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Doctor In The House:Obstetrics And Gynecology - Health (267) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by iamfertile(f): 12:11pm On Jun 28, 2019
2Ballz:

I don't think some of these terms are new to you except that you haven't been checking on them since you have using this thread or TTC thread.
Still, what is it with my post you didn't understand, let me explain in brief before any suggestion from me?

Also, is this profiling more than 6-month of age?



The profiling is 4months back.
I only understand that the results indicate high Prolactin. its only you doctors that knows it better.
I'm yet to see my period since last May 31st that I did laparoscopy till today(June 28th) I'm not pregnant.
pls, what do you suggest I do :
1. To regulate my period back to the usual 28days cycle.
2. To balance my hormones.
3. To boost my ovulation.
Thanks Always.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 7:21am On Jul 03, 2019
iamfertile:




The profiling is 4months back.
I only understand that the results indicate high Prolactin. its only you doctors that knows it better.
I'm yet to see my period since last May 31st that I did laparoscopy till today(June 28th) I'm not pregnant.
pls, what do you suggest I do :
1. To regulate my period back to the usual 28days cycle.
2. To balance my hormones.
3. To boost my ovulation.
Thanks Always.

The result was more than just telling you of high blood prolactin but if that was how you understood it,it is also not a problem.
First, I would want to suggest you have a Thyroid function activity assay and prolactin done together. Let us see if the thyroid is in anyway a part of the problem. Since this problem seems to be linking with PCOS in some assumption, I would prefer a special scanning of your ovaries done too. And if you have had experience a menstruation between now and when we last talked, then you could try to do amother Reproductive hormone profiling assuming some thing could have changed.
Also, just to have everything at desk at a mention, it is also not a bad idea to use the lab to run assay for the masculine hormone in your body. This is also important to if you have a high prolactin associating with poor ovarian response to FSH and LH response. If you decide to do this, then it will necessary to know your blood pressure and then your blood sugar.
The next thing comes management instead of treatment that will requires patient and. a doctor-to-patient attention that will oversee on how to improve your health and fertility.
As to forestall further building of your prolactin, I would advice you to remain on the use of either Cabergoline or Bromocriptin. Whatever you do by diet as supplement depends on your thyroid activities. However, you should have by you helpful prenatal vitamins to boost cellular activities and performance of the ovarian tissues.
Above all, remain a happy and attend to normal daily activities without wounds and spitefulness.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by iamfertile(f): 6:39pm On Jul 05, 2019
2Ballz:


The result was more than just telling you of high blood prolactin but if that was how you understood it,it is also not a problem.
First, I would want to suggest you have a Thyroid function activity assay and prolactin done together. Let us see if the thyroid is in anyway a part of the problem. Since this problem seems to be linking with PCOS in some assumption, I would prefer a special scanning of your ovaries done too. And if you have had experience a menstruation between now and when we last talked, then you could try to do amother Reproductive hormone profiling assuming some thing could have changed.
Also, just to have everything at desk at a mention, it is also not a bad idea to use the lab to run assay for the masculine hormone in your body. This is also important to if you have a high prolactin associating with poor ovarian response to FSH and LH response. If you decide to do this, then it will necessary to know your blood pressure and then your blood sugar.
The next thing comes management instead of treatment that will requires patient and. a doctor-to-patient attention that will oversee on how to improve your health and fertility.
As to forestall further building of your prolactin, I would advice you to remain on the use of either Cabergoline or Bromocriptin. Whatever you do by diet as supplement depends on your thyroid activities. However, you should have by you helpful prenatal vitamins to boost cellular activities and performance of the ovarian tissues.
Above all, remain a happy and attend to normal daily activities without wounds and spitefulness.



thank you,doctor. I will do the tests & definitely feed you back.
God bless you.
Re: Doctor In The House:Obstetrics And Gynecology by Nagode234: 8:13pm On Jul 09, 2019
@2Ballz hello.
I have just been diagnosed of scar endometriosis after 3 years of mayomectomy.
The doctor that diagnosed me said the surgery/treatment can't be done in their hospital. Please, do you know of any good hospital in Lagos where I can be treated?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:09am On Jul 10, 2019
Nagode234:
@2Ballz hello.
I have just been diagnosed of scar endometriosis after 3 years of mayomectomy.
The doctor that diagnosed me said the surgery/treatment can't be done in their hospital. Please, do you know of any good hospital in Lagos where I can be treated?

Scar endometriosis?
Re: Doctor In The House:Obstetrics And Gynecology by Nagode234: 10:20am On Jul 10, 2019
2Ballz:


Scar endometriosis?

Yes, scar endometriosis.
Please can you send me an email. I tried sending, it's not working
Re: Doctor In The House:Obstetrics And Gynecology by Julbu(m): 2:50pm On Jul 10, 2019
please what is the cost implication of removing polyps from the womb pls
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:39pm On Jul 10, 2019
Julbu:
please what is the cost implication of removing polyps from the womb pls
By cost implication, do you mean how much it should cost to have a uterine polyps removed?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:47pm On Jul 10, 2019
Nagode234:


Yes, scar endometriosis.
Please can you send me an email. I tried sending, it's not working
Scar endometriosis is very rare among our black women and I guess you could observe my surprise. It usually requires a surgical intervention and a good one from an experienced O&G consultant. Why not seek help from the State University teaching hospital or even ULTH.

Is there any other thing you want us to razzle out, kindly use my signature to reach me.
Re: Doctor In The House:Obstetrics And Gynecology by tyhgfrdeswscbhf(f): 6:51pm On Jul 10, 2019
Hello @Dr 2Balls

I just found out that I am pregnant 6weeks actually but last week I took a lot of antibiotics and malaria drugs and even herb pls what should I do so will not harm my baby

Thank you

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Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:56pm On Jul 10, 2019
tyhgfrdeswscbhf:
Hello @Dr 2Balls

I just found out that I am pregnant 6weeks actually but last week I took a lot of antibiotics and malaria drugs and even herb pls what should I do so will not harm my baby

Thank you
Give me give the names of the antibiotics, antimalarial drugs and then the name of those herbs you have so far covered in the defective week and the one before it.
Re: Doctor In The House:Obstetrics And Gynecology by tyhgfrdeswscbhf(f): 7:10pm On Jul 10, 2019
2Ballz:

Give me give the names of the antibiotics, antimalarial drugs and then the name of those herbs you have so far covered in the defective week and the one before it.

Ciprotab 500 mg
AMATEM SOFTGEL 480 MG + 80 MG
DEEP ROOT HARBAL MIXTURE

THEN KLOVINAL INSERT WITH 4CAPSULE OF FLOCUNAZOLE
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 8:35pm On Jul 10, 2019
tyhgfrdeswscbhf:


Ciprotab 500 mg
AMATEM SOFTGEL 480 MG + 80 MG
DEEP ROOT HARBAL MIXTURE

THEN KLOVINAL INSERT WITH 4CAPSULE OF FLOCUNAZOLE

Do nothing, take nothing except for the necessary ones. Ensure to make observations of yourself and watch out for kicks for the baby in utero. Should you bothered above measures, within 2-3weeks interval on your own you can ask an ultrasound done to know the state of the developing babe. Seek a doctor's advice if anything is unfit seen.

But, I am sure you will be fine and the baby too.
Re: Doctor In The House:Obstetrics And Gynecology by tyhgfrdeswscbhf(f): 8:37pm On Jul 10, 2019
2Ballz:


Do nothing, take nothing except for the necessary ones. Ensure to make observations of yourself and watch out for kicks for the baby in utero. Should you bothered above measures, within 2-3weeks interval on your own you can ask an ultrasound done to know the state of the developing babe. Seek a doctor's advice if anything is unfit seen.

But, I am sure you will be fine and the baby too.

Thanks dr
Re: Doctor In The House:Obstetrics And Gynecology by Rbae: 11:01pm On Jul 15, 2019
tyhgfrdeswscbhf:


Thanks dr



He is not a doctor....
Re: Doctor In The House:Obstetrics And Gynecology by DeeRex: 12:12pm On Jul 18, 2019
Good afternoon Drs

@Dr 2Ballz
A brief history before my question.
I had a miscarriage July last year. Did a d and c August 9th. period resumed September and I took in Nov. 34weeks Later (4th of July this year) I had early
contractions and had a stillbirth with cord tied round her neck multiple times which made her chock to death. the delivery was vagina. at 30 weeks I had braxton hicks and was given salbutamol and paracetamol to control it.

before my discharge at the hospital the doctor said my next pregnancy I will have to do cervical cervical cerclage.

my questions
1. is cervical cerclage necessary
2. was told to take clomid ones my period starts but the reviews I got online about the drug scares me. what's your take on clomid.
I really do want to try again what would you advice
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:50am On Jul 20, 2019
DeeRex:
Good afternoon Drs

@Dr 2Ballz
A brief history before my question.
I had a miscarriage July last year. Did a d and c August 9th. period resumed September and I took in Nov. 34weeks Later (4th of July this year) I had early
contractions and had a stillbirth with cord tied round her neck multiple times which made her chock to death. the delivery was vagina. at 30 weeks I had braxton hicks and was given salbutamol and paracetamol to control it.

before my discharge at the hospital the doctor said my next pregnancy I will have to do cervical cervical cerclage.

my questions
1. is cervical cerclage necessary
2. was told to take clomid ones my period starts but the reviews I got online about the drug scares me. what's your take on clomid.
I really do want to try again what would you advice

Let me attend your questions directly as possible as I can:

1st Que.
is cervical cerclage necessary?

I think this should goes straight to and at the doctor that managed your pregnancy during your prenatal period. Why?
He has been the giving both a physical and pelvic examination and stand to be the one to consider fixing stitches over your cervix. Perhaps, he still feels the morbid prematured birth contraction could have come about by a poor uterine cervical support. This is could be "necessary " or even "not necessary ". Necessity for it will prove itself again and the fact that you have an history to this may tend to push him to examine your cervix in your later pregnancy, a scoring will be done and if probably you have a the cervix has the tendency to let go prematurely, then a fixing is most likely appropriate. However, the cerclage may not be necessary if scoring applies otherwise and your cervical support is adaptive or if there is no other complication that may warrant going for it. Prevention of frequent abortion especially linking to poor cervical support can be avoided if you stay some months at least 6months after an a miscarriage or abortion. This will improve the structure of the uterine cervix to structural functions as well provided there no infection and inborn structural problems before now.

2 2nd Question.

This is also a question left for him to answer. Why did he ask your using of Clomid? There should be a reason for this.
Before I give you my take on Clomid, I would love to know what scares you about Clomid.
Re: Doctor In The House:Obstetrics And Gynecology by DeeRex: 4:10pm On Jul 20, 2019
2 2nd Question.

This is also a question left for him to answer. Why did he ask your using of Clomid? There should be a reason for this.
Before I give you my take on Clomid, I would love to know what scares you about Clomid.

[/quote]

Thanks for your response.
from research I have done and from 2friends clomid thins the uterine lining which can cause miscarriage. And it dries the cervical mucus. so I don't want to complicate things
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:37pm On Jul 20, 2019
DeeRex


Clomid could actually predisposed the user to intermittent vaginal spotting. This is rare except for cases of wrong usage or long term use. I wouldn't advice on using it if you have a normal smooth ovulation cycle or if you have being carrying pregnancy without its use for the previous ones. In this, it is advisable to seek a doctor's opinion on how to use it to avoid acute and long-term use effects.


I would prefer to know why he would want to have me on Clomid if were you, have you at anytime discuss with him the difficulty in carrying pregnancy after missing one?
Does taking Clomid have a way of preventing further pregnancy loss?

While you remain seeking to hear from him, in mine opinion I rather would have you not rushed to take the Clomid and if you haven't really been having problem making pregnancy then there is really no fast rush in going for it. The interest at heart now should be on how to manage your next pregnancy to term since you don't problem making one.
Re: Doctor In The House:Obstetrics And Gynecology by DeeRex: 8:02pm On Jul 20, 2019
2Ballz:
DeeRex


Clomid could actually predisposed the user to intermittent vaginal spotting. This is rare except for cases of wrong usage or long term use. I wouldn't advice on using it if you have a normal smooth ovulation cycle or if you have being carrying pregnancy without its use for the previous ones. In this, it is advisable to seek a doctor's opinion on how to use it to avoid acute and long-term use effects.


I would prefer to know why he would want to have me on Clomid if were you, have you at anytime discuss with him the difficulty in carrying pregnancy after missing one?
Does taking Clomid have a way of preventing further pregnancy loss?

While you remain seeking to hear from him, in mine opinion I rather would have you not rushed to take the Clomid and if you haven't really been having problem making pregnancy then there is really no fast rush in going for it. The interest at heart now should be on how to manage your next pregnancy to term since you don't problem making one.


Yes, I have always conceived without clomid. The doc’s major concern is to help regulate my circle. And yes major concern is carrying the next pregnancy to term.
Re: Doctor In The House:Obstetrics And Gynecology by Balqx: 8:48pm On Jul 20, 2019
Good evening, doctor. Pls I need your help. My husband and I use condom as contraceptive because we are not ready for another baby yet due to some circumstances. It broke last time we had sex and I took postinor2 within 24hrs. My period refused to show up this month, I did test and came out positive. I confined on my neighbour (a nurse), she gave me oxy injection and asked me to insert one 200mcg misoprostol in my vaginal at night. When i went to pee the following day, I saw just drop of blood with tissues and nothing more. She then asked me to take the remaining three 200mcg misoprostol sublingual which I did but still saw little blood and nothing more.The pregnant is 5weeks. I'm planning to go to hospital on Monday, but I'm getting scared...
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 8:52pm On Jul 20, 2019
DeeRex:



Yes, I have always conceived without clomid. The doc’s major concern is to help regulate my circle. And yes major concern is carrying the next pregnancy to term.

Your cycle will regulate itself that shouldn't be any problem provided that there is not obvious or insidious complication from your last miss. He may need to review this decision again not to bring up problems that weren't there before.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 8:54pm On Jul 20, 2019
Balqx:
Good evening, doctor. Pls I need your help. My husband and I use condom as contraceptive because we are not ready for another baby yet due to some circumstances. It broke last time we had sex and I took postinor2 within 24hrs. My period refused to show up this month, I did test and came out positive. I confined on my neighbour (a nurse), she gave me oxy injection and asked me to insert one 200mcg misoprostol in my vaginal at night. When i went to pee the following day, I saw just drop of blood with tissues and nothing more. She then asked me to take the remaining three 200mcg misoprostol sublingual which I did but still saw little blood and nothing more.The pregnant is 5weeks. I'm planning to go to hospital on Monday, but I'm getting scared...

Scared?! Of what?
Re: Doctor In The House:Obstetrics And Gynecology by Balqx: 9:15pm On Jul 20, 2019
She said I should see some clots with heavy bleeding. I'm scared because I didn't experienced that or may be she did not give me the correct drug or dosage
Scared?! Of what? [/quote]
Re: Doctor In The House:Obstetrics And Gynecology by SylmZealous: 10:19pm On Jul 20, 2019
Hi Doctors in the group. Pls I need a little medical advice.
I'm supposedly pregnant but scan result shows missed abortion. I last saw my menstruation 4th May.
I'm so confused. I'm feeling pregnant. Morning sickness, nausea, sore breast, extremely vomiting and loss of appetite.
I'm not spotting and no miscarriage signs what's over.

I don't even know what to say, but I'm so scared.
They said I should evacuate immediately but I don't think I'm strong enough for D&C.
My threshold for pains is 110%.
I don't even know what I want, I'm just so scared.

Is there no other ways to expel naturally without D&C.
Re: Doctor In The House:Obstetrics And Gynecology by SylmZealous: 10:22pm On Jul 20, 2019
[quote author=SylmZealous post=80470325]Hi Doctors in the group. Pls I need a little medical advice.
I'm supposedly pregnant but scan result shows missed abortion. I last saw my menstruation 4th May.
I'm so confused. I'm feeling pregnant. Morning sickness, nausea, sore breast, extremely vomiting and loss of appetite.
I'm not spotting and no miscarriage signs what's over.

I don't even know what to say, but I'm so scared.
They said I should evacuate immediately but I don't think I'm strong enough for D&C.
My threshold for pains is 110%.
I don't even know what I want, I'm just so scared.

Is there no other ways to expel naturally without D&C.


Copy of my Ultrasound report

Re: Doctor In The House:Obstetrics And Gynecology by DeeRex: 3:10pm On Jul 21, 2019
Thanks so much. Will take your advice


2Ballz:


Your cycle will regulate itself that shouldn't be any problem provided that there is not obvious or insidious complication from your last miss. He may need to review this decision again not to bring up problems that weren't there before.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:11pm On Jul 21, 2019
SylmZealous:
Hi Doctors in the group. Pls I need a little medical advice.
I'm supposedly pregnant but scan result shows missed abortion. I last saw my menstruation 4th May.
I'm so confused. I'm feeling pregnant. Morning sickness, nausea, sore breast, extremely vomiting and loss of appetite.
I'm not spotting and no miscarriage signs what's over.

I don't even know what to say, but I'm so scared.
They said I should evacuate immediately but I don't think I'm strong enough for D&C.
My threshold for pains is 110%.
I don't even know what I want, I'm just so scared.

Is there no other ways to expel naturally without D&C.

Done!
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:20pm On Jul 21, 2019
Balqx.

That shouldn't bother you much, the fact that you have use Oxygen inj and Misoprostol pessary and oral has already laid the foundation for an abortion. The pregnancy may hardly survive, the bleeding may not be sudden but in some women it can just happen given some hours or even days away. It is missed in some sense already. Take a visit to the clinic and have a full conceptus removal for your health sake.



Goodluck!
Re: Doctor In The House:Obstetrics And Gynecology by Balqx: 5:06pm On Jul 21, 2019
I will do that. Thank you so much doctor.

That shouldn't bother you much, the fact that you have use Oxygen injuries and Misoprostol pessary and oral has already laid the foundation for an abortion. The pregnancy may hardly survive, the bleeding may not be sudden but in some women it can just happen given some hours or even days away. It is missed in some sense already. Take a visit to the clinic and have a full conceptus removal for your health sake.



Goodluck! [/quote]
Re: Doctor In The House:Obstetrics And Gynecology by Rbae: 12:33pm On Jul 25, 2019
I pity all of una o. Seems u dont know d way to d hospital...abi? 2Ballz is not a medical student or a doctor. He was bussted in the TTC thread last year. He is not a doctor!!!!

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