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Doctor In The House:Obstetrics And Gynecology - Health (277) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by Opemispecial: 10:39am On Jun 16, 2020
Please doctor, is it true that you see your period exactly 14 days after ovulation?
Re: Doctor In The House:Obstetrics And Gynecology by Ollyfad(f): 3:43am On Jun 19, 2020
Hi doctor,
I am currently having a milky discharge from both nipples. It started last week Thursday. Anytime I massage my breast and then press the nipple, the milky discharge comes out, usually droplets(too scared to find out if it can be more) and this has never happened to me before.
I have been trying to conceive for 2 years now with no success. The only thing I noticed was that my period was 5 days late(started 4th of June instead of 31st of May. I noticed because I log my period on a app and it has never been late and it's regular). Already had 2 blood tests done and both came back negative so I have ruled out pregnancy as a probable cause. Went to our family doctor and he is treating me for an infection but I would finish the regimen on Saturday but there is no difference in the discharge from my nipples. I don't feel any pain on my breast and the only changes I noticed is what I described above. What could possibly be wrong and causing the discharge? (it's multi ductal). Thanks

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Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 5:15am On Jun 19, 2020
Opemispecial:
Please doctor, is it true that you see your period exactly 14 days after ovulation?

This is very correct. Periods come out exactly 14 days from ovulation. The issue however, is that one might not be able to accurately predict when ovulation actually takes place except by tracking the follicles (eggs).

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Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 5:23am On Jun 19, 2020
Ollyfad:
Hi doctor,
I am currently having a milky discharge from both nipples. It started last week Thursday. Anytime I massage my breast and then press the nipple, the milky discharge comes out, usually droplets(too scared to find out if it can be more) and this has never happened to me before.
I have been trying to conceive for 2 years now with no success. The only thing I noticed was that my period was 5 days late(started 4th of June instead of 31st of May. I noticed because I log my period on a app and it has never been late and it's regular). Already had 2 blood tests done and both came back negative so I have ruled out pregnancy as a probable cause. Went to our family doctor and he is treating me for an infection but I would finish the regimen on Saturday but there is no difference in the discharge from my nipples. I don't feel any pain on my breast and the only changes I noticed is what I described above. What could possibly be wrong and causing the discharge? (it's multi ductal). Thanks

You have what we call hyperprolactinaemia, it is due to excess of a hormone we call prolactin in your body. The hormone is responsible for producing breast milk. The level gets so high towards child birth, breastfeeding, certain drugs and a tumour growing in a portion of the brain called pituitary gland.

This is not due to any infection please, stop wasting your money in the wrong place. It is not every doctor that understands this, see a specialist.

The condition affects ovulation and may disorganize one's menstrual period and ultimately affects the ability to conceive.

The good news is that it can be treated 100%. Meet a gynecologist who will evaluate you and give the right medication. We don't prescribe drugs in a public domain like this, the tendency to abuse is very high. Good luck.

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Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 5:52am On Jun 19, 2020
nzeobi:
My wife is medically 42 weeks pregnant and there is no sign of labour and we are worried. What could be the problem. We are worried.

Did she actually do ante natal care in a hospital? I don't think any hospital will allow a woman to carry pregnancy yo 42 weeks without intervention or a clear-cut advice on the next line of action.

If your wife has not had operation (CS) before and if she does not have any reason that will affect her vaginal delivery, then I'm sure they would have advised her to have induction of labour, otherwise she should go for CS.

The reason is because at 42 weeks and beyond, the function of the placenta reduces and the baby's chance of death inside the womb increases each day.

Go back to the hospital and let them have your baby delivered please. Today.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:33am On Jun 19, 2020
Opemispecial:
Please doctor, is it true that you see your period exactly 14 days after ovulation?

True but not constant for everywoman. The period between the time for ovulation and when period starts is the luteal phase. It could normally be short in some women as in 11days or as long as 17days. However, the convention of using the 14days is just to satisfy the considerable amount of populace having this luteal phase length.

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Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 7:44am On Jun 19, 2020
Ollyfad:
Hi doctor,
I am currently having a milky discharge from both nipples. It started last week Thursday. Anytime I massage my breast and then press the nipple, the milky discharge comes out, usually droplets(too scared to find out if it can be more) and this has never happened to me before.
I have been trying to conceive for 2 years now with no success. The only thing I noticed was that my period was 5 days late(started 4th of June instead of 31st of May. I noticed because I log my period on a app and it has never been late and it's regular). Already had 2 blood tests done and both came back negative so I have ruled out pregnancy as a probable cause. Went to our family doctor and he is treating me for an infection but I would finish the regimen on Saturday but there is no difference in the discharge from my nipples. I don't feel any pain on my breast and the only changes I noticed is what I described above. What could possibly be wrong and causing the discharge? (it's multi ductal). Thanks
Just to add to it. You may need to confirm a high blood prolactin from the laboratory, though by first observation this condition (galactorrhea) is largely own to a tumor of the pituitary gland outside pregnancy.

To help improve this situation:

1) avoid further expressing of the breast and nipple stimulation of any kind.
2) review some of your medications with your doctor since some drugs have been know to increase surge to prolactin concentration in the body.
3) you may see the need to reduce your long hours of sleep.
4) reduce your level of exercise if need be.
5) are you depressed with a low libido in association? Discus this with your doctor.
6) the use of some vitamins ( B6 especially with E) and natural foods can be helpful.
7) I would have helped with prescription but for reasons stated above, I wouldn't. Or, write me privately.
Re: Doctor In The House:Obstetrics And Gynecology by Ollyfad(f): 9:56am On Jun 19, 2020
ChelseaDr:


You have what we call hyperprolactinaemia, it is due to excess of a hormone we call prolactin in your body. The hormone is responsible for producing breast milk. The level gets so high towards child birth, breastfeeding, certain drugs and a tumour growing in a portion of the brain called pituitary gland.

This is not due to any infection please, stop wasting your money in the wrong place. It is not every doctor that understands this, see a specialist.

The condition affects ovulation and may disorganize one's menstrual period and ultimately affects the ability to conceive.

The good news is that it can be treated 100%. Meet a gynecologist who will evaluate you and give the right medication. We don't prescribe drugs in a public domain like this, the tendency to abuse is very high. Good luck.
Thanks doctor. I stay in shomolu, can you recommend a specialist around?
Re: Doctor In The House:Obstetrics And Gynecology by Ollyfad(f): 9:58am On Jun 19, 2020
2Ballz:

Just to add to it. You may need to confirm a high blood prolactin from the laboratory, though by first observation this condition (galactorrhea) is largely own to a tumor of the pituitary gland outside pregnancy.

To help improve this situation:

1) avoid further expressing of the breast and nipple stimulation of any kind.
2) review some of your medications with your doctor since some drugs have been know to increase surge to prolactin concentration in the body.
3) you may see the need to reduce your long hours of sleep.
4) reduce your level of exercise if need be.
5) are you depressed with a low libido in association? Discus this with your doctor.
6) the use of some vitamins ( B6 especially with E) and natural foods can be helpful.
7) I would have helped with prescription but for reasons stated above, I wouldn't. Or, write me privately.
Thanks doctor. I wasn't on any drug prior to the occurrence. Can you help with a lab I can get the test done? I stay around shomolu
Re: Doctor In The House:Obstetrics And Gynecology by nzeobi(m): 11:08am On Jun 19, 2020
ChelseaDr:


Did she actually do ante natal care in a hospital? I don't think any hospital will allow a woman to carry pregnancy yo 42 weeks without intervention or a clear-cut advice on the next line of action.

If your wife has not had operation (CS) before and if she does not have any reason that will affect her vaginal delivery, then I'm sure they would have advised her to have induction of labour, otherwise she should go for CS.

The reason is because at 42 weeks and beyond, the function of the placenta reduces and the baby's chance of death inside the womb increases each day.

Go back to the hospital and let them have your baby delivered please. Today.
Thanks she delivered few days after and she and the baby is fine.
Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 1:43pm On Jun 19, 2020
Ollyfad:

Thanks doctor. I stay in shomolu, can you recommend a specialist around?

I don't stay in Lagos, I only visit. But I would have suggested you go to LUTH or LASUTH but for the current covid-19 pandemic, we tend to reduce contact as much as possible, telemedicine is the way to go now unless in cases of emergency where someone must be attended to by a doctor.

You can send me a mail, I will advise you on what to do next (without charges anyway)
Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 1:43pm On Jun 19, 2020
nzeobi:

Thanks she delivered few days after and she and the baby is fine.

Congratulations bro
Re: Doctor In The House:Obstetrics And Gynecology by Ollyfad(f): 4:42pm On Jun 19, 2020
ChelseaDr:


I don't stay in Lagos, I only visit. But I would have suggested you go to LUTH or LASUTH but for the current covid-19 pandemic, we tend to reduce contact as much as possible, telemedicine is the way to go now unless in cases of emergency where someone must be attended to by a doctor.

You can send me a mail, I will advise you on what to do next (without charges anyway)
Thanks doc, just sent an emailing request now
Re: Doctor In The House:Obstetrics And Gynecology by olusun43(m): 5:12pm On Jun 19, 2020
Hello Doctors in this cubicle..
I really want to ask a question bordering me for so long..

Is it possible for a lady to be pregnant without being detected by X-ray?
Re: Doctor In The House:Obstetrics And Gynecology by losprince(m): 5:59pm On Jun 19, 2020
Ollyfad:

Thanks doc, just sent an emailing request now
Just wanted to wish you quick and stable recovery. Get well soon.
Re: Doctor In The House:Obstetrics And Gynecology by ChelseaDr(m): 7:29pm On Jun 19, 2020
Ollyfad:

Thanks doc, just sent an emailing request now
I've responded
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 8:51pm On Jun 19, 2020
olusun43:
Hello Doctors in this cubicle.. I really want to ask a question bordering me for so long..
Is it possible for a lady to be pregnant without being detected by X-ray?
How old is the pregnancy?
Re: Doctor In The House:Obstetrics And Gynecology by olusun43(m): 9:07pm On Jun 19, 2020
2Ballz:

How old is the pregnancy?
Up to three months..
Re: Doctor In The House:Obstetrics And Gynecology by Halcyon123(f): 9:10pm On Jun 19, 2020
Evening doctors, I had an ex-lap procedure like two weeks ago. I noticed that my left side just above the incision is hard and painful when I touch or something walk. Is it a cause for concern?
Re: Doctor In The House:Obstetrics And Gynecology by liverpudian9(m): 1:33pm On Jun 21, 2020
Good afternoon I and my wife has married for 2 and half months and we have been trying to conceive but we are yet to see a positive result, in the first month she had signs we she hadn't experienced before, she has a full breast, nimples were paining her and she was lactating, whenever it is touched or pressed but at the end of the she saw her period, however she used panadol extra, ibruprin and paracetamol, with cipro during this month, but after she stopped the medication, she stopped lactating, and she told me its being long she saw the transparent fluid dunring ovulation but she sees the other whitish one dunring ovulation, what could be the cause of delay sir. Thank you
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:51am On Jun 23, 2020
olusun43:

Up to three months..

Has she done TVS?
What about an abdominal ultrasound for "pregnancy of unknown location "?

Also, has she been monitoring her hCG concentration if it is going up or down though she is feeling pregnant?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:52am On Jun 23, 2020
Halcyon123:
Evening doctors, I had an ex-lap procedure like two weeks ago. I noticed that my left side just above the incision is hard and painful when I touch or something walk. Is it a cause for concern?
Can I know the reason you went for the exploratory Laparotomy ?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 5:16am On Jun 23, 2020
liverpudian9:
Good afternoon I and my wife has married for 2 and half months and we have been trying to conceive but we are yet to see a positive result, in the first month she had signs we she hadn't experienced before, she has a full breast, nimples were paining her and she was lactating, whenever it is touched or pressed but at the end of the she saw her period, however she used panadol extra, ibruprin and paracetamol, with cipro during this month, but after she stopped the medication, she stopped lactating, and she told me its being long she saw the transparent fluid dunring ovulation but she sees the other whitish one dunring ovulation, what could be the cause of delay sir. Thank you
If the following symptoms were true and recently, has she done any home pregnancy test to rule out or confirm pregnancy?

Lost of the prime fertile cervical mucus discharge is common indication of cycles passing with no preceding ovulation. However, this is not so in few women. This lost of fertile cervical mucus may cause inability for spermatozoons to swim through the cervix to the fallopian tube. Since she has a history of lactation without pregnancy (galactorrhea), this may serve as a disturbance to her fertility and in the obvious sense responsible for her irregular menstrual cycles.

Since it is barely 3 months of seeking pregnancy, we definitely would advice that you both be patient still till at least 2-3 months elapse before a proper diagnosis be done. During this period, as couples the need to use vitamins and supplements may be vital considering helping yourself to improving her ovarian follicle development and inducing a fertile cervical mucus discharge and improving your seminal fluid and spermatozoons qualities and quantities.

Since infertility could be two ways, and considering the less expense infertility could be as it relate to the male, doing your SFA down in preparation to when she will finally have an appointment with a gynaecologist is very important, this is to avoid doing too many things at a time and to save money for other expenses.

Kindly, write me privately should still want further supports.Charges following.
https:///2348176371308..
Re: Doctor In The House:Obstetrics And Gynecology by Halcyon123(f): 7:37am On Jun 23, 2020
Had a ruptured ectopic pregnancy.
2Ballz:

Can I know the reason you went for the exploratory Laparotomy ?
Re: Doctor In The House:Obstetrics And Gynecology by LoveofGod2much: 3:27pm On Jun 27, 2020
Good afternoon Dr, I just stumbled on this page from the pregnancy section.

Dr, please I need clarification on certain things. I just had a miscarriage yesterday being Friday. The scan was reading 6weeks but following the last period, it suppose to be 9weeks. It started with a mild spotting on Thursday evening. I don't know what happened. I have been exercising before I took in. I asked my Dr if it was OK to continue with the exercise and he said yes. So I reduced it to walking.

I used to walk around the compound, though on that Thursday, after the exercise, I washed and then cooked. When I went to ease my self, I noticed I was spotting and it was off and on. I called the Dr, and he said since it has reduced, we should watch it.

By Friday morning, that I was preparing to go the hospital, I now noticed full blown blood. By the time I got to the hospital and I did scan, the scan said no more heart beat. I was given some drugs to help push out any thing remaining.

Please am still confused. I have been thinking and asking if it was the exercise, or did I eat any thing, or was it stress. Please can you help and explain things to me as I have not seen my Gyne face to face. So as to avoid future occurrence.

Please how long does the blood flow and how long will it take before I start trying for another baby.

Sorry for the Long post. Thank you.
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 4:17pm On Jun 27, 2020
LoveofGod2much:
Good afternoon Dr, I just stumbled on this page from the pregnancy section.

Dr, please I need clarification on certain things. I just had a miscarriage yesterday being Friday. The scan was reading 6weeks but following the last period, it suppose to be 9weeks. It started with a mild spotting on Thursday evening. I don't know what happened. I have been exercising before I took in. I asked my Dr if it was OK to continue with the exercise and he said yes. So I reduced it to walking.

I used to walk around the compound, though on that Thursday, after the exercise, I washed and then cooked. When I went to ease my self, I noticed I was spotting and it was off and on. I called the Dr, and he said since it has reduced, we should watch it.

By Friday morning, that I was preparing to go the hospital, I now noticed full blown blood. By the time I got to the hospital and I did scan, the scan said no more heart beat. I was given some drugs to help push out any thing remaining.

Please am still confused. I have been thinking and asking if it was the exercise, or did I eat any thing, or was it stress. Please can you help and explain things to me as I have not seen my Gyne face to face. So as to avoid future occurrence.

Please how long does the blood flow and how long will it take before I start trying for another baby.

Sorry for the Long post. Thank you.

What if the pregnancy were just a Blighted ovum?
You wouldn't have done anything much than to watch the exit of the pregnancy before the 7th week. This is not your fault and neither the fault of your Gyn.

What if this pregnancy loss were avoidable?
It could only mean that something could have been done to avoid this or even sustained the pregnancy to later time of miscarriage or even to term.

What went wrong?
Some miscarriages do happen with no special explanation. The insight of learning signs leading to it is something every woman wanting pregnancy should learn. Bleeding is one of the core sign of it. A sight of it whether unexplained or causative should follow with caution to exercise or any active stress of any kind (psychogenic inclusive). This is not in anyway to say exercise during pregnancy is wrong but during bleeding, it should be stopped and take a usual rest to observe yourself.

Though the miscarriage could have happened from other factors altogether, stress could have played a greater role to make it happen.
Re: Doctor In The House:Obstetrics And Gynecology by LoveofGod2much: 5:18pm On Jun 27, 2020
2Ballz:


What if the pregnancy were just a Blighted ovum?
You wouldn't have done anything much than to watch the exit of the pregnancy before the 7th week. This is not your fault and neither the fault of your Gyn.

What if this pregnancy loss were avoidable?
It could only mean that something could have been done to avoid this or even sustained the pregnancy to later time of miscarriage or even to term.

What went wrong?
Some miscarriages do happen with no special explanation. The insight of learning signs leading to it is something every woman wanting pregnancy should learn. Bleeding is one of the core sign of it. A sight of it whether unexplained or causative should follow with caution to exercise or any active stress of any kind (psychogenic inclusive). This is not in anyway to say exercise during pregnancy is wrong but during bleeding, it should be stopped and take a usual rest to observe yourself.

Though the miscarriage could have happened from other factors altogether, stress could have played a greater role to make it happen.


Thank you Dr, I thought as much that stress might have a played a major role in it.

Thank you so much for replying. I appreciate.
Re: Doctor In The House:Obstetrics And Gynecology by luvlyADESUWA(f): 5:28pm On Jun 27, 2020
Good evening Doc and everyone in the house...
This is the best thread i have ever seen on NL.

I missed my period for many years and last years and i did so many scan and i visited many Gyneacologists and my period still dnt come.

To cut the story short, December last year, i visited a traditional mid wife and she massaged my abdomen and also gave me herbal medicine which i was drinking every morning, January this year, my menstruation came back, i was very happy.
By February, it dnt come, but i kept drinking the herbal medicine, on the ist of March, my period came again and since then, it has stopped again.

The Gynaecologist advice me against the traditional treatment and advised me to be patience.

Sincerely speaking, i am running out of patience again, April, May, and June now, no period.
Please what should i do?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:18pm On Jun 27, 2020
luvlyADESUWA:
Good evening Doc and everyone in the house...
This is the best thread i have ever seen on NL.

I missed my period for many years and last years and i did so many scan and i visited many Gyneacologists and my period still dnt come.

To cut the story short, December last year, i visited a traditional mid wife and she massaged my abdomen and also gave me herbal medicine which i was drinking every morning, January this year, my menstruation came back, i was very happy.
By February, it dnt come, but i kept drinking the herbal medicine, on the ist of March, my period came again and since then, it has stopped again.

The Gynaecologist advice me against the traditional treatment and advised me to be patience.

Sincerely speaking, i am running out of patience again, April, May, and June now, no period.
Please what should i do?
Do you mind talking this out privately with me on my service line, though charges may apply?
Re: Doctor In The House:Obstetrics And Gynecology by 2Ballz(m): 6:19pm On Jun 27, 2020
LoveofGod2much:


Thank you Dr, I thought as much that stress might have a played a major role in it.

Thank you so much for replying. I appreciate.
You are welcome madam.
Re: Doctor In The House:Obstetrics And Gynecology by Detumi: 8:49am On Jun 28, 2020
Good morning doctor,

We have been trying to conceive for 10 months now, we have done HSG, Hormonal profile and SFA. The HSG and Hormonal profile came out okay. However, my hubby's progressive sperm motility is 35 percent with a count of 87million and normal form of 60 percent.

My question therefore is that is it possible to conceive with a sperm motility of 35 percent?My gynae gave my husband a drug called hyponidd, does hyponidd improve sperm quality in any way?

Is there any other thing you suggest we should do?

Thank you for your time doc.

God bless you.
Re: Doctor In The House:Obstetrics And Gynecology by iwinnie(f): 11:24am On Jun 28, 2020
happy Sunday to everyone in the house...

I just stumbled on this page today.

I went for antenatal yesterday and doctor says I'll likely fall into labor this week(Edd is July 4th, 7th)
but if I don't I should come back 2 the hospital on Saturday..

but since yesterday my pelvic bones towards my vjaay aches a lot when I try to stand up and I can barely walk properly..
is this something to worry about?
please help a first time mom

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