like Trinidad and Tobago give preference to Colleges of the first generation federal universities like UNN, UNILAG, UCH, UNIBEN, etc

leocolin:
thx for the reply.

I'm in my early 26, my marriage is jst 3mths old, i'm not on any medical condition, the issue is premature ejaculation, i dnt last long in bed.

Pls what is the way forward?

Ok.

I understand your problem.

PE is quite a common sexual complaint.

Anxiety is a common cause. There are other common causes.

Counselling will help.

There are medicines that can be prescribed in extreme cases not responding to behavioural changes or psychotherapy.

You may pm me for further advice.

kemifemi:
Good evening dr,
Thank you for taking time out to attend to our questions. God bless you.
i am so sad right now. My husband has been battling oligospermia since we got married. We've been married for 3 years and started TTC after 1 year.
I thought i was the one with the problem cos i was seeing a gynae at that time.
Mid last year, d gynae asked my DH to run MCS/SFA test, which we did. The test result broke my heart. There was no trace of infection but d count was very low.
We have used manix,addyzoa and now hes on alarsin fortege.
He did another test today and the result is:
Motility 5%
%active progressive nil
%sluggish progressive 5%
%immobile 95%
Sperm motility index 5
Sperm count 700,000 cells >39.0 x 10^6/ml

Sperm morphology
%normal cells 60%
%Abnormal cells 40% <10% abnormal forms
WBC Count 0-2

Please help interprete this result. He's so sad right now.
I will appreciate if someone can help me please. Thanks

Hi,

Please calm down. Channel your energy towards finding a solution instead. Dooh!


I don't understand your report of the sperm count.

If it is 700, 000 cells, it is extremely low!

The sperm motility and other parameters are also extremely poor.

He should do hormone profile: LH, FSH, Testosterone, and others, to understand whether he has a testicular problem or other organs are involved. He should also do a karyotype to rule out a genetic cause

By now, you should be seeing a fertility expert: plans for IVF are strongly advised. Adoption is an option too.

All the best.

Fumbaby,

Your scan is normal.

The follicle, at 14mm, is yet to attain ovulation diameter.

guitarmanpharell:
Really love this thread...Pls am a medical student in a private university...though the course is fully accredited...I was just wondering if it won't affect me when am through..Thanks!

How do mean "affect you"?

UyiIredia:
Men and women have different physical and emotional build. Men tend to be taller, stronger and more aggressive. Women are more gentle, weaker and tend to be shorter. I can only agree with gender equality to the extent that women are given the same chances to occupy posts filled by men in the academia, sports, government etc. But I do not agree with the premise that men and women are equal. They aren't as my initial statements_backed by the facts_clearly show.

I go with your viewpoint.

Men and women are not equal. I do not believe in gender equality.

I believe in gender equity - that men and women should be allowed same OPPORTUNITIES, let the fittest survive.

From another perspective, the WIFE betrayed the husband.

The wife's action is CERTAINLY PREMEDITATED. She had planned the betrayal all along.

The husband's inability to jumb MAY have been premeditated, but it is more probable that he failed to jumb due to fear and adrenaline (survival instincts), as might have been the case with the wife, had she not brought a parachute.

Summary: Probability wife planned to betray husband - 100%!

Probability husband set out to betray wife: say 30%

Women (Most, of course) are naturally that way. The kind of complicated plans they can do secretly to achieve selfish goals are mind-blowing, unlike men (most, of course) who are more direct and more predictable (regardless of whether they are selfish, callous or good)

leocolin:
Please doctor in the house, i need ur help.

My wife threaten to divorce me if i cant satisfy her sexually...i'v heard peepz saytaking of viagra, adams desire, revive or drinking of water that comes from bitter leaf has the tendency to boost ones libido and delayed ejaculation?

I dnt wanna take anything that will destroy my system and i love my wife dearly.

Pls what should i do?

Hi,

What is the actual situation: lack of desire, lack of erection or quick ejaculationn?

Has it always been so for you, or is it a new problem?

Do you have any medical condition such as hypertension or diabetes or thyroid problems? Are you on any medications? What is your age? Do you have any children?


All the best.