₦airaland Forum

Immaangel:
Pls what causes anteverted uterus. I went for a scan and this what was written there. And it measures 77x34x40mmlong. Pls someone should explain this in a clear and simple language.

"Anteverted" uterus describes the position of the uterus (womb). 'Anteverted 'is the NORMAL position. In this position, the womb is bent forwards, rather than backwards (Retroverted uterus).

Your uterus is therefore normal in position and size.

exegesis:
gudmoning doctor omicron. tanx again for the other day. pls help me interpret my husband's result.


Appearance- milkish and visions
volume- 1.8ml
ph- 9
sperm count- 20.9 x 10 raised to power 6 cells/
ml
motility
progressive- 40%
non-linear- 10%
non-progressive- 20%
immotile- 30%
culture- no signiicant growth
morphlogy
normal- 75%
pyriform- 2%
cytoplasic dropets- 10%
mid piece abnormality- 10%
others- small- 3%

tanx

The sperm count is on the low side, but still within the normal range.

Sperm motility, or sperm quality, is slightly low. Normally, it should be from 50% and above.

Sperm morphology, or the physical appearance of the sperms, is normal.

There was no significant evidence of infection affecting the semen

The result is neither here nor there. While it is not too bad, he should adopt practices and lifestyle consciously aimed at improving his sperm health.

diegs:
Hello doc, please do I start to take merforming before using Clomid or together with Clomid. And when can I stop Clomid. My cycle is 30days but I don't get ovulation signs anymore. No pains. Cervical mucus is thick all thru d cycle. What could be the problem?

Hi,

Yes you may.

Clomid is for ovulation induction, while metformin is part of the treatment of PCOS which is the primary problem that could have led to the lack of ovulation.

Clomid is usually taken for 3 cycles.

All the best

beeola7:
Hello Doc, av bin on postinor for a while nw, but i discover am loosng weight cld d postinor be the cause, what can i use to add up. Thanks

Hi,

Postinor is not known to cause weight loss.

You should have this weight loss investigated by your doctor, if it is significant or worries you. Common underlying causes of weight loss are undernutrition, chronic illnesses, and immunosuppression (low immunity). Adolescents may loose weight normally, though.

If weight loss is due to an abnormal condition, treating the condition would restore your weight. If no underlying medical problems, increasing your calorie intake (foods) avoiding stress and physical exercises will enable you add weight (mainly fat). You can build muscle 'weight' via specific work outs preferably in the gym.

NB: Postinor is intended as a one-off kind of contraceptive (Emergency Contraception). If you have reasons to use Postinor on a regular basis, I advise you consider another kind of contraception.



All the best.

cionon:
Hello doc. I used to have a 5day menstrual flow but now it's 8days. My doc gave me Clomid and said I shud use it three days after my menstrual flow ends. My doc is aware that my flow was for 8days and he still instructed me to use it three days afta my period ends.

My question is that is it not late to start clomid?
Can I ovulate while still on Clomid or will ovulation come after the Clomid dose?

Tnx

Hi,

Usually, clomid is started on the CD 5. However, the golden rule is to take medicines as prescribed for you by YOUR doctor, especially, in this case, if he is a gynaecologist and knows your cycle too.

Ovulation is expected on the average a week after taking it (5 -10days).

How long is your cycle?

Lynsunny:
Thanks so much Dr Omicron. Please is there remedy to that. I will really appreciate such.

Welcome

Yes, there is a remedy.

Submucous fibroids are cured with surgery, either open or laparoscopic surgery (better).

However, your doctor would know the impact of those fibroids to your ferility. Traditionally, if there are other obvious explanations for infertility asides fibroid, the fibroids are tackled last (Unless when fibroid treatment is done for the sake of IVF)

You should discuss with your gynaecologist.

Lynsunny:
Good morning Dr Omicron. Pls help me with this my scan. It was done on cd15.

Bladder: empty

Uterus: the uterus is bulky and anteverted. The cavity contains a small submucous fibroid nodule at the fundal aspect measuring 1.6x1.5cm. There is fibroid mass with a central focal cyst in the anterior myometrium measuring 3.6x3.5cm.

Ovaries: both Ovaries are normal in size and parenchymal echotrxture. There is a dominant follicle noted in the left ovary measuring 14.5mm in mean diameter( ovulation.

Adnexae/POD: free, no mass. No fluid collection

Conclusion: uterine myomata. Left dominant follicle.

Good morning,

The scan showed a submucous fibroid and an intramural fibroid. Submucous fibroids are those that are located just beneath the lining of the womb, sometimes pushing into and distorting the uterine cavity (the space where the fetus would grow in). They may not prevent conception, but they are common causes of miscarriage.

Intramural fibroids are located inside the muscle of the womb. They do not generally affect conception or pregnancy, unless when they are pressing on the tubes and occluding them, or when they are just so massive that they distort the structure of the whole womb. The one you have is not massive, and it is not reported to be around the tubes.

Your ovaries are structurally normal. A dominant follicle, or an egg about to be released, was seen in the left ovary. This means you were around your ovulation period at that time.

All the best

exegesis:
Gud evening doctor omicron. I've bin following dis thread for awhile and I rily appreciate all you've bin doing. pls help me interpret my scan test result to determine the cause of my infertility.

The uterus is normal in size and empty. It shows homogeneous echo pattern, there is a thick wall. cystic lesslan seen in the left adnaxae. it shows internal strand and measures 51mm. The right adnaxeum and the POD are normal.

pls what does it mean?

lastly I also did HVS.
ECS- yeast cells-numerous. Culture- yeast growth after 24 hours.
HVS- yeast cells-moderate. Culture- yeast growth after 24 hours.

pls what does it mean? Thanks

It says that your womb is normal, meaning that they did not find any fibroids or other problems of a womb.

They saw a cyst of about 5.1cm in the left side of the pelvis. Some cysts are normal, and resolve on their own after a few cycles, but the description of this suggests that it is abnormal.

Cysts can affect fertility adversely when they are very large, but more commonly when they produce a type or an amount of hormone they are not supposed to produce, thereby inhibiting ovulation.

You should discuss with your doctor to know the impact of this cyst on your ttc status. And you also need a hormone assay.

The HVS showed some yeast cells cultured. If you do not have any symptoms of yeast infection -typically whitish, curdy vaginal discharge, associated with vulval itching - you may ignore the HVS report. If you have the symptom(s), please treat for yeast infection.

All the best

Lynsunny:
Good morning Dr Omicron. I'm new here and I like the way you attend and answer people's questions. God's grace all the way.

Thank you very much!

Aim07:
Good morning doc., please what is the correct daily dosage for taking calcium, folic acid and vitamin C tablets during pregnancy? I am in my second trimester, thanks for your usual response.

Good Morning,

Calcium is 1000mg per day

Folic acid is 600mcg per day. Those that have had pregnancies with Neural Tube Defects -a kind of abnormal development of the brain and spinal cord- should take up to 4mg daily. Folic acid is most useful before conception and until the 3rd month.

Vitamin C up to 300mg per day is ok.

Iron is about 65mg daily. Or a tablet of fesolate 3 times a day.


Many brand names, such as Pregnacare, already has proper doses of these and other micronutrients and minerals for routine usage in pregnancy. They are better for maximum patient compliance. But discuss with your doctor before adopting any particular brand.

All the best

megfrank:
Good day doctor, hope today is going well? Sorry if this is on the wrong thread. I haven't been at ease, so I need confirmation on something from you. I had a pre-employment medical examination for a company, and my bp was unusually high(163/65) (I run bp checks at home and it's normal) the doctor said it was probably due to anxiety , and I agree with this, because I was actually tensed up, especially as hospital settings always give me a fright most times. Am 22 years of age, and I have been worried. Could the high bp at the pre medicals cost me the job? I really would appreciate your reply.

Hi!

Since you have been checking your BP before now and have been getting normal values, it is most likely this is an anxiety-induced high systolic (the value above, ie the 163) blood pressure. This does not mean that you are hypertensive.


That the diastolic blood pressure (the value below, ie 65) is normal also supports this possiblity, since anxiety, stress and physical exercise are known to cause momentary increase in systolic blood pressure so much more than the diastolic.

However, we cannot rule out other possibilities conclusively. At your age, causes of hypertension are usually secondary (due to) to hormonal problems, tumours, kidney problems, etc. It is highly unlikely that you have any of this condition if the only suspicion of you being hypertensive is from the reading you got above.

A way to have an objective idea of your blood pressure status is by having a 24 hours ambulatory BP monitoring. Hospitals with standard cardiology departments have this test.

But no need to worry still, if you consistently get normal results at other times, then the chance that you are hypertensive from any cause is next to nothing.

The high systolic BP should and will not cost you the job, all other things being equal.

fearless07:
Good day Doc, I am 5 weeks pregnant. I woke up this morning feeling wetness, I wiped with a tissue and saw dark red blood. I quickly had my bath and DH took me to the hospital, where I was sent to do a scan. The scan result:
Non gravid anteverted uterus is seen with a homogeneous myometrial echopattern measuring about 70 by 45 mm. Scanty echogenic materials was noted within the endometrial cavity. Both adnexae appear free of complex masses and within normal limits. Mild fluid collection is seen in the pouch of Douglas .
Impression : incomplete abortion.

The sonographer said I should allow the materials to expel on its own for a week then I should do a scan to see if there is a remainant. My Doc is against this, she wanted to start evacuation immediately but I told her to allow me go home, then I will come back tomorrow for evacuation. I am confused and in tears. My Doc said it might be an infection or the fetus wasn't developing normally so the body has to expel it. I told her I took Franol on the 4th and 11th of July for an asthmatic attack without knowing I was pregnant.
Doc, would you advice that I allow the fetus to expel or I evacuate? Thanks. Sorry for the long post.
P.s : I am still bleeding with menstrual like cramps and on the second pad.

So sorry dear for your loss. I'm just seeing this.

It is riskier to wait for the products to expel by themselves. It is unecessary too.

If you havent already done so, the advice is to evacuate it via suction curretage.

If the bleeding is not so heavy too, you may do another scan at another centre to crosscheck. If the report is same, evacuate.

All the best

Jenonye:
Yes I had epistomy. And I'm breast feeding exclusively

The fact that you are breastfeeding makes this bleeding very suspicious.

It is unlikely that it is your period too, since it has no pattern at all, and has been almost continous since it started.

It could be a secondary postpartum haemorrhge, a kind of abnormal bleeding that can come days to weeks after birth. Retained products and loose sutures are the commonest causes.

You should do everything to ensure this bleeding is not sinister. This includes full clinical examination, including speculum examination, and also a pap smear.

I believe your doctor will help you in this regard.

mubzay:
@omicron: God bless u real good. Kindly hlp out. According to ovulation calculator my OD was yday but felt menstrual like cramp n some wetness that looks as if AF is flowing but on checking, it was clear fluid. Cud it b ovu pains or what? Didn't feel d lower back pain I do feel during O just a dull pain in my lower abdominal region. Thank u

Thank you.

Yea, must have been ovulation pains. Sometimes, ovulation pains are similar to menstrual cramps. The clear discharge is also suggestive of ovulation.

nelsoelomi:
pls doctors in the house
each time i shave i noticed that after 3days the shaved area start itching and scratching me and before one wk some sturbon bumps wil appear making the itching n scratching more serious.
Pls what can do to stop the after shaving bumps or is there any drugs that can make it to stop pls tell me

Hi

You may have to change your shavin cream.

Also, try using a preventive triple action cream on the shaved area for up to a week. Sometimes this helps to prevent such reactions.

bhaves11:
Good day I'm from Philippines and I'm single lady age 36 i just worried to my monthly period, i had my monthly period regular but the problem is i get twice monthly period in one month this is safe for me.

HI,

Can you recall the dates of your past 2 monthly periods, so that one can know if your twice-a-month period is normal?

Jenonye:
Good day docs. I'm a FTM. I gave birth to my DS on 11th of May. I have an issue and don't know if anyone has gone thru this. After I put to bed, I experienced the normal postpartum bleeding (lochia) and it stopped after 6weeks. Thereafter like a week later, I started bleeding.. I tot it was aunt flo visiting only for the bleeding to become extremely heavy (like filling one pad in less than 30 mins). I went to my doctor and a scan was done to check if there was any retained placenta and there was none. I was given injections and the bleeding subsided only for it to start again after 24hours. I went back and I was given drugs to use and my doc said if it doesn't stop that a D&C wld b done. After the drugs (took it for 2days) the bleeding stopped and I just kept spotting dark Brown discharge (it's sometimes sticky) till recently I started seeing blood spots... to cut the long story short, I hav just been spotting all tru except for one time I didn't spot at all for about 3 days.... but now I bleeding very very lightly (I'm using a liner for it cos it's light ).
This one startd 2days ago. Don't knw if I'm experiencing
hormonal imbalance or what? Sorry for d long story.

Did you have episiotomy? Are you breastfeeding? If you are breastfeeding, is it exclusive?

STENON:
Sir, pls why are you afraid?

No, not that. Don't take it literally, it implies that I'm sorry if my response might disappoint you.

STENON:
@omicron, LuckyG1, and others.

Hello, Goodafternoon Doctor, I'm Stella by Name, a fresh graduate of B.Sc(Ed) Physics, I wish to dive into Medical Physics at my MSc with Specialization in Medical Imaging, and I wish to have an experience before NYSC (February 2016) by working as an Administrative Staff in any Hospital. Please can you help me out?

Hi,

I'm afraid, I do not have any link for now.

When I learn of an opening somwhere, I will let you know.

All the best.

JummyGee:
Hello Doc in d house, pls am 24 weeks pregnant but the problem is that am still menstruating, am worry about my baby thou scan showed he's fine. Pls has anyone experience this and what can I do about it? Thanks

Hi,

This bleeding that you think represents your menstruation, what is the pattern? Does it come every month? Never stopped initially when you took in? Lasts only 3 - 5 days every month?

Have you registered for antenatal care?

What did your scan say about the placenta?

yugeekay:
Pls Doctors in the house I dey hail o, I delivered through c-section June last year, did exclusive breast-feeding and finally weaned my baby July dis year. All through this period, no menstrual period. 23rd of last month, I had this sever cramp in my lower abdomen for about 5days, 28days later the sever pain is here again and I can barely get up. The pain is also sever when urinating or passing gas or wanting to defecate. Pls help me. Thanks

Hi,

You only stopped breastfeeding this month. For someone who practised exlusive breastfeeding, it is not alarming to have not resumed mesnstruation by this time.

You should relax (like stop worrying!) and your period will return.


However, I think you should see your doctor for examination and investigations, considering the severity and associations of your pain.

You can take regular painkillers for now.

All the best.

manoda:
pls omicron I just love the way you answer some questions here. more greece to your engine.keep it up dear.God will reward you gracefully

Thank you!

Ralphlauren:
Cc: kaffy4bill

Cc: omicron

I think kaffy4bill has LUTH connections. Ma'am your help will be appreciated.

Omicron is also super helpful at the health section. He might have LUTH connections as well. Bro, your help will be appreciated.

Thank you bro.

Going by the reports, I noted that no diagnosis has been made of the boy's condition - neither from LUTH, nor from the visit to Metro.

Unfortunately, I do not have strong contacts in LUTH. But I also know that LUTH resident doctors are presently on strike, meaning that the hospital is not running at full capacity, clinically. However, Consultants are not on strike: consultants clinic should still be holding.

The parents of the child, along with a (paid) volunteer, should go back to the Ophalmology clinic in LUTH to see a consultant opthalmologist. Then, his folder will be retrieved and they and the volunteer can ask the consultant any of these questions that we want to know, including the initial diagnosis, details of the surgery done, and the prognosis. They can also demand a written medical report from the Consultant. All this can be done at a first visit, or a second visit. Though, an internal contact will make this effort very smooth, I do not feel such a contact is indespensable for now.

I will still try to look for a doctor in the Opthalmology department of LUTH, and see the help or advice I can get from them.

May God bless the child and bless everyone whose heart is touched by his plight.

jamcyd:
Is it ok for a mestral cycle to be more dan 40 days

No, it is abnormal.

sexywifey:
Hello docs. Well done on the support you've given on this thread.

I will like to know why I have this heavy feeling (like a swollen sac) on the lower left abdomen. This started last December and I usually feel this after ovulation and it stops after my period shows.

However, the swollen feeling hasn't stopped even though I've had a period and I'm in CD 10 of the new cycle. I'm wondering what could be the cause.

P.S: I used bromocriptine in December when I first experienced this and I've been using it since March this year. Could that be the cause?

Well, not likely it is the drug.

The possible causes are many.

You should investigate it. An transabdominal/transvaginal pelvic scan is a good start.

rainyday:
31 days each

It's better you go to scan as many things could cause it.

It's a form of dysmenorrhea (menstrual pain).

Perculiar:
we are back from the clinic the Consultant refused to treat me of anything. he insisted that I should go and relax that he can only attend to me if is one year and nothing happen.
But the Med. Officer in the hospital told me certain test I can run for a start if I insist.
@ omicron May God bless you and replenish you. you shall lack nothing in life. Helpers will always surround you.

I have decided to relax for next two month and trust God only. I must testify by next month. Amen

Thank you. God bless you too.

Amen to all your prayers!

mastech1:
Good day doc, my wife case is similar to that of perculiar , we got married last december till now no pregnancy n I disflower her myself which shows there is no means of using any preventive method prior to our wedding. we do notice sperm flow back after intercourse but my doctor said that is not a problem as small quantity is required for fertilisation and since we got married her period is not regular (28,18,18,31,28,18,18,29,18) in that order. We were once advised to have sex during her period but we can't do that cos is not allowed in my religion n culture n I don't know if this medically right or wrong(infectious wise). Please what do u think we can do.

Hi,

Like her own case, you need to have regular (at least on 3 different days of each week) unprotected, cooitus up to a year before we call it infertility. However, it helps to ask questions on time, as long as this does not translate to stress or worries.

Sperm apparently trickling down after intercourse is normal.

Medically, sex during menstruation is not forbidden. In theory, there is heightened risk of transmission of infections. But, between two uninfected couple this risk should not be there.

The reason you were told to try intercourse during her menses, I guess, is because of her irregular cycle. For example, the month when her cycle length was 18 days, her ovlation day would have been on day 4, which would have been during her period. In that case, coituss should have taken place from day 1, or the first day of mesntruation.

However, her irregular cycle lengths raise eyebrows, assuming you counted correctly. Irregular cycles are usually associated with lack of ovulation.

She may do tests (home or lab tests) to comfirm ovulation.

rainyday:
Good day doc, pls dis is d second cycle am experiencing this. At d end of my menstrual flow I always feel a cramp like pain again. I intend to go for scan soon bt I want to know if you have an idea what could be d problem. Thanks

Hi,

How long did each of the two cycles last?

ideal1baby:
Good day Dr. My ultrasound reading. ..endometrial plate showed thin echo appearance. And also no obvious follicle..pls wat does it mean..I be been trying to conceive

The endometrial plate is the appearance of the lining of the womb on ultrasound. It can be thick or thin, depending on the time of the cycle.

Follicles are developing eggs. Sometimes you see them, sometimes you do not, depending on the time of the cycle and other variables.


Your scan will be interpreted correctly when one knows the cycle day when it was taken, as well as your cycle length.

Perculiar:
So grateful for the advice, like I said befor

e we just want to book our first hospital visit.

I will like to know if I can try clomid 50Mg to help my eggs. as a first aid treatment. Since today is my CD2 will like to start something fast.

God bless you Sir, pls respond.

No, not advised for now.

Wait till after the visit so you can know exactly what the matter is, if any.

mamadsquare:
The flow throughout the 4days was so scanty, unlike my cycle.
the total flow was not up to one-fourth of my regular flow. It started with light reddish brown blood tinged with clear discharge on the first day, just stained my underwear, from night of that day through the following morning just a spot, then on the second day a few drops, same for third day, no flow during the day on the fourth day but at night it came as light reddish blood and it went from that to just brown discharge on the morning of fifth day and that was all.
All along, I was thinking maybe implantation bleeding.

Well, not likely it was implantation bleeding.

For now, consider the bleeding the start of a new cycle, and watch again.

All the best.