₦airaland Forum

cyara:
Hi, my room mate has been having problem with her menstruation and the finally came, but it has been flowing for close to three weeks now and counting and hasn't stopped, what can likely be the cause and how can it be stopped. Note: we are both scared of going to the clinic because of the accusing stares we will get

Hi,

Your roomate's condition needs medical attention.

It is highly abnormal, and dangerous.

It could be a possible miscarriage if she is sexually active. It could also be due to hormonal imbalance, or something else. Whatever it is, it requires urgent medical attention as the bleeding could become profuse suddenly esp if it was a miscarriage.

Doctor-patient consultation is confidential and your history should not be divulged, hence no need to be ashamed.

All the best

diegs:
I was asking if 23x15mm and 18x10mm is a good follicle for ovulation. considering its not round

Well, I couldn't say. If you are doing follicular tracking, you will know if and when they ovulate in time.

If this is a one-off scan, it is hard to suggest what could happen to those eggs.

All the best.

herdayorlar:
Hi doc. Jst incase i'm on d wrng thread pls pardon me. I'm new here. I wanna ask questn distrbin me. I'm sexually active bt nt redi 2get pregnant yet 4som personal rizins. I only use alabukun afta avin sex as directd by my close pal bt i av bin xpctin my period 4 lyk a wk nw nd i avnt sin it. Cld it b dt i'm pregnant? Or jst anxiety? Thnks in anticipation

Hi,

Both are possible.

But it is pregnancy until proven otherwise esp if there was unprotected sex within the past few weeks. Do a pregnancy test to comfirm.

Alabukin is not a contraceptive, and could have unknown harmful effects on your health.

There are many safe and effective contraceptives to choose from. Your doctor/qualified nurse can guide you.

All the best.

kpofkpof:
So what is the best way to conceive. What Treatment should I undergo to get pregnant

Well, you should discuss your options with your gynae, including IVF, adhesiolysis surgery/laparoscopy and tuboplasty.

All the best.

diegs:
Is a follicle size of 23x16mm and 19x10mm ok? Although the follicles are compressing each other and n it giving room for one to expand downwards and the other to expand upward. I though a follicle is round.

Please is it ok for ovulation to take place. Endo thickness is 11mm

Sorry, I don't where you are coming from...

A follicle is round, but on scan it may not appear a perfect round, and it's a human who takes the measurement.

I do not get your question though

fearless07:
Good day Doc, my doc did the evacuation via suction curretage on the 30th of July and I was given some drugs to take. I finished the drugs on the 5th of August and I want to run a urine mcs, hvs and a scan just to check if all is okay. When is the best time for me to run these tests? I was thinking of doing them this week but I don't know if the drugs I took would give a false result. Thanks.

Ok.

You can do the scan anytime.

The Urine MCS and HVS are unnecessary if you do not have related symptoms.

Rizin:
Please Doc. I got this result on widal test:
salm typhi(d) A0 1/160: TH 1/160
salm paratyphi(A) AO 1/80: TH 1/160
Salm ptyphi (B) AO 1/80 : TH 1/20
Salm ptyphi (C) AO 1/20 : TH 1/80

please i need interpretations. Thank you.

Titres of 1/160 and above are significant (suggestive) for typhoid fever, but that does not always mean someone who got 1/160 or more has typhoid fever.

Refer to the last 2 pages for a little explanation I gave about Widal test and tyohoid fever

Immaangel:
Flutin-combination of fluconazole and tinidazole.
Gyno-daktarin - miconazole nitrate
Floxavid- ofloxacin.
Pls rate them

Ok. Both fluconazole and miconazole are antifungals.

Ofloxacin and tinidazole are antibiotics.

They are good drugs on their own right.

kpofkpof:
Hi Doctor

I had myomectomy precisely a year ago. Before then, I went for hsg and was told I had 'Bilateral tubal blockage'

Fast forward to now, a repeat hsg result states "Fallopian tubes were demonstrated bilaterally with spills but with perifimbrial contrast loculations.

please explain

Thanks

Well, this report suggests that most sections of the tubes are patent ('open', not blocked), hence the spillage, but there seems to be some adhesions are the fimbrial ends of the tubes, hence the loculation. The fimbriae are the brush-like parts of the tubes whose main job is to collect released eggs into the tubes for fertilisation.

It means that the fimbrial ends are not patent to allow free passage of the 'HSG Fluid'.

The implication is that eggs from the ovaries cannot enter the tubes easily (if at all), meaning that conception is just as hard (if at all possible for now).

It is, however, probably an improvement from the former report.

Caringpro:
hello dr omicron. plz help me interpret ths resuly. i beg u in the name of God. it is urgent.
sperm count 2.0x10 rise to power of 6
active 50%
sluggish 30%
dead 20%
morphology
normal 70%
gant head 20%
double head 10%
viabilty 40%..
plz help me sir. and there is heavy growth of sstaph

The count of 2 million is extremely low. Other parameters are however normal.

Usually, for a count that low, IVF is advised, especially if the partner is in her 30s. He also needs to do hormone assay and later karyoptype test to rule out genetic causes.

Staph growth is usually a contamination, but to be safe you may treat with antibiotics suggested by the MCS report.

udoomama:
I did the scan on CD17, have been having absent/ irregular periods after the birth of my first baby, and she is 2yrs and 4mnths now. Am thinking of changing hospt,I decided on my own to do the TVS, my dr was just precribing clomid for me without finding out the cause of my problem , I attached d complete report below.

Ok.

The radiologist said it is PCOS.

It can also explain your symptoms.

Clomid is used for ovulation induction in PCOS.

Metformin is also an important part of its treatment.

ginababy:
I've bn having dis weird feeling since yesterday. Lower abdominal pain n waist pain. I'm currently in my cd24 n dis night I'm noticing a discharge lyk egg white bt wt some brownish or bloody missed up. I try 2 use a handkerchief 2 wipe n discovered dat d colour is brownish.
Could dis b an unfertilized egg or implantation?
Dis is d forth tym I'm experiencing dis wtout pregnancy.
Sorry 4 bordering u guys dis much bt d week is seriously unfolding tinz

It is not unfertilized egg. If it is implantation bleed, PT will be positive or you miss the next period.

The feeling could pass for Premenstrual Syndrome.

The brownish discharge is not abnormal close to a period.

All the best

ginababy:
Tnx Doc. Bt is dey need 4 him 2 take n drug n wat could b recommended? Secondly, does it mean he is infertile?

Nope not infertile. The result is actually ok, just that the sperm count could be improved upon.

sannies:
Thank you very much doc. But then what is the meaning of the test result

Your own test result is negative, meaning you do not have significant evidence of having typhoid fever.

mubzay:
God bless u. Will wait n rule out pregnancy b4 using it. Though did urine pt 3 days ago n came out neg. Will try d bld pt as suggested. What can I use to relieve it for d main tym. I am massaging it wit a balm ointment.

Ok. Massaging with balm is ok.

Topical diclofenac -cream or gel- is ok too.

mubzay:
Good evening doc omicron, am actively ttcing n in my 2ww. For d past 4days bn aving constant lower back pain (d region btw d buttocks n d back). Went to d hosp n was given dolo meta b bd for 7days. AF is due on sun (hoping for a bfp sha) can I use d drug or wait n see if AF shows den use it. Am scared if in case am preg hope it won't affect d foetus? Thank u in advance

Good evening,

Dolometa B contains Diclofenac. This drug is avoided in pregnancy, and indeed all drugs except folic acid are avoided in very early pregnancy.

Unless when the benefit of using the drug outweighs the risks of using same.

I would advise you hold on till you rule out pregnancy, just in case. A blood pregnancy test could be positive tomorrow (if conception had occured) since your period is expected in 3 days' time.

ginababy:
Pls Dr's omicron help interpret dis test result.
Time produced = 11am
Time received = 11:13am
Abstinence =?
Mode of collection = maturation
Volume = 2.4ml
Colour = pale
Viscosity = normal
Odour = faint

Viable count. After 1hr
Active ones. 80%
Sluggish ones. 10%
Dead ones. 10%

Viable count. After 2hrs later
Active ones. 60%
Sluggish ones. 10%
Dead ones. 30%

Forward progression => 50%
Total spermatozoa = 20 * 10 race to power 6ml (42-150)
Morphology = > 95%
Microscopy = nil Rbc pc+

Doctor's writing is not very readable 2 me.

The sperm count of 20 million is borderline -the lowest limit of normal.

All other aspects of the sperm are very fine: motility, activity, morphology, are all well within the normal range.

Not a bad result.

rohilicious:
Tnks a lot doctor for ur help. Pls I ve been bleeding (not heavy) for d past 5 days n I saw my period almost 2 weeks ago. I'm rily worried. Wat do I do?

Have you done a pregnancy test? Has this happened before? Do you have a primary condition you are treating?

udoomama:
Heloo dr, May God bless ur good works, pls what does it mean, when a Tvs result says Both ovaries are hyperplastic with numerous tiny follicles seen arranged peripherally around a dense stroma. No follicular maturation. Thanks

It implies that the ovaries are of increased sizes or volumes (hyperplastic) and contain many developing eggs (follicles) none of which is mature.

What cylce day was the scan, and what symptoms informed the TVS? Are you seeing a gynaecologist?

Makes some sense.

But what if a man's wife A gives birth in Jan, wife B in May and wife C n Sept That is one year parternity leave oo

Hope it wont backfire o

tatacherie:
Hello Dr's in d house.weldone! God bless u for the good works ure doing here.
Pls I would like to know wat these test results say.
Widal test
O. H.
S.typhus 1/80 1/20.
S.paratyphia-c- 1/20.
PCV-47%.
TWBC-2,400 cells/MMs D.H
Neutrophil-42
Lymphoctne-58
Thanks alot

Hi,

For the widal test, please refer to my response above.

Your PCV, or your blood level, is normal if you are male. It is high if you are female.

The WBC Total is low.

There is lymphocytosis, meaning that the lymphocyte is higher than it should.

The WBC count result is abnormal. It is likely a lab error. You may repeat at another lab to comfirm.

However, commom causes of the picture above are viral infections.

With your symptoms and signs, your doctor will be able to know if you have any such infections.

sannies:
Hello doc. Can you pls interpret this test result for me.
WIDAL TEST. RESULT
S. Typhi. 1.80. H
S. Paratyphi.(A-O) 1.20. A-H
S. Paratyphi.(B-O) 1.20. B-H
S. Paratyphi.(C-O) 1.80. C-H

Thank you

Hi,

This is a Widal Test.

The result above is insignificant, or negative.

Significant result is when the titre is up to 1:160, or when there is a 4-fold rise in each titre when the test is repeated over the weeks.

Note that you cannot base a diagnosis of typhoid fever on this test alone, in an endemic community like ours, as the test will even pick up past cured infections or cross-react with other common disease-causing agents, eg Malaria. This is why, according to Widal test, and those who interprete it without these considerations and without clinical features, almost everybody has typhoid fever almost every time.

Diagnosis of typhoid fever is first clinical. The Widal test at best only supports a clinical diagnosis.

All the best.

Opejibola01:
thanks doctor, but i still notice breast milk coming out of my breast, i thought it would have stop by now since last year August i had a still birth.

Ok.

Yea, it should have stopped by now.

It merits investiagtions.

See your doctor. You will need to do a hormonal assay, particularly prolactin.

All the best

Mowojuoluwa:
@omicron please my last menstruation was on 7th July 2015. I saw spotting 'pink not that red blood when I wiped my vaginal' this showed between 2nd -3rd of August please what could be wrong, is it that its my period or what? Am ttc and also have pcos, would appreciate your help

Yea, it is most likely the period.

Such scanty periods are not uncommon in patients with PCOS. Stress will worsen it.

Relax. Continue your treatment for the PCOS.

mumtobe:
I didn't allow for flushing of the tubes as I heard it could be worse as infection from the cervix. can go up the tubes. What the doctor did was to give injection via IV and IM as well as infusions like drip. I don't know if it's same as hydrotubation and would work for the tubes.

Asking dis question for a friend. She did HSG and it showed uterus tilted to the right. Can it stop conception?

She also did a scan and it shows uterus in anterverted position. Why is there a discrepancy? Cos I know anterverted position is the normal position. Thanks

Ok.

Flushing of the tubes is same as hydrointubation. Of course, the risk of infections is there. But this risk can be eliminated. Some doctors have good results from it, but some see it as obsolete.

It is better to know what tilted the uterus to the right. That is the only way to know if it's a problem.

I do not see the descrepancy you talked about. Anteverted uterus is normal in position.

Immaangel:
These are the drugs i was recommended to buy_ 1. Flutin 2. Gyno-daktamin 3. Floxavid. Pls dont mind the spellings o

Ok.

But these are trade (marketting) names, rather than the generic (medical) names. I don't know these trade names.

The generic names are written in smaller fonts right below the trade names.

Opejibola01:
DOCTOR, I mean my breast will be painful

Ok.

It meets the diagnosis for prementrual symdrome, since it comes before your cycles and has lasted up to 3 cycles.

Painful breast, or breast tenderness, can also indicate a pregnancy or ovulation, but if any of these is the case, you would know.

mumtobe:
Hi doc, I did a scan on day 12 of my menstrual cycle. It shows minimal fluid in POD. I treated chronic pid for two months. What Does minimal fluid in POD mean and Will minimal fluid stop me from conceiving?


2. Can antibiotics/infusion clear away blockage in the fallopian tube?

Hi,

Minimal fluid in the pouch of douglas is not a sign of PID. In most cases, there is some fluid in the pouch. During some infections, the fluid in the pouch becomes so much and significant. But minimal fluid is not significant, and therefore should not worry you.

Flushing of the tubes with infusion and antibiotics is called hydrointubation. Yes, it can help some women with tubal blockade. It is a common practice in resource-poor countries for the management of secondary infertility due to tubal blockade. According to some studies conducted in Nigeria, it works best for those with partial occlusion (rather than complete). Ultrasound-guided hydrointubation is preffered.

All the best

dunasy:
Good evening doctor,

please whag does this term ' grossly normal ' mean?. The result for my scan under detailed fetal anatomy says grossly normal while fetal spine says normal

Good evening,

When used to describe the anatomy of a human being, the term "Gross" means the parts visible to the naked eye, rather than the "microscopic" parts.

So, for your baby's scan, "grossly normal" means that the various parts of your baby that the examiner could see were all normal.

The fetal spine is your baby's spine/backbone; this was normal too.

[quote author=Opejibola01 post=36600149][/quote]By "sore breast", what do you mean?

Immaangel:
Yes pid wasn't dictated from the test result. Both from the scan and hvs. What do I do now?

PID is treatable with a combination of antibiotics for a minimum of 2 weeks.

Your doctor will prescribe these for you.

All the best.

Immaangel:
Thank u Jesus. I thought I lost it all. Pls does candida albicans cause pains at d lower abdomen? I had this pain at my lower abdomen especially when I sneez or cough hard or when I carry heavy stuffs. So I went for hvs and scan.

No. Vulvo-vaginal candidiasis typically does not give lower abdominal pains, eapecially the type you described.

A PID is more likely. There are also many other causes of lower abdominal pains that is worsened by cough or sneezing.

You would need a physical examination.