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Doctor In The House:Obstetrics And Gynecology - Health (54) - Nairaland

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Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 4:36am On Jan 26, 2010
@cocolo
duphaston is synthetic progesterone. I would refrain from "cleaning" the vagina. I think you need a good gyn for a proper exam
Re: Doctor In The House:Obstetrics And Gynecology by peacettw: 5:38am On Jan 26, 2010
Hello kay. Really want to commend u for starting up this thread as this will help considerably in abating the public from soliciting quack doctors and most importantly, traditionalists that only aid in increasing d morbidity n sadly mortality rates as well. I am a doctor as well, but had just graduated and so still a baby. I ve a question though related to ur field of study. I had had breast lumpectomy a few years ago as a student. I am married now with 2 kids n cant seem to make up my mind on the contraceptive to use. I avoid hormonal contraceptives since they predispose to breast ca. Am afraid of IUCD cos my mom took in wit my jnr sis even wit it insitu n i am sacred it might happen to me, since we re genetically related. Condom is a no no since, well, let's face it, i am simply dead to all feelings during sex n finally safe periods etc stuff cannot b used cos i ve d worst irregular period in Hx. Pls help me.
Re: Doctor In The House:Obstetrics And Gynecology by Zimex: 9:30am On Jan 26, 2010
Zimex:

Dr.

I stopped breastfeeding my child when she was 6.5months old (about 10months ago) but when i press my ni.pples, milk still comes out. Is it normal?

Thanks.
kathyekiti:


@zimex
Do you get monthly periods? I would suggest you stop pressing your unmentionables as well


Yes i get my monthly period and it is regular. i would stop pressing as suggested. Thanks
Re: Doctor In The House:Obstetrics And Gynecology by VENUSS(f): 10:02am On Jan 26, 2010
[/quote]  YES. JUST finished a three month dose of eltroxin wen i had the labs.[quote author=kathyekiti link=topic=104493.msg5387202#msg5387202 date=1264476841]
@venuss
I would see an internist for the headache but your fsh is really high. Were you on any meds at the time of the labs?

Re: Doctor In The House:Obstetrics And Gynecology by Temimine(f): 11:28am On Jan 26, 2010
Thanks 4 reply. Yes, Pls help suggest d best way out. God help us.
Re: Doctor In The House:Obstetrics And Gynecology by peacettw: 1:56pm On Jan 26, 2010
Hello doctor, been waiting 4 ur ans to my problems. Saw ur rules and so will not wnt to disturb u like u requested. However, if u re too busy or don't tnk my question is worth ur trouble, then i understand
Re: Doctor In The House:Obstetrics And Gynecology by stages: 10:40am On Jan 27, 2010
Hi Doc
i am now 12 weeks pregnant and still on progesterone
my doctor placed me on Utrogestan at 5weeks coz i was
spotting and since i had a previous miscarraige.
My question is, for how long should i continue taking this drug
and would there be any danger of miscarriage if i stop it?
Re: Doctor In The House:Obstetrics And Gynecology by AppleofGod(f): 6:52pm On Jan 27, 2010
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Thank and God bless.
Re: Doctor In The House:Obstetrics And Gynecology by meta4(m): 11:43am On Jan 28, 2010
hi dr. kathyl,
my wife is 21 weeks pregnant now, we've been able to confirm we're having a boy. we are so excited, our baby weighs 501gramms, is that not too large for that period? if it is what do we do to maintain good weight.
she complains of side pains at times along the rib area,left side mostly, is that normal?
i also discovered that ever since my wife took in i've been having cough, i've gone to the hospital,taken drugs but its still there, no pains in the throat or chest, no headaches, someone says at times husbands suffer a form of discomfort,so to say with their wives,until delivery, though my wife doesn't cough, vomits or so, she only suffered nausea.
please what is your take on this?
thanks.
Re: Doctor In The House:Obstetrics And Gynecology by maxoria: 6:08am On Jan 29, 2010
Thank you doctor for ur selfless effort. Well my question goes like this. If one urinate always, like every 20- 30 minutes. Is there a problem behind this? I'm scared and don't know wat to do about it. Also i have dis swollen neck which is also called goiter, i went to d hospital and they prescribed drugs for me and ever since i started taking the drugs, i thing is reducing. I hope it won't be a threat later to my system I need urgent answer,
Re: Doctor In The House:Obstetrics And Gynecology by go4gold107(m): 11:52am On Jan 29, 2010
Dr Kathy,

I know you are very fine. I always thank God for you here.

Our miracle (the duodenal stenoisis caused by annular pancrease that has been corrected surgically) baby will be 10 months next week. I must admit to you, she is a blessing in our lives and the strongest and best baby I have ever seen in my life. People are so proud and happy with her. She is so strong and can u believe she is walking very well at 9 months+. Though she is yet to develop teeth (I hope this is normal) she is very active and always happy.

I will want to find out the minimum amount of time we should give before going for another baby. Will spacing the babies 2 years apart too short since my wife underwent a CS for the first baby?

Please confirm and assist.

God's abundant blessings will never depart you.

Cheers!
Re: Doctor In The House:Obstetrics And Gynecology by Evangelin: 2:49pm On Jan 29, 2010
Good day doc Katty, i want to appreciate you for all you have been doing for us in this forum. May the good Lord bless and enrich you in your endeavours.

Doc, i went to pelvic scan and my result reads that i have:-

PID and myomas measuring 12mm in size with a bulky uterus.

Please doc what does this mean and will it stop me from getting pregnant.

Also, i want to know if the size of the fibroid, 12 mm will effect pregnancy?

Thank you


Evy
Re: Doctor In The House:Obstetrics And Gynecology by uteh: 3:08pm On Jan 29, 2010
Dear Doc Kathy, Happy New Year

Sometime last year I wrote to say I have fibroid, was pregnant and still seeing menses.  Well when it continued I when for proper medical examination somewherelse.  The result showed that I was not pregnant, rather it was the fibroid that was making have the symptoms of pregnancy.

I have since been seeing a good gyn.  He asked my husband to do some test and I to do another scan and then HSG.  My husband's result showed low sperm count of about 24% so he placed him on some drugs.  Then for me he said the location and the size of the fibroid shouldnt prevent me from conceiving,  the HSG result was okay, showed that there was no blockage and the fibroid is not located to close to the fallopian tubes.  

Presently am on my period, he wanted to give me Clomid to enhance my ovulation, but I reminded him that I had fibroid and Clomid makes fibroid grow faster (got that info from medical websites) he agreed. There is a fertility drug am taking which I think is good (Fertility Blend) cos I have noticed increased mucos during my ovulation.  I also bought ovulation kit (the doc explained how and when to use it), am on Prenatal vitamins (Pregnacare).  My husband's recent test also show improvement of 54%. With all these am still not pregnant.

My question is, is there any other test you can suggest, so that we'll know why I cant still conceive.  Thank you.
Re: Doctor In The House:Obstetrics And Gynecology by torrents(f): 5:57pm On Jan 29, 2010
i'm happy i can atleast find out what the problem is.

since i got married(2months ago) i have not for once seen the real sign of ovulation(i.e slimy cervical mucus )
in place of it, i discovered a substance that looks like soaked oat.dont really know how to describe it.
what do ypu think is the problem?
Re: Doctor In The House:Obstetrics And Gynecology by corrall(f): 4:48am On Jan 30, 2010
Hello Dr. Kathy, Its really wonderful discovering this thread and what you are doing for people. May God Bless you. Anyways pls i have a little issue.

I recently noticed that i was lactating during my last ovulation, very little though, on my right breast. Please i want to know if that is normal, as i am not pregnant, and i havent done any D&C, in fact i have never done any D&C before in my life.

I just got a bit worried, please what do you think? is it normal? Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 2:44pm On Jan 31, 2010
hello kathy

I had a fibroadenoma removed from my right bust when i was about about 14 or so. Shortly after that the right side has been significantly smaller.
What i am curious about if fibroadenoma are linked with cancer and if contraceptives can cause them to reoccur
Re: Doctor In The House:Obstetrics And Gynecology by Aladunni(f): 9:14am On Feb 01, 2010
embarassed
Re: Doctor In The House:Obstetrics And Gynecology by susanamand(f): 2:07pm On Feb 01, 2010
Hi Doc,



Please my dad had partial stoke on thee 26th December 2009,

He was taken to the hos[ital where he was given some drugs and ask to come for the next visitation on the 25th of march 2010, but the issue here is he has finished using those drugs, but he still feel pain on his left hand and his mouth always looked twisted each time he talk.


Please kind help on what to do and also pls prescribe the kind of food he should be eating.
Re: Doctor In The House:Obstetrics And Gynecology by oluwawunmi(f): 4:53pm On Feb 01, 2010
Hello Doctor,

please kinldy help me this is Feb as av decide to try again to concive after my ECTOPIC PREG SURGRIES pls is there any drug i can take to help me am in need of it.
Re: Doctor In The House:Obstetrics And Gynecology by prommy(f): 8:10pm On Feb 02, 2010
i have been trying to get pregnant now for close to 2 yrs without success though i have 3 kids.my main problem is that i do have steady 32 days circle i dont know if am correct with the 16 days for ovulation again towards the time of my ovulation i do feel great pain by the sides of my lower abdomen so much that i feel uncomfortable making love is this really normal.Doc pls tell me the exact day of my oulation and what i shd do about the pains.
Re: Doctor In The House:Obstetrics And Gynecology by benalways(m): 5:52pm On Feb 04, 2010
@Kathy,

My wife had 2 miscarriage in in abt 9months. The last case was closely monitored yet it happened. All her test seemed okay e.g shes AA, Rh +ve, HIV -ne, free from infection yet went ahead to have mc after 10weeks. She noticed brown spotting for few days and the doctor said it was normal and asked her to rest alot. She was also placed on pregncare, folic acid but yet, Doc said we should nt try until after the next menses after which she will be givn progesterone. Can you comment or advice other suggestns or if the baby aspirin should also be included.
Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:23am On Feb 05, 2010
@zimex
Good. Let me know how it goes. P.s. I never said unmentionables

@venuss
That shouldn't affect your fsh. I would suggest another fsh on day 3 of your cycle.
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:31am On Feb 05, 2010
@temimine
It seems like the tubes didn't allow free flow of the contrast into the peritoneum. This could mean there is obstruction or more likely spasm from the injection of the dye. As for the cyst, were you on any medication to try to get pregnant? Sometimes, these medications can cause cysts

@peacettw
Thanks for the kudos. As for your question on IUCD, sounds like your mother had an IUD. IUCD contain progesterone derivatives and are more effective in preventing pregnancy than certain kinds of tubal ligation. They also have the added benefit of being completely reversible and won't affect your bosom.
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:35am On Feb 05, 2010
@stages
I keep my patients on progesterone until at least 12 weeks. After this time, the placenta takes over the job of producing progesterone. On patients with history of preterm labor and delivery, the supplementation is continued until 34 weeks

@ meta4
congrats then breathe. Sounds like a good sized baby. As for your cough, it is unrelated to her pregnancy. Aches and pains are common during pregnancy. If she had bleeding or contractions, she should see her ob
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:43am On Feb 05, 2010
@maxoria
Frequent urination could be a sign of an infection or early sign of diabetes. I suggest you get your urine checked. What medication were you given for the goiter?

@go4gold
So happy to hear this! I need an updated pic. As for two year spacing, sounds great to me. The teeth thing is child dependent. Be patientsmiley
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:45am On Feb 05, 2010
@evangelin
I don't know how else to say this but PID can NOT be diagnosed on an ultrasound. A 12 mm fibroid will not affect your fertility

@uteh
I am happy that you are going this route. I would suggest a day 3 FSH just to check the ovaries. Good luck my friend
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:47am On Feb 05, 2010
@torrents
Are you itchy in your privates?

@corrall
Welcome. Does the discharge come when you press the nipple? Do you have regular periods?
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:53am On Feb 05, 2010
@salsera
OCPs can cause recurrence of fibroadenoma. The risk of breast cancer is increased for any patient who has had a breast biopsy. It might just be that people with benign breast disease have more biopsies which aids in the detection of breast cancer rather than there being a real increased risk of breast cancer with benign disease.

@aladunni
Hydrosalpinx means there is water in the tubes. Any inflammation in the pelvis can cause this. It can be on either side or on both depending on the initial cause
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 5:56am On Feb 05, 2010
@susanamand
So sorry to hear this. I am an ob/gyn but I would suggest that your father get rehabilitation therapy. The food and medications depend on what cause the stroke and is better discussed with his physician

@oluwawunmi
I would suggest seeing a fertility specialist in light of your history. Also take your prenatal vitamins
Re: Doctor In The House:Obstetrics And Gynecology by kathyekiti: 6:01am On Feb 05, 2010
@prommy
Ovulation is 14 days before your menses. I would suggest getting an ovulation kit to help you figure out your fertile days

@benalways
I agree with your doctor in checking and supplementing the progesterone level. I would also suggest a thyroid evaluation. If this happens again, she will need a thrombophilia workup. Thrombophilia is the name given to a group of disorders which can cause miscarriages by causing blood clots. This is the reason for the baby aspirin. I would only recommend it if a disorder is detected.
Re: Doctor In The House:Obstetrics And Gynecology by benalways(m): 10:32am On Feb 05, 2010
@Kathy,
Thanks for your prompt response. Can you throw more light on the objective of the thyroid evaluatn and possible treatment?
Rgds

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