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Doctor In The House:Obstetrics And Gynecology - Health (214) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by happymummy(f): 5:00am On Feb 26, 2016
please doctor what antibiotics can one use for infection
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 6:57am On Feb 26, 2016
Rukkington:
Good evening doc,
Concerning d pre-seed usage u tld me to use from cd9 to cd17. I started it on cd8 and I used it till ystday which was cd14. I wnt be able to continue it because I wnt be able to bd for few wks... I lost my mother inlaw today.
I want to ask if der is hope for conception cos am still having O symptoms

Hello rukkington.

My condolences to your in-laws.

Yes, there is certainly hope. Lets stay positive.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 7:21am On Feb 26, 2016
TGM2015:
Good day doctors in the house,
Please below information is for couples that are trying to conceive. Around last year May 29 the wife did surgery for fibroid removal since then she is yet to conceive. They have done some test early this year

Husband Hormonal /Sherman analysis test.
LH 10.3miu/ml (0.7 - 7.4)
FSH 8.7miu/ml (1.0 - 14.0)
Testosterone 4.0ng/ml (2.5 - 10)
Prolactin 10.4ng/ml (1.8 - 17.0)

Volume 4.0ml
Colour Greyish white
Motility Active 18%, Sluggish 5%, Dead 87%
Morphology Pin head 60%, Double heads 25%, Rugged head 15%
Count 1.7 x 10 cell/ml
PRS Cell 2 - 3 hyif
Ephithelial Cell +
Culture S. Aureus isolated after 24 hrs of incubation @ 37%

Wife Hormonal & HVS tests
LH 2.1 miu/ml (0.5 - 10.5)
FSH 1.8 miu/ml (5.1 - 14.0)
Prolactin 15.1 ng/ml (1.2 - 19.5)
Progesterone 0.1 ng/ml (0.1 - 1.4)

PUS cell 2 - 3 hyif
Red blood cells Nil
Epithelial cells +
Casts & Crystal Nil
Bacteria few
S. Aureus isolated after 24 hrs of incubation @ 37%

SCAN TEST TODAY - PELVIC SCAN
1. Uterus, endometrial thickness, both ovaries, pouch of Douglas all normal.
2. Echo pattern homogeneous and myometrium is expanded by solid tissue masses with mixed echoes textures and AP diameters of 1.2cm intramural in the mid anterior wall and 1.5cm in the anterior fundal wall.
3. Annexe bilaterally free and no pelvic collection.
4. Assessment, seedlings of uterine fibroid. And suggest folliculometry, HSG, Hormone profile and SFA..

The scan results ignite the fear in her on fibroid and she has clocked forty years of age with no pregnancy. So she shares her fear and possibility of her to get pregnant considering the tests, fibroid and age. Please note that both have completed s. acres drug, she use clomid 50g last cycle and the husband is on addyzoa (something like that). The scan results also stated that no credit or retained products of conception sighted.
She sometimes feel some few hours pain towards her period.

Please advise and mention my moniker instead of quoting the post. Thank you.

Hello TGM2015

Both results are not impressive. Especially the woman's.

The man's SFA reports low motility and morphology. On the brightside, he's already toeing the right path. His case might be remedied by addyzoa.

I would like to know what day the woman had her HP done. That result is unimpressive for both phases of the menstrual cycle, coupled with clomid support.

Fibroid removal surgery does not confer life long coverage against fibroid. It only mitigates the discomfort and complications associated with fibroids.

Sadly, the surgery affects fertility. Plus her age also gives an uncertain prognosis.

What can be done? She can start over. Lets query treatment failure. She should do a day 3 HP, off her any meds, show it to her doctor and they can start from there.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 7:22am On Feb 26, 2016
happymummy:
please doctor what antibiotics can one use for infection

Hello happymummy

What/where is the infection?
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 12:24pm On Feb 26, 2016
Baxilexi:
Hello rukkington. My condolences to your in-laws. Yes, there is certainly hope. Lets stay positive.
Thnx Doc
Re: Doctor In The House:Obstetrics And Gynecology by phunmykay(f): 4:54pm On Feb 26, 2016
Good day doc,if a woman delivers a baby and it results to a FRESH STILL BIRTH and now she is pregnant again,should CS be the next option or she should be allowed to have her baby on her own?
There was no complications but episiotomy was done and the mother . left the hospital the 2nd day.
Re: Doctor In The House:Obstetrics And Gynecology by TGM2015: 7:13pm On Feb 26, 2016
Baxilexi:


Hello TGM2015

Both results are not impressive. Especially the woman's.

The man's SFA reports low motility and morphology. On the brightside, he's already toeing the right path. His case might be remedied by addyzoa.

I would like to know what day the woman had her HP done. That result is unimpressive for both phases of the menstrual cycle, coupled with clomid support.

Fibroid removal surgery does not confer life long coverage against fibroid. It only mitigates the discomfort and complications associated with fibroids.

Sadly, the surgery affects fertility. Plus her age also gives an uncertain prognosis.

What can be done? She can start over. Lets query treatment failure. She should do a day 3 HP, off her any meds, show it to her doctor and they can start from there.

Thank you, I will get in touch with her and give feedback.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 9:36pm On Feb 26, 2016
phunmykay:
Good day doc,if a woman delivers a baby and it results to a FRESH STILL BIRTH and now she is pregnant again,should CS be the next option or she should be allowed to have her baby on her own?
There was no complications but episiotomy was done and the mother . left the hospital the 2nd day.

Hello phunmykay

Fresh still birth, was the pregnancy between 37 and 41 weeks?

Has this happened before? What were the events associated with the pregnancy?(diabetes, hypertension, infection, bleeding etc)

what were the events surrounding labour(prolonged labour, shoulder dystocia etc?)

What was she told was the cause of the still birth?

If the cause is recurrent, sadly surgery might be the only option.
Re: Doctor In The House:Obstetrics And Gynecology by phunmykay(f): 5:35am On Feb 27, 2016
Baxilexi:


Hello phunmykay

Fresh still birth, was the pregnancy between 37 and 41 weeks?

Has this happened before? What were the events associated with the pregnancy?(diabetes, hypertension, infection, bleeding etc)

what were the events surrounding labour(prolonged labour, shoulder dystocia etc?)

What was she told was the cause of the still birth?

If the cause is recurrent, sadly surgery might be the only option.
Thanks doc and good Morning,it was not a prolonged labour and the pregnancy was 40 weeks,what happened was just that the baby didn't cry and labour phrase was 12 hours and it was d ist pregnancy.High bp was complained of but now it is normal,120/60
Re: Doctor In The House:Obstetrics And Gynecology by Boomz(f): 4:53pm On Feb 27, 2016
Plrried! Pls what do I do pls?

Waitiong anxiously for ur response. Thankls
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 5:39pm On Feb 27, 2016
phunmykay:
Thanks doc and good Morning,it was not a prolonged labour and the pregnancy was 40 weeks,what happened was just that the baby didn't cry and labour phrase was 12 hours and it was d ist pregnancy.High bp was complained of but now it is normal,120/60

With hypertension in pregnancy CS is a possibility. Its often associated with complications to the mother and child, even with the best drugs and most experienced doctor. Sadly, it can be recurrent.

What I'd advice is if a judgement call has to be made to save the life of the mother, child or both, and it happens to be CS it should be done.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 5:42pm On Feb 27, 2016
Boomz:
Pls Doc, I need ur help........am 29weeks pregnant and I just noticed some genital warts around my anus! Am really getting worrried! Pls what do I do pls?

Waitiong anxiously for ur response. Thankls

Hello boomz

Please take to google and check photos of genital warts and anal tags, just to be sure what we are dealing with.
Re: Doctor In The House:Obstetrics And Gynecology by Boomz(f): 6:01pm On Feb 27, 2016
Baxilexi:


Hello boomz

Please take to google and check photos of genital warts and anal tags, just to be sure what we are dealing with.

Doc,
Have checked it on google and it genital warts. Could it be an infection?
Re: Doctor In The House:Obstetrics And Gynecology by phunmykay(f): 8:05pm On Feb 27, 2016
Baxilexi:


With hypertension in pregnancy CS is a possibility. Its often associated with complications to the mother and child, even with the best drugs and most experienced doctor. Sadly, it can be recurrent.

What I'd advice is if a judgement call has to be made to save the life of the mother, child or both, and it happens to be CS it should be done.
Thanks and noted
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 8:39pm On Feb 27, 2016
Boomz:


Doc,
Have checked it on google and it genital warts. Could it be an infection?

Genital warts are caused by Human Papiloma Virus. So yes, its infectious(if its genital warts). It also somewhat has a predilection for pregnancy (my theory, hormone induced immune suppression)

How to treat? Cryotherapy with liquid nitrogen. Very very effective.
Caution! Apply lightly, can burn the skin.
Re: Doctor In The House:Obstetrics And Gynecology by kolipowell(m): 7:35am On Feb 29, 2016
hi doc ma g.f is pregnant she saw her last period on 16 of last month she used gaenacocide on Friday buh its nt effective i want to ask if she can use cytotec cos she's not intending to keep it..
Re: Doctor In The House:Obstetrics And Gynecology by Baaby: 2:28pm On Feb 29, 2016
Gd day doc.
pls i need help in interpreting my Hormonal Profile test.

Day 3
FSH 15,0miu/ml (0-20)miu/ml
LH 7.4miu/ml (0-20)miu/ml
Prolactin 12.3ng/ml (6-24)ng/ml

Day 21
Progestrone 14.2 (2-25)
E2 74 (50-150)
T4 54 (50-130)

For My Huby SFA

Sperm Count 17m (20-200)
Sperm Active 70% (75%

No infection

I hv a 27day cycle, went for tracking on day 8 the female sono saw a dominant folicle of 1.9cm and ask i should repeat on day 10 which i did, she saw the dominant folicle at 2.3cm x 2.2cm. I was suppose to follow up on the day12 which falls on sunday, so i did it with another male sono on dat Sunday but he said he did no see any follicle that maybe i did not ovulate. Dr am so confuse and devastated as to what to do because am already in my very early 40's

Pls help me dont know if i cld still get pregnant.

Pls note: no cyst and no fibriod
Re: Doctor In The House:Obstetrics And Gynecology by scholag(f): 5:50pm On Feb 29, 2016
Hi Doc. I can't seem to help a colleague who has been bleeding for 16days on, my Gyn placed her on Primolut N which she has been taking for 9 days now yet she keeps complaining of bleeds. I resulted to ask here cos I'm tired of her asking me to call the Gyn. Could it be that the primolut N didn't work or something cos I understand it was supposed to stop the bleeding after 5days of intake..?
PS: She has seen the Gyn 6days before the primolut N administration and it's 9 days after that day and she is still bleeding...
Re: Doctor In The House:Obstetrics And Gynecology by favouredestiny: 6:50pm On Feb 29, 2016
Hi doc, pls which day of d cycle can I do follicular tracking? I don't know if I ovulate or not.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:24am On Mar 01, 2016
Baaby:
Gd day doc.
pls i need help in interpreting my Hormonal Profile test.

Day 3
FSH 15,0miu/ml (0-20)miu/ml
LH 7.4miu/ml (0-20)miu/ml
Prolactin 12.3ng/ml (6-24)ng/ml

Day 21
Progestrone 14.2 (2-25)
E2 74 (50-150)
T4 54 (50-130)

For My Huby SFA

Sperm Count 17m (20-200)
Sperm Active 70% (75%

No infection

I hv a 27day cycle, went for tracking on day 8 the female sono saw a dominant folicle of 1.9cm and ask i should repeat on day 10 which i did, she saw the dominant folicle at 2.3cm x 2.2cm. I was suppose to follow up on the day12 which falls on sunday, so i did it with another male sono on dat Sunday but he said he did no see any follicle that maybe i did not ovulate. Dr am so confuse and devastated as to what to do because am already in my very early 40's

Pls help me dont know if i cld still get pregnant.

Pls note: no cyst and no fibriod

Hello baaby

The above results are ok.

As for the follicle tracking. I don't expect them to see anything once the dominant follicle ruptures. What they saw from you description was a Graafian follicle. Which I presume has release the ovum.

What I expected the male sono to have seen was a rupture follicle called a corpus luteum.

If its not past your ovulation period, proceed as planned(intercourse).

What has been the reason(s) for your subfertility?
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:31am On Mar 01, 2016
scholag:
Hi Doc. I can't seem to help a colleague who has been bleeding for 16days on, my Gyn placed her on Primolut N which she has been taking for 9 days now yet she keeps complaining of bleeds. I resulted to ask here cos I'm tired of her asking me to call the Gyn. Could it be that the primolut N didn't work or something cos I understand it was supposed to stop the bleeding after 5days of intake..?
PS: She has seen the Gyn 6days before the primolut N administration and it's 9 days after that day and she is still bleeding...

Hello scholag

How did the bleeding start?
Has it happened before?
Was there prior intercourse?
Any attempt at abortion?
Was/is she on any hormonal contraceptive? Is she bleeding from any other body sight?
Any other symptoms of note?
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:40am On Mar 01, 2016
favouredestiny:
Hi doc, pls which day of d cycle can I do follicular tracking? I don't know if I ovulate or not.

Hello favouredestiny

Start on day 9 of your cycle. You are to be scheduled for 3 scans in all by the sonographer.
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 12:46am On Mar 01, 2016
kolipowell:
hi doc ma g.f is pregnant she saw her last period on 16 of last month she used gaenacocide on Friday buh its nt effective i want to ask if she can use cytotec cos she's not intending to keep it..

Am not permitted to advice you on criminal abortion.

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Re: Doctor In The House:Obstetrics And Gynecology by nazablossom(f): 2:27am On Mar 01, 2016
Good
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 8:35am On Mar 01, 2016
nazablossom:
Good morning doc, happy new month. please I am pregnant with 2 intramural fibroid. according to my last scan at 21weeks,one is at Lower segment.. my doctor said that if I doesn't change position at 36weeks,they won't allow Me to fall into labour, they will carry out cs..the fibroid is not causing any problem for now. I am 29wks+5days today. What are my chances of the fibroid changing position, I really want VD.

Hello Nazablossom and happy new month.

Honestly, the chances are slim. Also, I don't even know what size we are talking about here. High chances of malpresentation amongst other things.

What you can do is, put your life and the life of your baby before your desires. CS is quickly becoming a minor surgery, although still major. It is all safer and quicker in recent times thanks to spinal anaesthesia.

Anyway, we never say never so lets keep our fingers crossed till later.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by scholag(f): 8:37am On Mar 01, 2016
Baxilexi:


Hello scholag

How did the bleeding start?
Has it happened before?
Was there prior intercourse?
Any attempt at abortion?
Was/is she on any hormonal contraceptive? Is she bleeding from any other body sight?
Any other symptoms of note?

Happy March Doc.
Once she was pregnant and then she said the doctor checked at second month and the baby was not doing well so she waited for like some weeks yet nothing hence she had painful D&E. Said she bleed for like 4days with serious pains and it stopped only to resurface after another 10days. So I took her to my gyn who prescribed Primolut N and rest... Yet she still bleeds.
My gyn checked her and said her womb is the normal size and that the mouth of the womb had closed before giving her a 10days primolut N tabs.
I don't think she's had these prolonged bleeding before cos she would have told me.
Ps: She is married. No bleeds from any other site. No contraceptives either.
Pls, I hope she ain't dying..!!!
Re: Doctor In The House:Obstetrics And Gynecology by hope43: 9:29am On Mar 01, 2016
Good day dr my almighty crown ur efforts.i took primolut to stop my period from coming because am traveling and now my period came and won't stop spotting red after the normal bleeding.please what can I do?my normal period is 5days and now it's almost 8 days
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:17am On Mar 01, 2016
scholag:


Happy March Doc.
Once she was pregnant and then she said the doctor checked at second month and the baby was not doing well so she waited for like some weeks yet nothing hence she had painful D&E. Said she bleed for like 4days with serious pains and it stopped only to resurface after another 10days. So I took her to my gyn who prescribed Primolut N and rest... Yet she still bleeds.
My gyn checked her and said her womb is the normal size and that the mouth of the womb had closed before giving her a 10days primolut N tabs.
I don't think she's had these prolonged bleeding before cos she would have told me.
Ps: She is married. No bleeds from any other site. No contraceptives either.
Pls, I hope she ain't dying..!!!

Happy March.

Ok. So here are my suspicions; traumatized uterus or cervix, retained fetal tissue, uterus not well contracted.

She should revisit the GYNAE. A vaginal examination should be done to rule out bleeding of cervical or vaginal origin.

Then, pelvic USS to rule out tissue or trauma.

A full blood count(PCV) to estimate or diagnose anaemia.

She's should do these ASAP!

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by bukkycute4ever1: 10:36am On Mar 01, 2016
Please doc.I need your help on how to get pregnant.have married for 3years now but have not conceive.although I was pregnant before then but I lost it at 7month.have done series of test as wel as my husband.please direct me on what to do.thanks bukky wil need your respond
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:37am On Mar 01, 2016
hope43:
Good day dr my almighty crown ur efforts.i took primolut to stop my period from coming because am traveling and now my period came and won't stop spotting red after the normal bleeding.please what can I do?my normal period is 5days and now it's almost 8 days

Hello hope43

Thanks for the prayer.

This is a story of you cant cheat nature. While you were on primolut, your menses was on hold in utero, also progestogens would further thicken the endometrium. So the menstrual volume increased, hence the longer bleeding days.

My advice, just Wait it out. It will pass.
Re: Doctor In The House:Obstetrics And Gynecology by scholag(f): 10:45am On Mar 01, 2016
Baxilexi:


Happy March.

Ok. So here are my suspicions; traumatized uterus or cervix, retained fetal tissue, uterus not well contracted.

She should revisit the GYNAE. A vaginal examination should be done to rule out bleeding of cervical or vaginal origin.

Then, pelvic USS to rule out tissue or trauma.

A full blood count(PCV) to estimate or diagnose anaemia.

She's should do these ASAP!

Thanks Doc. Will get back to you...
Re: Doctor In The House:Obstetrics And Gynecology by Baxilexi(m): 10:54am On Mar 01, 2016
bukkycute4ever1:
Please doc.I need your help on how to get pregnant.have married for 3years now but have not conceive.although I was pregnant before then but I lost it at 7month.have done series of test as wel as my husband.please direct me on what to do.thanks bukky wil need your respond
Hello bukky

What to do? There's only as much as I can do by proxy. Virtual consultation can never replace vis a vis.

So, Register with a gynaecologist

From both your histories, physical examination, and relevant investigations, we all can be guided adequately.

By the grace of God we'll make much of your complaint.

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