Marc9:


I'm sorry for the delay in reply, it was due to technical issue.

A matured follicle stops increasing in size after growing to 27mm, or in some cases like yours, 30mm. That explains why at cd15, it maintained the same size as that of cd14. The follicle should rupture anytime from cd16.

You should have begun having intercourse with your partner from cd14 till cd18. If you've not, then you should begin immediately.

Thank You My Amiable Doctor.You Have Realy Ease My Tension. God Wil Continue To Give You More Wisdom.
Actually I Have Been Having S.I Since Cd 13 That I Started D Scan. I Am Stil Going For Cd 16 Scan Today I Wil Update You When Am Back.
Thanks For Helping Out.
Have A Nice Day Sir

everfaithfulGod:
Thank You My Amiable Doctor.You Have Realy Ease My Tension. God Wil Continue To Give You More Wisdom.
Actually I Have Been Having S.I Since Cd 13 That I Started D Scan. I Am Stil Going For Cd 16 Scan Today I Wil Update You When Am Back.
Thanks For Helping Out.
Have A Nice Day Sir

Tell your physician about hCG trigger, in case the follicle fails to rupture naturally.

I wish you a good experince and a successful TTC.

Have a nice day.

Marc9:


Tell your physician about hCG trigger, in case the follicle fails to rupture naturally.

I wish you a good experince and a successful TTC.

Have a nice day.

thank you doctor.
Today's scan read 31mm. And when I got to my doctor he said I will still need to do scan tomorow that it is likely to rupture tomorw.I ask him abt hcg trigger he said I shud still go tomorow and come back with the result for him to know nxt line of action.

My fear is that considering all I have read online I don't c anyone having d kind of follicle size I had. Could it be a cysts?

Is there any drug I can use to assist in ovulating tomorow? Kindly help out

everfaithfulGod:
thank you doctor.
Today's scan read 31mm. And when I got to my doctor he said I will still need to do scan tomorow that it is likely to rupture tomorw.I ask him abt hcg trigger he said I shud still go tomorow and come back with the result for him to know nxt line of action.

My fear is that considering all I have read online I don't c anyone having d kind of follicle size I had. Could it be a cysts?

Is there any drug I can use to assist in ovulating tomorow? Kindly help out

A matured follicle has a size within the range of 17mm to 27mm. But in a case where it keeps growing above 30mm, it's taking another dimension. It's likely becoming a cyst.

Depending on the cycle length, every matured follicle(17mm-27mm) is expected to rupture at its midcycle(cd14 for a 28days mc). I don't know your mc, but that follicle ought to have ruptured naturally on cd14, or induced to rupture with a more effective ovulation stimulator like the hCG trigger.

You know what? Let's wait till tomorrow and see if the follicle would rupture.

Marc9:


A matured follicle has a size within the range of 17mm to 27mm. But in a case where it keeps growing above 30mm, it's taking another dimension. It's likely becoming a cyst.

Depending on the cycle length, every matured follicle(17mm-27mm) is expected to rupture at its midcycle(cd14 for a 28days mc). I don't know your mc, but that follicle ought to have ruptured naturally on cd14, or induced to rupture with a more effective ovulation stimulator like the hCG trigger.

You know what? Let's wait till tomorrow and see if the follicle would rupture.

alright sir. I will keep you updated. Actually I have a 30 days circle but last cycle was 32. I don't knw y it was so..
I think I am suppose to ovulate today (cd16) . The problem is that I don't know if I ovulate. I don't see any sign.
Anyway, I will update you tomorrow. Thanks for being kind

doctors in the house, what are the drugs for pile treatment ?

candidbabe:
doctors in the house, what are the drugs for pile treatment ?

Haemorrhoid results when one's diet is low in fibre, and low hydration. The treatment depends on severity, ranging from non-steroidal anti-inflammatory drug, rectal suppository(used for internal haemorrhoid), rectal cream(used for external haemorrhoid), surgery(indicated in varicose and thromborectal vein).

You can start by eating loads of vegetables and fruits which contain high fibre and water content. Avoid habitual delay in defaecating.

You can go to a nearby pharmacy and ask the pharmacist for Anusol-HC(suppository and cream). If you have a bulged dentate(external haemo..), apply the cream twice daily. If the haemorrhoid is inside the rectum(internal haemo..), apply the suppository twice daily as well.

Better still, you can see a doctor in person for rectal examination, if the haemorrhoid(pile) is chronic.

marc9 thanks so much.
may God bless you.

Hello Doctor,

I have an history of high prolactin,but however I have being taking some medications and it seems to have improved.But the issue is that I got a positive ovulation test result for 7th & 8th of this month but with no signs of ovulation and no stretchy cervical mucus.Is it possible that is a false positive.

i would appreciate your response.

Mumsyfiyin:
Hello Doctor,

I have an history of high prolactin,but however I have being taking some medications and it seems to have improved.But the issue is that I got a positive ovulation test result for 7th & 8th of this month but with no signs of ovulation and no stretchy cervical mucus.Is it possible that is a false positive.

i would appreciate your response.

Well, the reason why you didn't notice any stretchy mucus is because you actually didn't ovulate(low LH surge). Your estrogen level was low as well, and that explains why you didn't notice any cervical mucus.

Conclusion: You didn't ovulate

mum :
Marc pls I did a recent scan and result shows a bulky and non gravid uterus in an anterverted position with heterogeneous myometrial echotexture due to multiple fibroid masses measuring 1:74mm x 52mm is pedunculated
2:64mm x 50mm in anterior lower uterine
3-5: 53mm x 38mm,18mm x 30mm,and 31mm x 42mm in posterior region.
Endometrium is distorted in outline, Adnexae nothing remarkable, Cul-de-sac free. Impression : multiple uterine fibroids.
Pls can u explain wat dis means? Since I'm ttc what do u advise? Can I get pregnant and carry to term with it or I should go for a surgery?

The size of the fibroids is quite large, but the location doesn't seem like it would affect conception. Submucosal and intramural fibroids tend to affect the chances of conceiving because the give the endometrium a distorted outline and disrupt implantation

You can opt for myomectomy in removing the multiple fibroids, though their position do not necessarily impede TTC.

Some medications like oral contraceptives can actually shrink the size of fibroids, since these benign growths are estrogen and progesterone dependent.

Marc9:


The size of the fibroids is quite large, but the location doesn't seem like it would affect conception. Submucosal and intramural fibroids tends to affect the chances of conceiving because the give the endometrium a distorted outline and disrupt implantation

You can opt for myomectomy in removing the multiple fibroids, though their position do not necessarily impede TTC.

Some medications like oral contraceptives can actually shrink the size of fibroids, since these benign growths are estrogen and progesterone dependent.

thanks so much marc9 for ur quick response may God continually bless u! Pls I will like to know if I concieve wit d fibroids if I can carry to term.

mumjk:
thanks so much marc9 for ur quick response may God continually bless u! Pls I will like to know if I concieve wit d fibroids if I can carry to term.

Yes you can. Most fibroids do not disrupt pregnancy. In fact, fibroids might actually shrink during pregnancy, since pregnancy also relies on rich supply of progesterone and estrogen for sustenance, depriving the fibroids of these hormones.

Your concern now should be how to conceive.

Marc9:


Yes you can. Most fibroids do not disrupt pregnancy. In fact, fibroids might actually shrink during pregnancy, since pregnancy also relies on rich supply of progesterone and estrogen for sustenance, depriving the fibroids of these hormones.

Your concern now should be how to conceive.

thanks so much Doc you've been of great help, God bless u

mumjk:
thanks so much Doc you've been of great help, God bless u

God bless you too!

NQ:
@marc9, my baby is 7 weeks old but I'm always scared anytime I want to b.reastfeed her. I've been having sore and painful n.ipples since her first week. I'm tired of going through this pain several times everyday. What can I do/use to stop this pain?

She latches on well.

The pain in the n*pples, with the sore, is due to mastitis, an inflammation of the bre*st, particularly the n*pples and d the areola. An increase growth in Staph aureus in bre*st-skin most often leads to such pain and sore. Also, hyperprolactinaemia(high prolactin in the blood) can also result in painful n*pples.

The less painful n*pple should be used in bre*stfeeding for a day or more, to give room for the other to heal up. Then you can interchange to also give room for the other to heal. You can take anti-inflammatory drug to relieve the pain, and also dab the n*pple/areola with warm water.

PostNatal Vaccines

.

mum2bsoon:
♡̷̴̬̩̃̊‎​‎​‎​Ђ‎​ΞLLδ♡̷̴̬̩̃̊‎​ doc, gud morning. Will lk 2 knw wat ¶ can do 2 improve my health, late 2012 ¶ started takin steroid (dex) 2 add weight till jan 2013, wtin ds period ¶ had 2 miscarriages n since dn ¶ av bn ttc. ¶ noticed dt dre was a change in my period, my regular 25days cycleranged 4rm 24 - 27 days n it also clot. Nt knwin dt d steriod was d cause, ¶ started takin it again (aug 2013 -feb 2014) cos av lost d weight gaind, ¶ started avin severe back n chest pain. My gyn advised ¶ did HVS n it showed moderate growth of klebsiella. ¶ told d doc d drug av bn takin n ¶ was askd 2 stop. ¶ took ofloxacin 4 d infectn n wen ¶ went back 4 a retest, it was a mixd growth of kleb n staph. Bn treatin ds since. Nw ma questn, since av stopped takin d drug, will my body go back 2 its normal self cos ¶ hardly fall sick b4 d administratn of d drug bt nw its either am treatin typhoid or malaria. Wat do ¶ do 2 get ds drug completely out of my sys. ¶ didn't knw it was a steroid b4 taking it, a pharmacist recommended it 2 hubby 2 improve my appetite cos ¶ hardly eat dn. ¶ still av infectn bt period is nw regular tho watery n dark. Wat do u tink ¶ can do sir? Tank u. Am in my early 30s n really want 2 get preg.

If only you knew earlier the great adverse effects of dexamethasone, I'm sure you would have tried other means of gaining weight. Dexamethasone is primarily indicated in the Tx of allergies and inflammation. But most people, particularly people who are keen on gaining weight, use it off-label.

The drug is 100% responsible for both miscarriages. One of its adverse effects on ladies is menstrual irregularities. The drug can also predispose ladies to endometriosis.

Your gynae didn't quiz you enough, and he probably didn't understand what was going on. The HVS you ran showed klebsiella spp because it's one of the genital florae in women, and you likely had increased growth of kleb due to the immune-suppressing effect of the dexamethasone. The ofloxacin did more harm than good. The antibiotic only succeeded in inhibiting Lactobacilli spps that regulate the growth of opportunistic genital florae like Staph, Candida, gardnerella, pepstreptococci, E.coli and others.

In summary, the pill suppressed your immune system. That explains why you've been having recurrent typhoid fever, malaria fever, chest congestion, and irregular menstruation. The ofloxacin also compounded to the problem because the antibiotic took a toll on lactobacilli spp, giving Staph the chance to grow.

Send a PM, I'll recommend some tests you'll run, to ascertain the state of the damage the dexamethasone might have done.

Good morning!

Good morning Doc, i have been noticing things like boils that comes and goes in my ppart. Is it a kind of infection? And if it is, what can i do to make it go away.

Francesxavier:
Good morning Doc, i have been noticing things like boils that comes and goes in my ppart. Is it a kind of infection? And if it is, what can i do to make it go away.

Good morning Fxavier.

Well, recurrent furuncles(boil) around the genital is likely as a result of Staph aureus. You're likely having moderate to heavy growth of skin florae. Perhaps your immune is suppressed, or you actually sustained tiny bruises when you shaved your pub*c area with sharp shaving blades. The bruises could have been exposed to infection.

You have to treat the infection. Well, I mind how I rx drugs online. So I'll have to ask you to send me a PM.

Good morning doctor,i must commend the good job you are doing here,may God bless you.
Sir,am 7wks pregnant, I went to the hospital today for the 1st time and I was given 1)calcuim 2) folic 3)femons.though am not sure of the 3rd one since the writing is not that clear.a nurse advice be earlier to tak only pregnacare that it contains all the necessary vitamins I will need.am confuse as to which one to get.
Secondly, I ordinarily weight 54kg but 2day I was weighting 60.5.the increase in weight is much for me pls I need advice on how to put it under check.
Thirdly, for the past few days the only thing I have been eating is eba n okro soup or yam porridge n it has to have plenty pepper or I won't be able to it.that the only two food that my system has allowed passage for.my question is that hope the intake of pepper won't have any effect on the pregnancy?
Thank you.

missmalachi:
Good morning doctor,i must commend the good job you are doing here,may God bless you.
Sir,am 7wks pregnant, I went to the hospital today for the 1st time and I was given 1)calcuim 2) folic 3)femons.though am not sure of the 3rd one since the writing is not that clear.a nurse advice be earlier to tak only pregnacare that it contains all the necessary vitamins I will need.am confuse as to which one to get.
Secondly, I ordinarily weigh 54kg but 2day I was weighting 60.5.the increase in weight is much for me pls I need advice on how to put it under check.
Thirdly, for the past few days the only thing I have been eating is eba n okro soup or yam porridge n it has to have plenty pepper or I won't be able to it.that the only two food that my system has allowed passage for.my question is that hope the intake of pepper won't have any effect on the pregnancy?
Thank you.

Well, the pregnacare contains most nutrients required to sustain healthy pregnancy. So it's ok to get the pregnacare.

Secondly, most ladies tend to add up weight during pregnancy due to hormonal surge, and voracious appetite. For you to maintain your weight, you have to eat more of vegetables and fruits, then get yourself involved in regular light exercise every morning.

About your irritation, well in pregnancy, ladies tend to get easily irritated due to changes in hormonal level. The pepper in peppery food has a way of inhibiting the release of histamine. You can eat peppery food, it doesn't disturb or threaten the pregnancy, though too much could upset your bowel. But as long as you eat loads of vegetables and fruits, you'll be just fine!

Marc9:


Well, the pregnacare contains most nutrients required to sustain healthy pregnancy. So it's ok to get the pregnacare.

Secondly, most ladies tend to add up weight during pregnancy due to hormonal surge, and voracious appetite. For you to maintain your weight, you have to eat more of vegetables and fruits, then get yourself involved in regular light exercise every morning.

About your irritation, well in pregnancy, ladies tend to get easily irritated due to changes in hormonal level. The pepper in peppery food has a way of inhibiting the release of histamine. You can eat peppery food, it doesn't disturb or threaten the pregnancy, though too much could cause haemorrhoid. But as long as you eat loads of vegetables and fruits, you'll be just fine!

Thank you so much doctor,am most grateful.

D

Goddys:
Please,I need assistance frm doc online.How do I get a Medical report from a government hospital (puporting that I was admitted in the hospital on a particular day) to settle an academic problem I have in school.Please I need ur replies

Lol! U be confirm ogbologbo!

Why not just jump off a building, so you can get a justified medical report from a doc in a govt hospital, after they must have admitted you?

On a seriously note, that's not right you know?!

hello doc..pls about two weeks ago I fell and injured my jaw and lips..I went to the hospital and was given some drugs and as am talking to u now d wound in my lips is almost healed...but right now I feel pain in my lower gum,also when I try to use d teeth in the corner of my mouth to cut sometin I always feel pain......sometimes I feel numb on d part of my lips and my lower jaw still hurt wen I tourh BT d pain has decreased over time....am scared of dental complications..what do I do pls?..thanks

Justbright:
hello doc..pls about two weeks ago I fell and injured my jaw and lips..I went to the hospital and was given some drugs and as am talking to u now d wound in my lips is almost healed...but right now I feel pain in my lower gum,also when I try to use d teeth in the corner of my mouth to cut sometin I always feel pain......sometimes I feel numb on d part of my lips and my lower jaw still hurt wen I tourh BT d pain has decreased over time....am scared of dental complications..what do I do pls?..thanks

Why not go see a dentist so an XR can be done to check if your jaw isn't fractured?! Such recurrent pain could only indicate a Fx in the jaw, with inflammed gingiva.

Good morning!