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Doctor In The House:Obstetrics And Gynecology - Health (211) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 11:36pm On Feb 16, 2016
Baxilexi:

Hello rukkington
Step 1 - make sure your timing is correct. 3 days before ovulation. Sperm can survive up to 5 days in-utero.
Step 2 - load the applicator. Lie on your back with a pillow under your butt. Insert the applicator as far in as possible and discharge it's content. If it wouldn't be awkward DH can help you with this process.
Note: One applicator per session. No repeats.
Step 3 - make love. Modified Missionary would be just fine. At ejaculation DH should stay in a little while.
Afterwards, don't be in a hurry to get outta bed (gravity). Resolution is the fourth stage of intercourse. Make it count. Bearing in mind swimmers are at work and it's good for the psyche.
If the aftermath doesn't gross you out, sleep in that spot.
About your friend, has her husband had himself checked?
If yes, I'll ask some more questions.
Got question? Feel free.
Thnx Doc, am grateful
Abt my Frd, she said her husband has been checked.

Today is cd6 and av been having cramp since morning at d right side of my abdomen. What is d cause?
I plan using d pre-seed at cd8
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:00am On Feb 17, 2016
Orente21:
Hello doc,pls i av lot of cervical mucus fr cd 14 up til nw cd 21 bt dey dnt stretch upto 1inch bt few centimeters,anoda tin is, i dnt v high temparature yet bt lot of lower abdomenal cramps and nipple sore. does it mean i avnt yet ovulate or wat.am on cd 21. Just finsh clomid 100g cd 3-7.

Hello orente21

I'll answer buttoms-up

Abddominal cramps and sore nipples, its a normal experience which is usually caused by sexual needs(look up 'pink balls' if its fits your complaint) and hormonal changes respectively. With clomid, there's a higher chance you ovulated.

Temperature hike? Wouldn't place too much emphasis on that.

Stretchy CM? I say this with no tongue in cheek, you have to pump the brakes on the research. Sometimes less is more. And your anxiety would feed off your uncertainty or skepticism.

Spinnbarkeit is what you are trying to describe and its also one of the qualities we look for in CM. Its not the sole determinant of a Healthy CM. From your above description I can tell you your CM is ok.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:08am On Feb 17, 2016
Rukkington:

Thnx Doc, am grateful
Abt my Frd, she said her husband has been checked.

Today is cd6 and av been having cramp since morning at d right side of my abdomen. What is d cause?
I plan using d pre-seed at cd8

About your friend, were her result gotten from a notable lab?

Right abdominal cramp? The causes are many, could be gynaecological or not. Take paracetamol and see if it subsides. Do not use ibuprofen or any other sort of pain killer.

CD8 is too soon. Start 11.
Re: Doctor In The House:Obstetrics And Gynecology by bamiyo05: 5:52am On Feb 17, 2016
Baxilexi:


Good resolve.

Do those tests. I also want you to be observant, if the pain is linked in anyway to your menses.
.

Thanks doctor,i will go for the test.
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 7:32am On Feb 17, 2016
Baxilexi:

About your friend, were her result gotten from a notable lab?
Right abdominal cramp? The causes are many, could be gynaecological or not. Take paracetamol and see if it subsides. Do not use ibuprofen or any other sort of pain killer.
CD8 is too soon. Start 11.

Good morning Doc,
I don't know much abt her o. I was asking her on how to use pre-seed and she tld me all of dat.

U said I shld start at cd 11 but I av a 24 day circle. is CD 11 not too far since u said 3 days b4 O
I'm really grateful for your prompt replies
Re: Doctor In The House:Obstetrics And Gynecology by Orente21(f): 7:43am On Feb 17, 2016
Baxilexi:


Hello orente21

I'll answer buttoms-up

Abddominal cramps and sore nipples, its a normal experience which is usually caused by sexual needs(look up 'pink balls' if its fits your complaint) and hormonal changes respectively. With clomid, there's a higher chance you ovulated.

Temperature hike? Wouldn't place too much emphasis on that.

Stretchy CM? I say this with no tongue in cheek, you have to pump the brakes on the research. Sometimes less is more. And your anxiety would feed off your uncertainty or skepticism.

Spinnbarkeit is what you are trying to describe and its also one of the qualities we look for in CM. Its not the sole determinant of a Healthy CM. From your above description I can tell you your CM is ok.

button up! Doc,u r funny. I ll luk up d items u said. I pray i get bfp soon. I owe u an 'e- malt' for 4assistance.
Re: Doctor In The House:Obstetrics And Gynecology by lilyspringamour(f): 7:49am On Feb 17, 2016
hello doc,on Mon I started experiencing pain in my bones,weakness,a little fever.yesterday's I went for malaria/typhoid/pt, here is d result:

mp- ring form of plasmid falapcim + seen
widal RXN

O H
salmonella typhi. 1/160. 1/80
". paratyphi. A. 1/80. 1/80
". ". B. 1/80. 1/160
". ". C. 1/80. 1/160

significant titie is. 1/80
serum pt: negative

pls doc what does this test results mean n what drug do I use,cos d lab attendant said I have typhoid.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:15am On Feb 17, 2016
Rukkington:


Good morning Doc,
I don't know much abt her o. I was asking her on how to use pre-seed and she tld me all of dat.

U said I shld start at cd 11 but I av a 24 day circle. is CD 11 not too far since u said 3 days b4 O
I'm really grateful for your prompt replies

True that.(in respect to your 24days cycle)

Alright, commence application/baby making from CD 9. Use up all 9 applicators(if that's the amount in your pack). Meaning you'll be done by CD 17.

My regards to your DH, the task ahead is daunting but I trust he's prepared.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 9:31am On Feb 17, 2016
shocked shocked shocked

Baxilexi:

True that.(in respect to your 24days cycle)
Alright, commence application/baby making from CD 9. Use up all 9 applicators(if that's the amount in your pack). Meaning you'll be done by CD 17.
My regards to your DH, the task ahead is daunting but I trust he's prepared.

Doc u are really funny
Baby dancing for 9 days non stop.... I av never done dat b4 in my entire life. It's really a big task.
And to my dh grin
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:41am On Feb 17, 2016
lilyspringamour:
hello doc,on Mon I started experiencing pain in my bones,weakness,a little fever.yesterday's I went for malaria/typhoid/pt, here is d result:

mp- ring form of plasmid falapcim + seen
widal RXN

O H
salmonella typhi. 1/160. 1/80
". paratyphi. A. 1/80. 1/80
". ". B. 1/80. 1/160
". ". C. 1/80. 1/160

significant titie is. 1/80
serum pt: negative

pls doc what does this test results mean n what drug do I use,cos d lab attendant said I have typhoid.

Hello lilyspringamour

Are you a known typhoid patient? I wouldn't use widal as the sole diagnostic test for typhoid. Moreover 1:80 is not significant. Did you do a full blood count?

I'll concern myself more with the MP.
Goto your neighbourhood pharmacy. Purchase; an affordable ACT (amatem or coartem, or artesunate combo, or p-alaxin) take as order by the pharmacist.
Don't forget to mention any adverse drug reaction to any antimalarial?

Get fansidar as well. Take 3 at once just before you sleep.

Paracetamol II tds *3/7

B.co I * 1/52

No Vit C, No blood tonic!

Lets review after 3days.
Re: Doctor In The House:Obstetrics And Gynecology by happymummy(f): 9:59am On Feb 17, 2016
good morning doctor pls can u recommend a brand of folic acid for me i.just finished Nature Made folic Acid but I could not get it in benin I want a change I checked for Health Aid Folic Acid but couldn't get to buy either
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:59am On Feb 17, 2016
Rukkington:

shocked shocked shocked



Doc u are really funny
Baby dancing for 9 days non stop.... I av never done dat b4 in my entire life. It's really a big task.
And to my dh grin






The first 4-6days is what counts. So if either one of you bails after day 6, its laudable.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:07am On Feb 17, 2016
happymummy:
good morning doctor
pls can u recommend a brand of folic acid for me
i.just finished Nature Made folic Acid but I could not get it in benin
I want a change
I checked for Health Aid Folic Acid but couldn't get to buy either

Good morning Ma'am

Am not conversant with the brand names of folic acid.

Visit a really good pharmacy and the pharmacist should provide you with a top brand.
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 10:18am On Feb 17, 2016
Baxilexi:

The first 4-6days is what counts. So if either one of you bails after day 6, its laudable.

OK Doc, Am grateful
I will complete d 9 days journey In sha Allah
For d pre-seed, which gm is advisable, 2gm or 3gm
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:52am On Feb 17, 2016
Rukkington:


OK Doc, Am grateful
I will complete d 9 days journey In sha Allah
For d pre-seed, which gm is advisable, 2gm or 3gm


Start with 3gm, if it gets messy or spills over, reduce to 2gm.
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 11:18am On Feb 17, 2016
Baxilexi:
Start with 3gm, if it gets messy or spills over, reduce to 2gm.
Thnx Doc, I will do just dat
Re: Doctor In The House:Obstetrics And Gynecology by lilyspringamour(f): 11:31am On Feb 17, 2016
Baxilexi:


Hello lilyspringamour

Are you a known typhoid patient? I wouldn't use widal as the sole diagnostic test for typhoid. Moreover 1:80 is not significant. Did you do a full blood count?

I'll concern myself more with the MP.
Goto your neighbourhood pharmacy. Purchase; an affordable ACT (amatem or coartem, or artesunate combo, or p-alaxin) take as order by the pharmacist.
Don't forget to mention any adverse drug reaction to any antimalarial?

Get fansidar as well. Take 3 at once just before you sleep.

Paracetamol II tds *3/7

B.co I * 1/52

No Vit C, No blood tonic!

Lets review after 3days.
Thanx doc. av never had typhoid before in fact I usually fall sick with malaria once in like 3 yrs, doc pls I don't understand what u mean by full blood count, I just went in for malaria typhoid n pt test, funny enough I feel better today,if it were to b my usual malaria symptoms, by day2 it wud av bin worse.
today am on cd24 of averagely 29day cycle
doc I forgot to add that for 2days now I find it painful to swallow anything
Re: Doctor In The House:Obstetrics And Gynecology by newlife09: 4:12pm On Feb 17, 2016
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Re: Doctor In The House:Obstetrics And Gynecology by Muslee4luv(m): 6:09pm On Feb 17, 2016
Baxilexi:


Hello muslee4luv

Red spots on his penis.

I need to ask some questions first.
Has he ever had an STD?
How many sexual partners does he have?
How often does he have sex or masturbate?
Any other symptom(fever, itching, urethral discharge) asides the red spots?

His case could be caused by something as innocent as an insect bite or more serious like molluscum contagiosum.



tank sir for ur reply
for STD no
sexual partner is 2
sex is once in a week
other sympton is itching only
according to him, he use to sleep naked, so he woke up one nite to something like a bite in his penis but could not see the insect, so from that morning he start seeing the red pimples til now, it use to dry and resurface on another on his penis.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:10pm On Feb 17, 2016
lilyspringamour:

Thanx doc. av never had typhoid before in fact I usually fall sick with malaria once in like 3 yrs, doc pls I don't understand what u mean by full blood count, I just went in for malaria typhoid n pt test, funny enough I feel better today,if it were to b my usual malaria symptoms, by day2 it wud av bin worse.
today am on cd24 of averagely 29day cycle
doc I forgot to add that for 2days now I find it painful to swallow anything

Ok. Full Blood Count is a test to analyse what's going on in the blood stream.
Pain swallowing, tying your symptoms together am feigning an incipient illness.

Any sore throat? Runny nose?

Anyway, am glad you are feeling better. If symptoms regress spontaneously. Live healthy and stay safe.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:18pm On Feb 17, 2016
Muslee4luv:




tank sir for ur reply
for STD no
sexual partner is 2
sex is once in a week
other sympton is itching only
according to him, he use to sleep naked, so he woke up one nite to something like a bite in his penis but could not see the insect, so from that morning he start seeing the red pimples til now, it use to dry and resurface on another on his penis.

I think it's time to visit the hospital. A thorough examination should be conducted. I cant consult efficiently without seeing what am working with. I can tell you its an infection. He should also go for VCT.
Re: Doctor In The House:Obstetrics And Gynecology by Muslee4luv(m): 6:51am On Feb 18, 2016
Baxilexi:


I think it's time to visit the hospital. A thorough examination should be conducted. I cant consult efficiently without seeing what am working with. I can tell you its an infection. He should also go for VCT.

ok tank doc, i will inform him to do that
Re: Doctor In The House:Obstetrics And Gynecology by lilyspringamour(f): 7:59am On Feb 18, 2016
Baxilexi:


Ok. Full Blood Count is a test to analyse what's going on in the blood stream.
Pain swallowing, tying your symptoms together am feigning an incipient illness.

Any sore throat? Runny nose?

Anyway, am glad you are feeling better. If symptoms regress spontaneously. Live healthy and stay safe.


no sore throat or running nose, just a mouth full of saliva each time I spit it out cos its painful to swallow. Doc as regards the serum ptest is it still early to have an accurate result,as PD is supposed to come in 7days counting from d day of my test. though I noticed that my urine is deep yellow despite that I take lots of fluids
Re: Doctor In The House:Obstetrics And Gynecology by protocol(m): 9:13am On Feb 18, 2016
Please Doctor, i just got married in November last yr, my wife is always dry even after pre-intimacy for about 40mins. around jan, she had a flow for like 4 days just like her period before the main period comes say 10days later. during her ovulation, she hardly knows cos of less discharge and so. during intercourse, she feel pains in her Vjay and i know she doesn't enjoy it at all due to the pains. please what can we do Sir?
Re: Doctor In The House:Obstetrics And Gynecology by fearless07(f): 9:36am On Feb 18, 2016
Hello Doc, wonderful job you aredoing. I am 17weeks pregnant. I went to the hospital cos I was feeling weak, a test was done and the result came out that I have malaria( doctor said it's +1 don't know what that means). She prescribed lumartem and said it's safe to use but am scared cos of some things I read online about it not been safe in pregnancy. Please can I use this drug. I don't hve any symptom yet except for occasional tiredness and weakness. Like I said I am 17weeks pregnant. Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:52am On Feb 18, 2016
lilyspringamour:



no sore throat or running nose, just a mouth full of saliva each time I spit it out cos its painful to swallow. Doc as regards the serum ptest is it still early to have an accurate result,as PD is supposed to come in 7days counting from d day of my test. though I noticed that my urine is deep yellow despite that I take lots of fluids

Morning

I need you to tell me your most pressing complaint.

The difficulty swallow. Amoxyl or erythromycin(if you don't have ulcer) would do you good.

Serum Pt test, check again 14 - 16 days post ovulation.

Deep yellow urine, increase fluid intake.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:57am On Feb 18, 2016
protocol:
Please Doctor, i just got married in November last yr, my wife is always dry even after pre-intimacy for about 40mins. around jan, she had a flow for like 4 days just like her period before the main period comes say 10days later. during her ovulation, she hardly knows cos of less discharge and so. during intercourse, she feel pains in her Vjay and i know she doesn't enjoy it at all due to the pains. please what can we do Sir?

Hello protocol

PRE-SEED serves as a lubricant as well as a fertility enhancer.

Read back 3-4 pages. There are discussions about it.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:08am On Feb 18, 2016
fearless07:
Hello Doc, wonderful job you aredoing. I am 17weeks pregnant. I went to the hospital cos I was feeling weak, a test was done and the result came out that I have malaria( doctor said it's +1 don't know what that means). She prescribed lumartem and said it's safe to use but am scared cos of some things I read online about it not been safe in pregnancy. Please can I use this drug. I don't hve any symptom yet except for occasional tiredness and weakness. Like I said I am 17weeks pregnant. Thanks.

Hello fearless07

Thank you for the compliment.

Lumartem is safe in the second trimester.

Malaria should be taken seriously in pregnancy, because it affects the placenta and fetus.

Usually there's an Intermittent preventive (Prophylactic) Therapy. Which guards against malarial infestation at about 16 weeks.

In brief, treat as directed.
Re: Doctor In The House:Obstetrics And Gynecology by peacefulwealth: 10:48pm On Feb 18, 2016
Hello Doctor.
You are doing a great job. pls analyse this SFA and Hormone profile and wht Medicine can be taken for effective solution.

(Hormone profile)
LH-6.4miu/ml luteal 5-30
FSH-1.3miu/ml luteal5-20
Prolactin - 28.0 ng/ml
Progesterone - 4.2ng/ml luteal2-25
Estradiol- 79.9pg/ml luteal 60 - 150
Comment :Hyperprolactinaemia, and low fsh level.

(SFA)
Colour :greyishwhite
Volume :3.5
Consistency :viscous
Opacity :opaque
PH :8.0

Microscopy
Puscell :2-3 /hpf
Testicularcell, epith cell, others :nil

Motality
Active :0
Sluggish :20
Dead cell :80
Spermcount :32million cells/ ml

Morphology
Normal :0
Tailess :40
Swollen head :60
Others :nil
Comment :culture yielded no growth

Please your prompt response will be very much appreciated.
Re: Doctor In The House:Obstetrics And Gynecology by happymummy(f): 11:22pm On Feb 18, 2016
peacefulwealth:
Hello Doctor.
You are doing a great job. pls analyse this SFA and Hormone profile and wht Medicine can be taken for effective solution.

(Hormone profile)
LH-6.4miu/ml luteal 5-30
FSH-1.3miu/ml luteal5-20
Prolactin - 28.0 ng/ml
Progesterone - 4.2ng/ml luteal2-25
Estradiol- 79.9pg/ml luteal 60 - 150
Comment :Hyperprolactinaemia, and low fsh level.

(SFA)
Colour :greyishwhite
Volume :3.5
Consistency :viscous
Opacity :opaque
PH :8.0

Microscopy
Puscell :2-3 /hpf
Testicularcell, epith cell, others :nil

Motality
Active :0
Sluggish :20
Dead cell :80
Spermcount :32million cells/ ml

Morphology
Normal :0
Tailess :40
Swollen head :60
Others :nil
Comment :culture yielded no growth

Please your prompt response will be very much appreciated.


hello
how much did u do ur hormonal test
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 11:22pm On Feb 18, 2016
peacefulwealth:
Hello Doctor.
You are doing a great job. pls analyse this SFA and Hormone profile and wht Medicine can be taken for effective solution.

(Hormone profile)
LH-6.4miu/ml luteal 5-30
FSH-1.3miu/ml luteal5-20
Prolactin - 28.0 ng/ml
Progesterone - 4.2ng/ml luteal2-25
Estradiol- 79.9pg/ml luteal 60 - 150
Comment :Hyperprolactinaemia, and low fsh level.

(SFA)
Colour :greyishwhite
Volume :3.5
Consistency :viscous
Opacity :opaque
PH :8.0

Microscopy
Puscell :2-3 /hpf
Testicularcell, epith cell, others :nil

Motality
Active :0
Sluggish :20
Dead cell :80
Spermcount :32million cells/ ml

Morphology
Normal :0
Tailess :40
Swollen head :60
Others :nil
Comment :culture yielded no growth

Please your prompt response will be very much appreciated.

Hello peacefulwealth

SFA; being blunt, the result is bad. Motility is zero active (50% is ideal).

Morphology is nil normal (30% is ideal)

I wish I could tell you there was an elixir for this but it seems a bit complicated.

All the same he should start up with Manix or Adizoa, these will certainly add value. While considering a visit to a fertility clinic.

What kind of job does he do? Some other pertinent question would have to be asked(your husband) in private.

Hormonal profile

Hyperprolactinaemia, too much breast milk producing hormone in your system, causing a suppression of follicle growth, ovulation and conception.

Good news is there is a drug, bad news is it will have to be administered at the hospital hence I wouldn't tell you the name. Sorry.
Re: Doctor In The House:Obstetrics And Gynecology by Emerald65(f): 7:40am On Feb 19, 2016
Gud morning , I love d advice n directives given by d doctors here. Pls, I would love an interpretation of my hormonal test result.
Day 3:
Estradiol: 210pg/ml
Prolactin: 7.8ng/ml
Luteinizing hormone: 13.7mIU/ml
Follicle stimulating hormone: 11.0 mIU/ml

Day 21:
Progesterone: 15.3ng/ml

Would really appreciate your response.
Thanks

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