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Doctor In The House:Obstetrics And Gynecology - Health (212) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by fearless07(f): 9:08am On Feb 19, 2016
Baxilexi:


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.
Thanks Doc. Will do as directed.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:15am On Feb 19, 2016
Emerald65:
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

Good morning

Please attach the laboratory reference range for the above values.

Progesterone is low though. Are you ovulating?
Re: Doctor In The House:Obstetrics And Gynecology by peacefulwealth: 9:40am On Feb 19, 2016
hello
how much did u do ur hormonal test

@ happy mummy #7500 at BMH in Portharcourt
Re: Doctor In The House:Obstetrics And Gynecology by peacefulwealth: 10:05am On Feb 19, 2016
Baxilexi:


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.

Thank you for your prompt response. Dh have already started taking Addyzoa. Can he take Addyzoa and wellmanconception together?

For the hyperprolactinaemia i will see d doctor by second week of march i just want to knw the Medicine although i did research they said bromocriptine/cabergoline can be used for treatment.

Thank you Doctor you re doing a great work.
Re: Doctor In The House:Obstetrics And Gynecology by amypearl: 10:38am On Feb 19, 2016
Good morning doctors, please how effective is tubal flushing? Hsg said both my tubes are blocked. And is sono-hsg same as tubal flushing?
Re: Doctor In The House:Obstetrics And Gynecology by Emerald65(f): 10:41am On Feb 19, 2016
Baxilexi:

Good morning
Please attach the laboratory reference range for the above values.
Progesterone is low though. Are you ovulating?
tnx for d response. Yea, am ovulating. Do c d CM every month. have included d ranges below.
Day 3 Estradiol: 210pg/ml ( 22-174) Prolactin: 7.8ng/ml (3.0-20) Luteinizing hormone: 13.7mIU/ml ( < or= 20) Follicle stimulating hormone: 11.0 mIU/ ml (2-10)
Day 21 Progesterone: 15.3ng/ml (1.6-18.6)
Re: Doctor In The House:Obstetrics And Gynecology by xxxzotique(f): 12:34pm On Feb 19, 2016
Hi people, pls is there an Ent doctor in here?
Anyone please, I need urgent help!
Re: Doctor In The House:Obstetrics And Gynecology by mumjk: 1:57pm On Feb 19, 2016
Good day doc, pls what could b d cause of different menstrual dates? My periods circle changes from 29,30 to 31 days. And I don't even know if it when I ovulate coz there's no sign of it at all. Pls what do i do?
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 4:11pm On Feb 19, 2016
Emerald65:

tnx for d response. Yea, am ovulating. Do c d CM every month.
have included d ranges below.

Day 3
Estradiol: 210pg/ml ( 22-174)
Prolactin: 7.8ng/ml (3.0-20)
Luteinizing hormone: 13.7mIU/ml ( < or= 20)
Follicle stimulating hormone: 11.0 mIU/ ml (2-10)

Day 21
Progesterone: 15.3ng/ml (1.6-18.6)
I take back what I said earlier about the progesterone. The value is adequate.
Though your preovulatory values are exaggerated for some parameters(estrogen and follicle stimulating hormone) but to make sense of it, I'll like to see the values of the these parameters on day 21.

Are you on any medication? Eg Clomid?
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 4:34pm On Feb 19, 2016
K
mumjk:
Good day doc, pls what could b d cause of different menstrual dates? My periods circle changes from 29,30 to 31 days. And I don't even know if it when I ovulate coz there's no sign of it at all. Pls what do i do?

Hello mumjk

Please answer the following;

How old are you?

When did it start?

Recent surgeries? Or event of note?

Past drug history?

Have you been to the hospital yet?

What form of intervention has been tried?

Answer these, then we'll go deeper.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 4:57pm On Feb 19, 2016
amypearl:
Good morning doctors, please how effective is tubal flushing? Hsg said both my tubes are blocked. And is sono-hsg same as tubal flushing?

Hello amypearl.

Tubal flushing. it's effectiveness is dependent on the cause. Sadly i dont have success ttheories on the procedure. Hydrosalphinx or pyosalphinx may or may not be remedied by the treatment in the early phases. Adhesion and atresia, a whole different ball game.

But its worth the try.
Re: Doctor In The House:Obstetrics And Gynecology by peacefulwealth: 5:05pm On Feb 19, 2016
Hello Doctor

Please can Addyzoa and wellmanconception be taken together.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 5:58pm On Feb 19, 2016
peacefulwealth:
Hello Doctor

Please can Addyzoa and wellmanconception be taken together.

Sorry oversight. Both can be taken together.
Re: Doctor In The House:Obstetrics And Gynecology by peacefulwealth: 6:41pm On Feb 19, 2016
Baxilexi:


Sorry oversight. Both can be taken together.

Thanks Doctor for the prompt response.
Re: Doctor In The House:Obstetrics And Gynecology by Emerald65(f): 6:44pm On Feb 19, 2016
Baxilexi:

I take back what I said earlier about the progesterone. The value is adequate.
Though your preovulatory values are exaggerated for some parameters(estrogen and follicle stimulating hormone) but to make sense of it, I'll like to see the values of the these parameters on day 21.

Are you on any medication? Eg Clomid?

Thanks for d feedback.
No, am not on any medication.
Pls what medication can I take to balance the Estrogen n FSH. Pls also note DAT, my period dates are so irregular for almost 6 months from 30,32,34,35.
tnx .
Re: Doctor In The House:Obstetrics And Gynecology by happymummy(f): 11:08pm On Feb 19, 2016
doctor /gynaecology I greet una
Pls can I do the hormonal assay rest same day 21 while doing the progesterone test?
thanks
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 11:24pm On Feb 19, 2016
Good evening Doc,
Pls I want to ask if ones cervix is not in d middle, does it pose any risk.
Dis circle is kind of diff for me cos am doing sumfin diff
I decided to start checking my cervix since I av not been doing it. And I realized it's not in d middle. I dunno if am checking it well. But if it's not in d middle, is der a need to worry?
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 11:41pm On Feb 19, 2016
Emerald65:


Thanks for d feedback.
No, am not on any medication.
Pls what medication can I take to balance the Estrogen n FSH. Pls also note DAT, my period dates are so irregular for almost 6 months from 30,32,34,35.
tnx .

You may not need to correct them if their values drop spontaneously, especially after/around ovulation.

The changes in you period could be linked to the high levels of hormones(esp. Estrogen which could cause endometria overgrowth)
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 11:45pm On Feb 19, 2016
happymummy:
doctor /gynaecology I greet una
Pls can I do the hormonal assay rest same day 21 while doing the progesterone test?
thanks

Hello happymummy

Mid luteal phase progesterone should be done on day 21.

For me the other tests could be done the same day or before.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 11:49pm On Feb 19, 2016
Rukkington:
Good evening Doc,
Pls I want to ask if ones cervix is not in d middle, does it pose any risk.
Dis circle is kind of diff for me cos am doing sumfin diff
I decided to start checking my cervix since I av not been doing it. And I realized it's not in d middle. I dunno if am checking it well. But if it's not in d middle, is der a need to worry?

Hello

The non-parous cervix is usually posterior, during child birth it becomes central, then anterior.

You don't need to worry.
Re: Doctor In The House:Obstetrics And Gynecology by mumjk: 2:19am On Feb 20, 2016
Baxilexi:
K

Hello mumjk

Please answer the following;

How old are you?

When did it start?

Recent surgeries? Or event of note?

Past drug history?

Have you been to the hospital yet?

What form of intervention has been tried?

Answer these, then we'll go deeper.

I'm 33, for 2yrs now it's been like that. No recent surgery, no drugs history, I've not been to d hospital n nothing has been tried. Thank u
Re: Doctor In The House:Obstetrics And Gynecology by Fumbaby: 7:32am On Feb 20, 2016
[quote author=Rukkington why not see a gynea that will examine? All this you are doing is try and error
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 8:07am On Feb 20, 2016
Baxilexi:

Hello
The non-parous cervix is usually posterior, during child birth it becomes central, then anterior.
You don't need to worry.
Thnx Doc, I'm grateful
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 8:08am On Feb 20, 2016
Fumbaby:
[quote author=Rukkington why not see a gynea that will examine? All this you are doing is try and error
OK dear, thnx
Re: Doctor In The House:Obstetrics And Gynecology by Pweetiebabe(f): 11:02am On Feb 20, 2016
Gud day doc, I ve bin ttc for 9months now though ve been pregnant before and d last One was 2012... I am having discharge from my tips which i think might be prolatin issue and dh sperm always pour out immediately after sex...

Have been to d hospital and i was ask to do some test (Hormonal profile,Hsg and hsv) have done hsv waiting for d right time to d oda two, is there anything i can use to stop d sperm from coming back..
Re: Doctor In The House:Obstetrics And Gynecology by Peach45(f): 1:02pm On Feb 20, 2016
Doc gud day,just saw dis thread now,ve many questions to ask. Wen is it adviceable for one to conceive after CS cos my baby will b one next month. 2.went for test dis January ,d test reveal I had heavy growth of staphylococcus aureus.was given gentamacin injection, auguementin n flagyl.after taking d drug,i went for another test it shows moderate growth of staphylococcus aureus,i went to d clinic with d result.was placed on gentamacin inj,rapidflox,axacef n doxyclinin.goin to d lab next week for anoda test.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 5:09pm On Feb 20, 2016
Pweetiebabe:
Gud day doc, I ve bin ttc for 9months now though ve been pregnant before and d last One was 2012... I am having discharge from my tips which i think might be prolatin issue and dh sperm always pour out immediately after sex...

Have been to d hospital and i was ask to do some test (Hormonal profile,Hsg and hsv) have done hsv waiting for d right time to d oda two, is there anything i can use to stop d sperm from coming back..

Hello pweetiebabe

We'll look at it from two sides.

Yours; stop working your pelvic floor muscles so much. Clasping down on the penis is a great feel, but could also cause the problem.
Do you practise kegel?

Your DH; the viscosity of his semen could be poor(watery semen). He should do a Seminal Fluid Analysis.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 5:13pm On Feb 20, 2016
Peach45:
Doc gud day,just saw dis thread now,ve many questions to ask. Wen is it adviceable for one to conceive after CS cos my baby will b one next month. 2.went for test dis January ,d test reveal I had heavy growth of staphylococcus aureus.was given gentamacin injection, auguementin n flagyl.after taking d drug,i went for another test it shows moderate growth of staphylococcus aureus,i went to d clinic with d result.was placed on gentamacin inj,rapidflox,axacef n doxyclinin.goin to d lab next week for anoda test.

Hello peach45

1. How many CS have you done? What was the reason behind the operation? And any complications?

2. What test did you go for?
Re: Doctor In The House:Obstetrics And Gynecology by Pweetiebabe(f): 5:29pm On Feb 20, 2016
Thanks so much doc.. .. his fluid is no watery @ all, will ask him to run d test though....

May God bless your handwork. please doc can cytotec cause infertility?
Re: Doctor In The House:Obstetrics And Gynecology by Peach45(f): 7:43pm On Feb 20, 2016
Baxilexi:


Hello peach45

1. How many CS have you done? What was the reason behind the operation? And any complications?

2. What test did you go for?
just one n my baby will b next month, reduced amniotic fluid n d guy dat did d scan says it's urgent we c d doctor, n I was scared. So guess it made my bp to rise cos al thru d pregnancy no issue of bp,it was 120/70 before d last scan.... D test is m/c/s
Re: Doctor In The House:Obstetrics And Gynecology by Peach45(f): 7:49pm On Feb 20, 2016
Doc, I just noticed am having vaginal discharge n it's milky in color n itching too. Thanks for d quick reply
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 8:12pm On Feb 20, 2016
Peach45:
Doc, I just noticed am having vaginal discharge n it's milky in color n itching too. Thanks for d quick reply

Hello peach45

Am inclined to think the cultured staph. Aureus was an artifact. From you above description it seem more to me like a fungal infection(candida to be precise).

Purchase Nystatin pessary, and use as directed. You can finish up your other medication.

As for when to conceive, I would be more comfortable with anything after 18 Months.

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