₦airaland Forum

willarrie:
Good Morning Doc,Weldone.
Pls i want to know the cost of treating Varicocele and if it done here in Nigeria Plss...tnx a Bunch!

Hi,

Varicocele is commonly and effectively treated in Nigeria by Nigerian doctors. Surgery is the mainstay of its treatment.

Any tertiary hospital (public or private), or any hospital that has a General Surgeon or a Urologist can handle it.

The cost varies widely depending on whether private or public, location and target clients.

It is not a very major surgery. The average cost may not be up to six figures. I do not know a precise amount.

mamadsquare:
Good morning doctors in the house.
Been ttc for over 2 years.
This cycle, I took parlodel from cycle day 2-21 and also clomid from cycle day 3-7 and was bedding during the fertile window. On the night of cd 20, in the night, felt an intense pulling sensation on the right side of the pelvis for about 10 minutes. On cd 21, had a very light bloody discharge that felt like beginning of AF, from night till following day, it was still not thick blood like menstrual blood, there was bloody discharge on day 22, 23 and 24 although with no blood throughout the day but with fresh red blood at night and light brown by morning. It stopped altogether on cd 25. Did a hpt on cd 26 that gave negative. Did another one this morning cd 31 and still negative. I usually do have a 28 day cycle and btw day 25 and 29, I was having leg cramps, back pain and pain on the sides of boobs. Still no AF. What could this mean doctors?

Your history is not very clear to me.

You hinted you started menstruation on 'cd' 21 thru 25.

Mesntruation marks the start of another cycle, meaning your last cycle lasted 20 days?

Perculiar:
@ omicron Good Morning Dr. weldone you re doing a great work. please I'm feeling so down. I saw my period again so Sad and disturbed right now. I have been trying to conceive for 7months now. I never Miiss used my body. I got married a virgin. what could be the problem now.

I have already madeup my mind to visit a gyn for checkup tooday


I really want to know what the delay could be.



Any suggestion please Doctors in the house. I want this to be the last period for the next 9months. Amen.

Hi,

First, you should not be depressed or stressed up as this could complicate things.

Doctors generally do not regard an unwanted delay in conception of less than a year as infertility, but still, it helps to ask questions early enough.

First step in investigating a case of infertility is the man's semen analysis. Has dh done this? And how is it?

POTENTIALMe:
Hello Dr, am 33, hubby 40. We ve bn ttc for 3yrs+ now. Our last analysis show estradiol <20, Lh 6.5, fsh 5.4, amh 4.27. Also had subserous fibriod which as been laproscopically remove 4 days ago and am recovery well by God's grace. My hubby results show appearance: normal, liquefaction normal, viscosity: 2, concentration: 32, motility:5, nonmotility: 27, progression 1, total motility count 3.5×106 (volume × concept × percent motile). Dr said our best and only option is IVF due to hubby result. And will not advice any treatment for hubby result. He also advice surgery for the fibriod due the size; 10cm before we can start the ivf cycle. My questions please, do we have any other option than IVF? Also we recently purchase fertilaid supplement for for Men and women, motility boost and count, do you think is wise to take these supplements? Dr. Advice we wait 6months before starting the cycle? In short I really appreciate any advice that can improve our situation now cos am so confuse. Thanks so much for your time.

Hi,

Do not be confused. Be encouraged.

First, your doctor knows you better and he is in the best position to advise you.

Based on the total motile sperm count and your age, IVF is advisable especially if you can afford it.

Removing the fibroid before the IVF is also in order. After that, at least 6 months should elapse before the IVF (or otherwise any attempt at conception) to enable the uterus recover well to carry the fetus.

So your doctor's advice is in order.

IVF may be your best choice, especially if you want to be proactive and can afford it. This does not imply it is the only option, so long as there are motile sperms.

Just that from experience, and being professional, IVF advice is much in order, based on the circumstances.

All the best.

mubzay:
@omicron: what can I do to increase my chances of conception? Do bd every other day. Tnk u

Specifically address detected problems in both dh and you.

Generally, healthy diet, healthy lifestyle, weight optimisation, knowledge of one's cycle, stress minimisation, and prayers. Both dh and you.

All the best

Pepemi:
Hello Doc. I took some contraceptive pills (sendinor) 4months ago, few days after I took it, I had my period (normal) but when it ws time for the next flow, it didn't come so I missed a whole month. The next month after, I saw it and it was also normal (5days). My cycle used to be 28 days, But now, it isn't stable any more cos somtimes its 28 somtimes 30 and now I counted 35 day (all my counts are accurate). though before taking the pill, iv never been bothered about my cycle but now...So please what could be the cause of the unstable/late period? and please do I need to go for some test cos I remembered my 'he' complained of boil on his p_nis few days after intimacy
Thanks for your quick response in advance.

It is the Sendinor. All hormone-based contraceptives cause irregular menstruation as a side effect.

Your dh should investigate the boil and treat accordingly.

All the best

honeyjoy77:
I really appreciate your prompt response. There is another thing that I want you to explain to me. The urinalysis result shows; Colour: yellow and clear, PH:5.5, Glucose:++. Is it normal?

Glucose ++ is an abnormal result, indicative of excess blood sugar.

Do a fasting blood sugar to rule out Diabetes.

All the best.

Nomzylicious:
Hello Doc. I am having missed period which was supposed to start on d 7th of july. I did home pregnancy test and it showed negative. I was advised to do an infection test cos it do stop menses sometimes. And d result showed (CULTURE: Yeilded Growth of candida alblian) and other things I cudnt read. But my breast is bigger and fuller, and I urinate often I do have cramps like I want to menstruate. Is there a possibility of me being pregnant? Waiting for your reply in anticipation..

Hi,

If you are pregnant, the PT should have been positive.

Candidiasis will not cause that, and it is easy to treat.

Advice: Do a proper laboratory serum PT. If it remains negative, relax and watch it. If it fails to return after the 7th of August, you will need some investigations.

It may just be that you are too worried.

lily19:
Thank u so much for d reply. No, d present scan was done in a different diagnostic center. Before taking d supplement d largest was 5cm (that was April) while d present scan showed it's still 5cm with features of degeneration. Before I started d medication d size was increasing almost every other month. Now no more pains, no breakthrough bleeding n less blood loss during my MP. Given dis situation wit multiple fibroids, can implantation occur? Sorry for d many questions, thanks again.

Intramural fibroids seldom cause such problems.

But at 5cm the size is still significant enough to cause problems with implantation, due to distortion of the endometrial cavity

The point is that the size is still large. You should follow it up closely.

honeyjoy77:
Thanks. What is the meaning of PID? My doctor told that I'm not ovulate very well. Please will this result affect conception.

PID means pelvic inflammatory disease, which means an infection involving the inner reproductive organs.

Ovulation is the single most important determinant of female fertility.

Let your doctor explain to you more about the specific ovulatory problems you have.

lily19:
Hello Doc, I had a myomectomy 2011, n d fibroids has since grown back, d largest is 5cm, I've bn on some natural supplements, I went for scan ystday n I was told d fibroids are degenerating. What do u think will happen after degeneration? Will it affect conception? It's multiple intramural fibroid. Thank u

Fibroid degeneration will not affect chances of conception.

Is it the same place you get the supplements that also did the scan for you?

The 5cm, is it the former size of the fibroids or the present size?

All the best

Teal:
Hello Doctor, Really appreciate your response. God bless you. So I went to the hospital and was told to do HVS/Urine M/c/s and pelvic USS. I got the result for my pelvic USS today, waiting on the HVS/Urine result before I see my doctor next...don't know why most of these their handwritings always almost unreadable tho but here is it, " non-gravid anteverted uterus with clear endometrial plate and uniform myometrial echoes. Both adnexae are free. POD contains very significant fluid. Conc: Chronic PID. I understand the PID aspect, please explain the result. Thanks

Every other thing reported is normal. In particular, no evidence of fibroids or cyst, and the lining of the womb is normal

POD containing significant fluid may support a clinical diagnosis of PID.

honeyjoy77:
Doctor please I need help/suggestion. I did pelvic us scan and the scan reveals: No uterine myoma or ovarian cyst noted * Cul-de-sac is free of echo fluid collection. Pls I need your explanation because I'm ttc.

Everything reported is normal. In particular, no fibroids, no cysts and no evidence of PID

idealsico:
Somebody I know is suffering from a health condition. He is a farmer. It started when he suddenly fell one day while standing on his own. He could not stand without assistance. An xray revealed he had gaps in his intervertebrate discs. He was treated locally and he felt better. He could stand up and walk around. He fell again and this time it became worse. He can not move any part of his body without assistance. He is in serious pains recently. He is up to 60 yrs old. Pls, doctors in the house, I need your advice.

He probably has what is known as spondylolisthesis, which occurs when a vertebra slips out of place usually a forward shift

The weakness he has is because the vertebra may be pressing on the spinal cord or the nerves controlling movements of the legs. When it gets too serious, it can aftect urination and defecation.

He should stop farming and other physical activities involving his spine for now, and go to a hospital! He will need physiotherapy too, or surgery if the doctor determines that surgery is needed.

He should take NSAIDS for pain if he does not have any reasons not to use nsaids, such as a peptic ulcer. Ibuprofen, diclofenac and piroxicam are cheap readily available nsaids.

You can read more about the condition via google, but avoid self medication.

socialmediaman:
The most interesting part of this Biafra thing is that at least 70% of the South Esterners themselves don't support it or associate with it (personal estimate). Generally, it's seen the same way students see cultists on campus. It's mostly selling online because anyone can publish anything.

In any case, I agree and believe that Igbos should never be sidelined in Nigerian politics! Buhari will not do that to the best of my understanding. Well, my major priority in this government is the welfare of Nigerians who dared all odds and voted the government in. We both do not agree on this part, but hey, that's my opinion.

Your estimate is very wrong. The reverse is true. At least 70% of southeasterners want to be free from Nigeria. The only issue is that at least 70% of those who witnessed the civil war firsthand do not wish for another war. Do not confuse the two.

Teal:
Hi Doctor, Am having excruciating pain at my lower right abdomen, it happens once in a while around my ovulation period so much that am always too weak to meet with my hubby hence am still TTC for 7months now. Seen a doctor and was given antibiotics then another month, was told to do pelvic scan which I did but they couldn't find anything. Then I have very scanty period flow as well (lasts 2days)...was told to do hormone analysis which I did and tho my progesterone was low, doctor said its still ok to conceive with. I also did home prediction test but negative for ovulation. I honestly don't know what next to do but this pain right now is too much... Please, what do you think could be wrong with me?

Hi,

Sorry about your pain.

Normally, ovulation is associated with cramps, but this should not be as severe as what you described of the pain.

There are many causes of right lower abdominal pain, but since your pain is cyclical and comes close to the time of your expected ovulation, it may be something about the ovary.

It is also worrying that your ovulation kit test was negative, and that your progesterone assay was low. This predicts anovulation (lack of ovulation).

The advice is to comfirm ovulation as well as investigate the ovaries well through a transvaginal scan. Discuss with your doctor. Also minimise all sources of physical and psychological stress.

In the meantime, minimise the pain with painkillers so that it does not affect copulation when it is most needed.

mubzay:
@omicron: tnks for ur time. Want to knw if I shud be worried. AF days went from 6 days to 3 days like wise cycle length from 30-35 days to 28 days. Am actively ttc thus it affects my timing. Thou I use ovulation calculator to knw my fertile days. Am just concerned cuz bn observing bd rules frm cd 6 to cd 16. Ur response will be appreciated.

You should not be worried.

Since you already use an ovulation predictor, what should be worrying is if there are no signs of ovulation.

chamber2:
thanks bro

my challenge now is where to get the car scanned in the east. i dont knw of anywhere

Ask around you, you will find a scanner.

Read up about scanning and car diagnostics via google.

You can also purchase your own scanning software or device, with as litlle as 3k. Konga has many of them.

rainyday:
not really, sometimes 29,28,and even 34 once, bt its more constant wit 30 and 31. Am just so confused.

Ok.

Well, the general rule I gave is valid.

The ovulate test kits predict an IMPENDING ovulation. It does this by detecting high levels of the leutnising hormone (LH). The level of the LH increases significantly close to the time of ovulation. It reaches its peak level about 36hours BEFORE ovulation. This event is what the test kits actually predict, which is why they are positive about 2 days to the actual ovulation day. So this explains one part of your observation.

The second part, where you seem to feel ovulation cramps on the 14th day rather than on the 16th day is rather subjective, and probably unreliable.

However, you should know that the most fertile day is not the day of the ovulation. The most fertile days are the 2 - 3 days BEFORE the day of ovulation, meaning that the test kits are still excellent predictors of your most fertile days.

So, your ovulation is still on the 16th day. The test kit is still correct. The test kit is not saying "your ovulation is today". Rather, it says: "your ovulation should occur about 36hours from now, but go meet dh now"

All the best

rainyday:
Thanks Doc, but why does the ovulation test kit says positive on cd14 and I actually feel ovulation cramp dat same day. I ve never felt like dat on cd16 or 17

Is your cycle regular?

rainyday:
Hi Doc,pls i want u 2 xplain this to me. i ve noticed dat i ve a 30-31day cycle,bt on two occasions of previous cycles wen i use ovulation test kit esp wen am hving ovulation cramps i always have a positive smiley on cd14. I have read dat women wit a 28day cycle r d ones dat ovulate on cd14,while dose with 30-31days ovulate btw cd17-18. pls i need clarifications cos am actively ttc and i want to knw if my calculation is right. Thanks. NB: My flow runs 6-7days

Hi,

For those with a 30 - 31-day menstrual cycle, the ovulation is expected on the 16th to 17th day of the cycle.

The part of the cycle, from the ovulation to menstruation is thought to be constant at 14days. So, usually, if you want to get the ovulation day, all you do is take 14 away from the total number of days in the cycle (cycle length).

Accordingly, in your own case, your cycle length is 30 days. Taking 14 away from this is: 30 - 14 = 16. That is how your ovulation day is expected on the 16th day.

mubzay:
@omicron: thank u so much. The stomach ache I have is diff fm d cramps I do av prior to AF. Thou sometimes I feel preggy signs just b4 AF shows. Bd n saw bld after wiping. Don't knw if AF is coming earlier dan expected or implantation bleeding. How do I differentiate btw d two? Also I noticed dat I didn't feel d signs I do feel when O is approaching (lower backache). Cud it be dat I didn't ovulate?
Ur reply will be appreciated. Thank u in advance.

ok.

Well, there is no way to really know which is it, except retrospectively.

Just wait it out and do a PT if need be.

mubzay:
Hello doc, kindly help out. For some days bn aving light headache, stomach ache n tiredness. The funniest thing is dt it starts at same time, though am fasting n actively ttc. Did urine hpt but came out neg. My nxt cycle is to occur nxt week. Did I test to early? Thank u in advance.

Hi,

If you next cycle is expected in a week, it may be just too early for a urine PT.

Fasting could result in headaches, due to lowered blood sugar, but stomach aches and tiredness point to a different thing altogether. It could also be Premenstrual Syndrome, if these symptoms are cyclical; ie, if they usually occur a couple of weeks or days to your next period. You should check this up with your doctor.

Do a serum PT a couple of days to your expected date of menstruation, and see.

All the best.

rainyday:
Pls doc what does it mean when they say "Uterine cavity is deformed". Thanks n i appreciate d good work u r doing.

It could mean that the uterine cavity, the space inside the womb where the baby would grow in, is no longer as free as it should. It is as if something, such as a big fibroid, is pushing on the cavity from outside it, thereby limiting the cavity, or distorting it.

Kudibaby:
hello Dr,pls could I be having an irregular period,it used to be a 28days cycle,but last month it came CD 26,this month it's on CD 25,it 'll flow normal on the first and second day,but on the day 3 up till day 5 it 'll just be dark spotting,I don't if this is as a result of the cyst I have please,shed more light.

Hi,

In theory, a cyst could cause irregular periods, but we do not know if it's the cyst that is responsible for your varying cycle length.

Moreso, the variations above are not so much, and could easily have been as a result of an error in calculation.

You should also note that the variation you noticed are still within the normal limits, so you should relax for now.

The advice is to watch it for another couple of cycles, and see what happens.

ucmummy:
DR pls am 11 weeks pregnant i noticed that when am sitting or laying on my back i see a pulse like jump on my tommy in rhythm with my breath ,i don't kn why

At 11 weeks, you cannot be feeling your baby's movements, so it couldn't be the baby's movement.

It's hard to imagine any such pulse that could coincide with your breathing.

You should check it up physically with your doctor.

yinkes:
Pls Doc, I haven't seen my period since I delivered my baby 8 months ago and not pregnant either. I don't know if it is normal and am still breast feeding. What can I do. Thanks in anticipation of a reply.

Did you practise exclusive breastfeeding?

Eight months of not having seen your period while still breastfeeding is not alarming, especially if you did or are still doing exclusive breastfeeding.

But note that you could take in before your first period comes, so you should use some contraception if you do not want to risk that chance of pregnancy

Bishop42:
If police recovers a stolen vehicle, it is returned to the owner amd not abandoned in police station to rot. How can FG take over enugu state properties just like that?

Enugu goverment must do something really quick about this issue.



Former Enugu Governor, Nnamani, to forfeit multibillion naira properties to FG - Premium Times Nigeria
(july 8 2015)

http://www.premiumtimesng.com/news/top-news/186259-former-enugu-governor-nnamani-to-forfeit-multibillion-naira-properties-to-fg.html

Very mischievous Order.

All those properties should be returned to the state government as they were stolen from the state and not the federal government.

Enugu state AG should file a suit asap.

This country sef

Peacewealth:
gd day dr. pls help an anxious woman. i had my one and only shot of depo on the 5th of march.and i came off it 5th of june. since then i ve been having nausea, fever at evening time, whitish vagina discharge, weakness. I ve had sex unprotected. But have not done pt

First, why are you anxious?

Why not do a serum PT and take it from there?

Do not worry yet

fosterkid:
Just wondering, is it possible to have pcos and still be menstrating every month? Secondly how can a woman be having regular period and not ovulating?

Yea, she can mestruate montly even with pcos.

Regular period and lack of ovulation are not mutually exclusive. But lack of ovulation is a common cause of irregular periods.

No hard and fast rules