Gud day Doc, please what are the causes of irregular menstruation??

Can I please get a reply.. Can I please get a reply..

adelurv:
Gud day Doc, please what are the causes of irregular menstruation??

It depends. Define what you mean by irregular; in other words, give me a brief synopsis of your menstrual cycle.

And how old are you?

Seunpaul01:


Pls, i need ur advice. Recently, wen i defecated, i had a strong stool. After some minutes, i felt part of my anus showing. Just like a boil, small n painfull. I dont know wat to do, am confused.

Hemorrhoids likely. Need to pain a visit to a surgeon; a general surgeon or colorectal surgeon.

Xiadnat:


It depends. Define what you mean by irregular; in other words, give me a brief synopsis of your menstrual cycle.

And how old are you?

I am 25y/o. I mean my menstrual cycle is no longer frequent.. It skips for 1 or even two months..I went to see a doctor. And he prescribed gynecosid..dat was january. And until now I've not seen my period.

adelurv:

I am 25y/o. I mean my menstrual cycle is no longer frequent.. It skips for 1 or even two months..I went to see a doctor. And he prescribed gynecosid..dat was january. And until now I've not seen my period.

First, get a pregnancy test and confirm non pregnant state. Assuming, not pregnancy, then:

You have secondary amenorrhea then. There are many causes that you need to rule out. Get a TSH and prolactin levels at some point to rule out thyroid problems and high prolactin.

But, let's say it's purely hormonal imbalance.

gynecosid is an estrogen. Are you still taking this taking this drug?

You need a proper balance of estrogen and progestrone to get back to your normal bleeding.

You are getting constant estrogen without bleeding, you may be progestrone deficient. Go to your doctor and ask for a medroxyprogestrone. You should get a withdrawal bleed within 7 days, if you don't, then seek for a combination of estrogen/progestrone contraceptive.

Xiadnat:


Hemorrhoids likely. Need to pain a visit to a surgeon; a general surgeon or colorectal surgeon.

Thanks. Please, give me names of medicine that i can take to avoid constipation.

Xiadnat:



First, get a pregnancy test and confirm non pregnant state. Assuming, not pregnancy, then:

You have secondary amenorrhea then. There are many causes that you need to rule out. Get a TSH and prolactin levels at some point to rule out thyroid problems and high prolactin.

But, let's say it's purely hormonal imbalance.

gynecosid is an estrogen. Are you still taking this taking this drug?

You need a proper balance of estrogen and progestrone to get back to your normal bleeding.

You are getting constant estrogen without bleeding, you may be progestrone deficient. Go to your doctor and ask for a medroxyprogestrone. You should get a withdrawal bleed within 7 days, if you don't, then seek for a combination of estrogen/progestrone contraceptive.

. I only took a dose of gynecosid..and six days later i had my normal menstrual cycle. And I'm very sure am not pregnant

Xiadnat:


Hemorrhoids likely. Need to pain a visit to a surgeon; a general surgeon or colorectal surgeon.

Let me tell u the truth of the matter: u are always quick refering us to surgeons; those surgeons are nt dt available in Nigeria. I visited an ENT surgeon twice and paid 2000 naira for each consultation in a useless government hospital. He is yet to commence any treatment; just tests upon tests. Besides, medical students are those attending to me as those consultants are as elusive as smoke. They wud say self medication is dangerous, bt they make health delivery beyond the reach of a common man.

StealthIdeals:
Let me tell u the truth of the matter: u are always quick refering us to surgeons; those surgeons are nt dt available in Nigeria. I visited an ENT surgeon twice and paid 2000 naira for each consultation in a useless government hospital. He is yet to commence any treatment; just tests upon tests. Besides, medical students are those attending to me as those consultants are as elusive as smoke. They wud say self medication is dangerous, bt they make health delivery beyond the reach of a common man.

I understand. It is frustrating. Surgery is the definitive treatment. In the mean time, control constipation with colace or docusate or fiber enriched meals and lots of water. Can try sitz bath for anal pain.

Seunpaul01:


Thanks. Please, give me names of medicine that i can take to avoid constipation.

colace, docusate, mineral oil enema or just enhance your dietary fiber and drink plenty water.

Good luck.

Xiadnat:


I understand. It is frustrating. Surgery is the definitive treatment. In the mean time, control constipation with colace or docusate or fiber enriched meals and lots of water. Can try sitz bath for anal pain.

Thanks, doc.

Xiadnat:


Is she at least menstruating? Does she have full axillary and pubic hair development?

By 16y/o she should have full sexual development of full adult breas*t development, pubic hair and menstruation.

I guess it depends on what stage she is in breas*t development. Perhaps she has isolated delayed breas*t development.

IF she is not menstruating by now, I would consider taking her to an endocrinologist to investigate for cause of delayed puberty and/or breas*t development and possible hormonal disruptions.

Best.

Thanks for d response. She's not menstruating. she has pubic hair but not dt much.

gud evenning doctor, my roommate have not mensurate since last month, according to her she went for general tests with her fiancee before coming to school on 13th January, and the doctor found out that she has infection, he gave her a drug, an insertion drug, I think it is Gynecosid, cos I kept the pack but later dispose it and the doctor also gave her fiancee his. the first night she inserted it, she started mensurating the next day, so she stopped until after her menses, she continued with the insertion drug. but February she didn't see her menses, she traveled to see her fiancee, around 21 February they had unprotected sex all weekend, then she took Ep Forte on Monday when she came back to school. she is so worried because she has not seen her menses after the January own. she did a pregnancy test, it was negative, Pls ur advice would be needed, she is planning to take anoda Gynecosid drug.

Pls she is reading this and was the one giving me details. thanks so much. Pls advice. she has irregular menses before now

Helo doctors,please,lately I hav been experiencing,diziness,headache,irreguler heartbeat,and fainting breath.though I did a blood test last year,and on the result sheet I saw haemoglobin 12.9% and haematocrit 39.1% and I am a male.when I discuss the issue with a nurse,she said those are symptoms of "blood shortage".I met another guy who also told me the same. Please,I need your experience and analytical advice and sugestions .

adelurv:
. I only took a dose of gynecosid..and six days later i had my normal menstrual cycle. And I'm very sure am not pregnant

Alright. Gyencosid is estrogen only pill. You need a both progesterone and estrogen. Go back to your doctor and ask for combined oral contraceptive. You need both hormones to regulate your period properly.

Good luck.

Moradeeke:


Thanks for d response. She's not menstruating. she has pubic hair but not dt much.

Yes. Definitely needs an endocrinologist. If you cannot afford or find one, find a good Internist and have them work her up for the cause of her estrogen deficiency. She is not making enough estrogen. The causes can be simple to complex.

Don't hesitate to ask any further questions. Best.

christybabe:
Pls ur advice would be needed, she is planning to take anoda Gynecosid drug.

Pls she is reading this and was the one giving me details. thanks so much. Pls advice. she has irregular menses before now

Gynecosid, I believe is estrogen only pill. She needs to do a progesterone challenge test. Go to GP/gyn and ask for medroxyprogestrone pill. Take for 5-7days, you should have withdrawal bleed if you are estrogen sufficient. IF she doesn't bleed after finishing the pack, then she is estrogen deficient. And even then, she needs to be on combined oral contraceptive.

Bottom line: she needs to be on combined contraceptive; this means both estrogen/progesterone present in the pill in varying amounts.

Unopposed estrogen is not good long term. Good luck

abayomi93:
Helo doctors,please,lately I hav been experiencing,diziness,headache,irreguler heartbeat,and fainting breath.though I did a blood test last year,and on the result sheet I saw haemoglobin 12.9% and haematocrit 39.1% and I am a male.when I discuss the issue with a nurse,she said those are symptoms of "blood shortage".I met another guy who also told me the same. Please,I need your experience and analytical advice and sugestions .

Hemoglobin of 12.9 should not be this symptomatic. I think there's other underlying issues. Obtain an ECG and get a cardiac exam to start with. I suspect cardiac arrhythmia. You can report back if you'd like.

Xiadnat:


Alright. Gyencosid is estrogen only pill. You need a both progesterone and estrogen. Go back to your doctor and ask for combined oral contraceptive. You need both hormones to regulate your period properly.

Good luck.

Thanks Doc

.Hello all the doc in the house, please help me i have been having this stomach issue for the past 2weeks now, my stomach has been rumbling and am stooling (like twice or thrice a day but not too watery), when it first started i took flagyl and tetracyclin single dose it stop, it continue a day after i stop taking the drugs, a week later i was placed on levofloxacin 500mg (1daily) .,flagyl 400mg (1 .3times daily ) and an albandazole drug (loperamide by climax at 2dose morning nd night) i stop taking the albandazole because its making my stomach hard, (do is only a single dose that is remaining ) 2days after i stop taking it the rumbling started again and the urge of stooling, ..on a normal day if i have stomach upset like this a dose or two of flagyl and tetracyclin is ok..pls docs help me out

drstan:
.Hello all the doc in the house, please help me i have been having this stomach issue for the past 2weeks now, my stomach has been rumbling and am stooling (like twice or thrice a day but not too watery), when it first started i took flagyl and tetracyclin single dose it stop, it continue a day after i stop taking the drugs, a week later i was placed on levofloxacin 500mg (1daily) .,flagyl 400mg (1 .3times daily ) and an albandazole drug (loperamide by climax at 2dose morning nd night) i stop taking the albandazole because its making my stomach hard, (do is only a single dose that is remaining ) 2days after i stop taking it the rumbling started again and the urge of stooling, ..on a normal day if i have stomach upset like this a dose or two of flagyl and tetracyclin is ok..pls docs help me out

I need more information. Any other symptoms like belly pain, fever etc?? Other medical/health issues? Travel history?

I think you've taken quite a host of antibiotics and have placed an assault on your normal gut flora.

There is such a thing as bacterial overgrowth syndrome. I think you need stool culture to determine exactly what and if it is a bug causing this.

Other possibilities: C-diff colitis, Irritable bowel, or a gastroenteritis. I want to say, back off antibiotics for now.

Xiadnat:


I need more information. Any other symptoms like belly pain, fever etc?? Other medical/health issues? Travel history?
No other observable symptoms, except that when if it comes heavily i will be feeling waist pain, but as i took the drugs i mentioned earliar it stops, now what am just feeling is the rumbling stomach ,that comes with pain sometimes , but if i gas out it releases me
I think you've taken quite a host of antibiotics and have placed an assault on your normal gut flora.

There is such a thing as bacterial overgrowth syndrome. I think you need stool culture to determine exactly what and if it is a bug causing this.

Other possibilities: C-diff colitis, Irritable bowel, or a gastroenteritis. I want to say, back off antibiotics for now.

there is no observable symptom now, except that of the rumbling stomach , sometimes the rumbling comes with pain, but if gas out it releases me, but a day before i start taking the drugs mentioned above i was having waist pain but it stops as i started the drugs, for now is only the rumbling stomach ,stooling(have stool 3 times just within 4hrs and mucour was in the stool, and during stooling i normally feel pain in my stomach ), and dryness of the mouth

Doctor you are really doing great. Pls can you join us on the WhatsApp version of this to help our people. Pls WhatsApp 08035397819 for addition. Pls sir we need your help with other Dr there.

Balogun:
Health Checks. Doctor in the House

For all you Nairalanders I have decided to be your official doctor in the house. I have found this site so helpful in bonding me to my motherland I have decided to give medical advice with the usual disclaimer. This is just advice. Further treatment should be sought from your personal physician!

Please what causes itching around the laps and on the penis cap.

drstan:
there is no observable symptom now, except that of the rumbling stomach , sometimes the rumbling comes with pain, but if gas out it releases me, but a day before i start taking the drugs mentioned above i was having waist pain but it stops as i started the drugs, for now is only the rumbling stomach ,stooling(have stool 3 times just within 4hrs and mucour was in the stool, and during stooling i normally feel pain in my stomach ), and dryness of the mouth

OK. If there is no blood in the stool, it's a better sign. It means it's not one of the infectious bugs that you need heavy duty abx to combat.

However, 3 weeks is quite a lot time to have infectious diarrhea unless you are being re-exposed. Can you think of anything that you have introduced into your diet or drinks that might contribute?

If it's infectious, you need too let it run it's course w/o antibiotics because antibiotics is just killing of your normal flora, making diarrhea worse eventually.

Other things to start thinking of is: allergy to certain foods, inflammatory bowel syndrome. I say, give this another week, if it continues or worsen, see a gastroenterologists. Make sure to replenish with fluid electrolytes, you are loosing some with the stool.

Best.

iameffiong:

Please what causes itching around the laps and on the penis cap.

You sexually active? Rule out STD

If you are or are not, could be contact dermatitis. What are you putting on there lately? New detergent, lotion, condom etc?

Any rashes?

Hi docs., please i for months now, i have dry throat, and am always feeling hungry, and my pee is yellowish, and i feel hotter than usual,
i have taken malaria drugs but it ain't helping,

I have mouth pain which goes on and off. what can be the cause of this?

hungryboy:
Hi docs., please i for months now, i have dry throat, and am always feeling hungry, and my pee is yellowish, and i feel hotter than usual,
i have taken malaria drugs but it ain't helping,

Are you young and healthy otherwise then or? So I assume you had malaria then? It could be that malaria is not yet eradicated from your blood. It could be side effects of drugs; if so, it will pass.

Yellow pee, dry throat and feeling hungry? Also, rule out diabetes.

I'd say go and obtain a blood test: CBC with differentials and peripheral blood smear to check presence of malarial parasites. Also obtain serum glucose levels.

Best