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Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 6:20am On May 05, 2015 |
LuckyG1: Fine we thank thy Lord |
Re: Doctor In The House:Obstetrics And Gynecology by freakingout(f): 7:53am On May 05, 2015 |
Good morning doctors in the house and everyone. I thank God for this thread. Please I need your assistance. I've had three miscarriages. The last one was in December. When I traveled to see a specialist gynecologist, he told me I have progesterone deficiency which is why my body can't maintain a pregnancy, hence the miscarriages. he prescribed proluton depot injection for me to be taken once a week for four weeks once pregnancy is confirmed. my problem now is that I usually miscarry before the pregnancy test shows positive. like last month, the pregnancy symptoms were there but the tests showed negative until I started bleeding. I was scared of taking the injection incase I wasn't really pregnant and scared of side effects because I heard your body deceives you sometimes because you want it badly. I was pregnant by December but didn't know about the injection then. Please what do you advice I do incase of next time ? |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:30am On May 05, 2015 |
jones2014:Favoured234 already said most of it. Your sperm count is slighlty below normal range, but this is not the biggest issue: people conceive from far lower sperm counts. Sperm motility is the most important determinant of male fertility, and yours is very low at 5%. Do you smoke? Quit if you do. Do you drink alcohol? Quit if you do. Do you take recreational substances? Quit if you do Overweight? Optimise your weight. Target BMI between 20 - 25kg/m2 Develop an active lifestyle: exercise daily or at least 3 times a week, register in a gym or do some road works Eat right. Avoid junks including too much caffeinated and carbonated drinks. More fruits and vegetables (extremely important). These provide large chunks of vitamins, minerals and antioxidants that improve sperm health. Ask your doctor about vitamin and mineral supplementation, especially vitamin c, e, folic acid and zinc. Above all, maintain a positive and stressless mental attitude. Stress will adversely affect the outcome. Repeat your seminal fluid analysis quaterly to follow your progress. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:43am On May 05, 2015 |
freakingout:Sorry about your experience. It is a fact that most pregnancies are lost even before the next period is missed, and this loss could coincide with the time of expected menses and will pass as another menses. Most are due to genetic abnormalities. But if this is actually wat happens in your case is debatable, as their is no evidence of pregnancy since December. Following conception, serum (blood) pregnancy test will be positive about a week from ovulation, ie from around Day 21 of the average cycle. Therefore, even before you miss a period, run a pregnancy test if you "feel" that you are pregnant. If the test is positive, inform your gynaecologist. Normally, Primolute N can be commenced right away, weekly, till as long as the 7th week of the pregnancy. Take folic acid supplements too before trying to conceive. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by eluquenson(m): 9:05am On May 05, 2015 |
Good day to all the doctors in the house. I need a candid advice from you guys. I spoke with my elder brother this morning which he explained that his wife is 5 months pregnant for twins and one of the foetus died in the womb which led her to be on admission. The doctor at the private hospital said there is no need for evacuation of the dead foetus, but would rather place her on antibiotics for the period till delivery. Pls, is there any way out to manage this situation or what's best that could be done. Thanks |
Re: Doctor In The House:Obstetrics And Gynecology by freakingout(f): 9:16am On May 05, 2015 |
@omicron, thanks for your prompt response. I guess I was waiting for the missed period first. Thanks for the correction. I really might have been pregnant last month because my af lasted only two days instead of the usual four days with light spotting on day five. it stopped on the morning of the third day and spotted till day six. oh, well, till next time. once it's day 21, and I'm having the usual pregnancy symptoms, na to go sleep for lab till the test shows positive. Thanks for the info. lastly, I've heard of natural progesterone. is it advisable to use such to boost my progesterone and do you know where I can get it? thanks a lot |
Re: Doctor In The House:Obstetrics And Gynecology by jany(f): 9:59am On May 05, 2015 |
Hello doctors and everyone in the house. i am presently in my third trimester and need some candid advice. i have had two previous CS due to various reasons the last one being over 2 years ago. I really want to try a VBAC this time around as the baby is presenting well. I have been discouraged by almost everyone and being told horror stories but it hasnt changed my mind. Pls what are my chances both CS where low transverse. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:06am On May 05, 2015 |
eluquenson:Standard management involves monitoring the woman closely until the delivery of the surviving twin. If the twins were less than 4 months sef, the dead twin can be absorbed into the mother, leaving little trace of that at delivery. There is increased risk of premature delivery for the baby. Risks are higher if the twins are identical. There is increased risk of infective and blood clotting problems for the mother. With effective monitoring, these problems could be prevented or effectively solved. The surviving baby will go on to develop, but mother and baby need specialist medical supervision. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:59am On May 05, 2015 |
freakingout:I do not know about natural progesterone. Primolut Depo is effective though, for treating habitual miscarriages due to corpus leutum (progesterone) deficiency. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 11:00am On May 05, 2015 |
jany:What were the reasons for the CSs |
Re: Doctor In The House:Obstetrics And Gynecology by jany(f): 11:14am On May 05, 2015 |
omicron: The first was emergency as the baby couldnt descend. We later found out the cord was wrapped round the neck and arm multiple times and this held her back. The second was elective due to the position. baby was not head down |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 11:39am On May 05, 2015 |
jany:ok. Well, both indications do not fall under the recurrent indications for CS. However, the fact is, no doctor will professionally advise you for a VBAC after 2 cs, even if they were both low transverse incisions. The risk is enormous, including maternal and foetal deaths. I have seen both sides of it: women who had successful VBACs after 2 CSs, and those who lost their lives, babies or wombs following catastrophic VBAC. The choice is always yours. But professionally speaking, it is not worth the risk. The risks outweigh the benefits. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by eluquenson(m): 11:54am On May 05, 2015 |
omicron:Thanks, I appreciate |
Re: Doctor In The House:Obstetrics And Gynecology by freakingout(f): 12:12pm On May 05, 2015 |
omicron:Okay. Thanks |
Re: Doctor In The House:Obstetrics And Gynecology by jany(f): 12:14pm On May 05, 2015 |
omicron: Thanks and God Bless |
Re: Doctor In The House:Obstetrics And Gynecology by jones2014: 3:00pm On May 05, 2015 |
thanks Favoured! favoured234: |
Re: Doctor In The House:Obstetrics And Gynecology by jones2014: 3:08pm On May 05, 2015 |
thanks Omicron, to answer your questions, i dont smoke, i do take alcohol like some few occasions in a year, definitely not an addict. i dont take recreational substances, i aint overweight, please shed more light on BMI for my sake i must confess i have taken a lot of carbonated drinks due to the nature of my job and the stress involved, tryna work on that i swear. i have begun incorporating lots of fruits and veggies in my diet and take to other advice, especially rhe exercise aspect. thanks bro, i appreciate your advice. regards omicron: |
Re: Doctor In The House:Obstetrics And Gynecology by Bograd83(f): 2:58am On May 06, 2015 |
Hello Doc, l am 31w2d preg but my urine is brown/yellow for over a week now and trying to drink more water still there's no change pls, what's ur advice. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:20am On May 06, 2015 |
jones2014:Ok, all the best BMI is a measure of how overweight or underweight one is. It is calculated as: BMI = Mass/(height)2; ie, mass in kg divided by the square of the height in meters. Eg If you weigh 75kg and measure 1.7m your BMI would be : 75/(1.7 x 1.7) = 25.95kg/m2 Interpretation: Less than 18 = underweight. 18 - 25 = optimal weight 25 - 30 = overweight, but not obese. Above 30 = Obese Above 40 = morbid obesity. NB: I forgot advice about not increasing the temperature around the scrotum by not wearing tight trousers and undergarments, not placing laptops on the laps and not sitting down with legs tightly together for too long. These little things can go a long way to help in situations like yours. Goodluck |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 8:27am On May 06, 2015 |
Bograd83:Normal urine is somewhat yellow or amber, sometimes yellow brown during hot weathers. Dehydration is the commomest cause of darkening of urine, and the urine should lighten in colour following rehydration. Since you said the discolouration is not improved on rehydrating, then you should do a simple urinalysis and microscopy to comfirm that all is well. |
Re: Doctor In The House:Obstetrics And Gynecology by tatacherie: 10:39am On May 06, 2015 |
Good morning Dr Omicron.weldone for attending to all here. Pls can one start taking Pregnacare immediately after a positive serum PT? Or which prenatal vitamins can one start with.thanks |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 2:32pm On May 06, 2015 |
tatacherie:Some specialists withhold all avoidable drugs, except folic acid, till after the 10th week of pregnancy for fear of the unknown I think it's safe, as some vitamins have been linked to teratogenicity, although at higher doses than are normally included in prenatal brands. You may commence folic acid now and start the Pregnacare subsequently, unless of course you already have specific challenges like iron deficiency anaemia. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by tatacherie: 3:10pm On May 06, 2015 |
Thanks a zillion Sir for your swift response.God bless and broaden ur Knowledge as u help others.Success in all ur endevours.remain blessed 3 Likes |
Re: Doctor In The House:Obstetrics And Gynecology by Bograd83(f): 4:01pm On May 06, 2015 |
omicron:ok thanks 4 ur response. 1 Like |
Re: Doctor In The House:Obstetrics And Gynecology by jones2014: 4:32pm On May 06, 2015 |
omicron: thanks Sir. my regards once more... 1 Like |
Re: Doctor In The House:Obstetrics And Gynecology by Kudibaby(f): 4:57pm On May 06, 2015 |
Hello Dr, please have been feeling dizzy and weak for two days now,am in cd 17 today could I be pregnant,when should I take the hpt.Though i have ovarian cyst and pid is it possible for me to be pregnant.thanks |
Re: Doctor In The House:Obstetrics And Gynecology by Janedyke6: 6:02pm On May 06, 2015 |
Hello Doctors and Everyone in the house. Please i need help / advice on whats happening to me presently. Am a TTC Lady, i have being experiencing lower back pain for 3 weeks now (5th May 2015 made it exactly 3 weeks ) i was supposed to see my period last week monday, but it didnt come till 4 days later being Friday 1st of May: it was very scanty and could barely notice the light brownish discharge unless i wipe and it stopped 2 days later (that Friday i equally did Home pregnancy test before i notice the spotting- it was negative) pls what do i do ? |
Re: Doctor In The House:Obstetrics And Gynecology by Nobody: 9:40pm On May 06, 2015 |
Hello Doc, Please I need your advise on this...Have being ttc for 2years now and have had 2miscarriages, the last one was November and since then we have being actively trying. Am presently on clomid and according to my doc, the last dose. Please am I missing my ovulation days, am disturbed (28/29 days), LMP was 1st May. Thanks |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:04am On May 07, 2015 |
Kudibaby:At CD 17 it is generally too early for PT to be positive. Of course, it is possible to conceive with PID and ovarian cyst, which I'm sure you are already doing something about. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:12am On May 07, 2015 |
Janedyke6:I hope you are not stressed up. If you have not already done so, please do see a doctor to properly diagnose your low back pain and menstrual problem. Before then, if you do not have peptic ulcer, you may take moderate pain relievers such as diclofenac tablets, 75 or 100mg twice a day, with food, as needed, for not more than a week. Then avoid excessive worry and purposefully seek to solve all the challenges regarding your ttc. All the best. |
Re: Doctor In The House:Obstetrics And Gynecology by omicron(m): 10:19am On May 07, 2015 |
Doyinsolami:For a 28/29 day cycle, the ovulation day is the 14th/15th day, where the 1st day of bleeding is the 1st CD. Coituss from the 10th CD (ie, May 10) and then alternate days till the 17th CD (ie May 17) will have the best chance of resulting in conception. All the best. 1 Like |
Re: Doctor In The House:Obstetrics And Gynecology by Freelancer007(m): 11:24am On May 07, 2015 |
For Ladies Only... Before taking all sorts of contraceptives, be sure to check with your gynae side effects of Mirena, postinor and other forms of contraceptives can do more harm than good. When it comes to your reproductive health, self-medicating is a big risk you shouldn't take. |
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