gudmrng to the Drs in d house. pls I really nid ur professional advice urgently. I put to bed 9 weeks ago.at my 4 week lochia stop n start again d next week but drop just 3 days n stopped. my 6 week visit to clinic d Dr checked d episiotomy site n said it healed well. dat night i had sex wit my hubby,d fllg day saw stain of blood on my panties then followed somewhat like menses flow for 4 days n it stopped. after like 15 days of dat menses like flow,i noticed stain on my panties n when cleaned up after urinating. but yesterday i didn't notice d stain again .is it normal?

lassbaby:
gudmrng to the Drs in d house. pls I really nid ur professional advice urgently. I put to bed 9 weeks ago.at my 4 week lochia stop n start again d next week but drop just 3 days n stopped. my 6 week visit to clinic d Dr checked d episiotomy site n said it healed well. dat night i had sex wit my hubby,d fllg day saw stain of blood on my panties then followed somewhat like menses flow for 4 days n it stopped. after like 15 days of dat menses like flow,i noticed stain on my panties n when cleaned up after urinating. but yesterday i didn't notice d stain again .is it normal?

Do you mean you kept seeing the menses-like flow continously for 15days?

Are you breastfeeding? Is it exclusive breast-feeding?

Dear Doctor,

Please tell me. What could be the reason for one not ovulating for the last 3 months? (It has been monitored using the Predicte Ovulation strip btwn days 10 to 15 of the 3 cycles?)
Thank you

omicron:
Do you mean you kept seeing the menses-like flow continously for 15days?

Are you breastfeeding? Is it exclusive breast-feeding?

. No.it stopped n resumed after 15 days of d previous.d's tym its just stains of bld on my pant n when i cleaned up after urinating. am breastfeeding but not exclusive cos am giving formula as well

lassbaby:
. No.it stopped n resumed after 15 days of d previous.d's tym its just stains of bld on my pant n when i cleaned up after urinating. am breastfeeding but not exclusive cos am giving formula as well

Ok.

I advise that you watch it for now.

If the spotting/bleeding resumes less than 3 weeks apart, see your doctor.

Because, since you are not breastfeeding exclusively, your period may also have returned, and initially the flow may not be so much or so regular due to the high prolactin from breastfeeding.

Amybijou:
Dear Doctor,

Please tell me. What could be the reason for one not ovulating for the last 3 months? (It has been monitored using the Predicte Ovulation strip btwn days 10 to 15 of the 3 cycles?)
Thank you

There are many things that can cause anovulation (lack of ovulation)

Commonest causes include hormonal imbalance due to high prolactin, Polycystic ovarian syndrome, some ovarian cysts, psychological stress, severe exercise, obesity/underweight, and some drugs.

omicron:
There are many things that can cause anovulation (lack of ovulation)

Commonest causes include hormonal imbalance due to high prolactin, Polycystic ovarian syndrome, some ovarian cysts, psychological stress, severe exercise, obesity/underweight, and some drugs.

Thanks for ur prompt response.
In a case of presence of small fibroids, even though the fibroid has been in existence for some years without giving any issues except heavy period in the first 3 days and a little spotting btwn ovulation supposed days, what can be done to enable conception to take place?

Amybijou:


Thanks for ur prompt response.
In a case of presence of small fibroids, even though the fibroid has been in existence for some years without giving any issues except heavy period in the first 3 days and a little spotting btwn ovulation supposed days, what can be done to enable conception to take place?

It is most likely that those are submucous fibroids.

If there is infertility in the presence of such fibroids, the fibroids should be removed to improve fertility.

Thanks doctor for your response. I'll like to know if it's okay to use preseed during those fertile days to aid conception. God bless you sir.

omicron:
Ok.

I advise that you watch it for now.

If the spotting/bleeding resumes less than 3 weeks apart, see your doctor.

Because, since you are not breastfeeding exclusively, your period may also have returned, and initially the flow may not be so much or so regular due to the high prolactin from breastfeeding.

thanks so much.at least i can relax small

Hello Dr omicron,pls have been ttc for 17 months,I have ovarian cyst and PID,have treated with antibiotics and don't feel any symptoms anymore,please what could be hindering my conception,my period is regular a 28 days cycle,am not sure if am ovulating but 2 or 3 days after each period I do feel a sharp pain in my abdomen and notice some discharge could that be the ovulation,what can I do to increase my chance of conception.Thank as I await your reply

Hello Dr., she is not breastfeeding neither is she pregnant, yet watering yellowish substance comes out of her breast during intimacy and she is having irregular MC
Please what could be the likely cause, and does it pose any danger?
Please Doctors in the house respond.

Kudibaby:
Hello Dr omicron,pls have been ttc for 17 months,I have ovarian cyst and PID,have treated with antibiotics and don't feel any symptoms anymore,please what could be hindering my conception,my period is regular a 28 days cycle,am not sure if am ovulating but 2 or 3 days after each period I do feel a sharp pain in my abdomen and notice some discharge could that be the ovulation,what can I do to increase my chance of conception.Thank as I await your reply

It is unlikely that you are not ovulating, considering that your cycle has been so regular.

A mid-luteal (CD 21 for a 28-day cycle) progesterone test will comfirm if you are ovulating. Alternatively, follicular tracking using a transvaginal ultrasound will also comfirm ovulation.

How about your dh?

Rexology:
Hello Dr., she is not breastfeeding neither is she pregnant, yet watering yellowish substance comes out of her breast during intimacy and she is having irregular MC
Please what could be the likely cause, and does it pose any danger?
Please Doctors in the house respond.

Those are the commonest symptoms of hyperprolactinaemia, which means an excessively high level of the hormone prolactin.

When left untreated, it could lead to anovulation (lack of ovulation), which can in turn affect the regularity of the mesnses as well as fertility.

It is a treatable condition.

Let her see her doctor to comfirm this diagnosis, investigate what may have caused it, and get treated.

omicron:
It is unlikely that you are not ovulating, considering that your cycle has been so regular.

A mid-luteal (CD 21 for a 28-day cycle) progesterone test will comfirm if you are ovulating. Alternatively, follicular tracking using a transvaginal ultrasound will also comfirm ovulation.

How about your dh?

Thanks Dr for the quick response.My dh have not been evaluated and he doesn't see the reason why he should be since he is not having any symptoms of a disease,please what should i do to let him aggree to go for the test.This transvaginal ultrasound is a form of surgery or what because am really scared of surgery and the progesterone test how do I go about it,should I demand for it in the hospital.thanks alot may God reward you abundantly

Kudibaby:
Thanks Dr for the quick response.My dh have not been evaluated and he doesn't see the reason why he should be since he is not having any symptoms of a disease,please what should i do to let him aggree to go for the test.This transvaginal ultrasound is a form of surgery or what because am really scared of surgery and the progesterone test how do I go about it,should I demand for it in the hospital.thanks alot may God reward you abundantly

Transvaginal scan is a type of scan whereby the probe is placed into the vagina rather than on the abodomen. It is non-invasive, not painful and shows ovarian and other pelvic structures in much more detail.

The progesterone test is a simple blood test done in any special lab, and in any tertiary hospital. You can either demand for it from your doctor, or get it done by yourself from a competent lab, and get interpretation from a doctor. The test must be done on day 21 of your cycle.

I strongly feel that you do not have ovulatory problems. If you have the money and time, do the tests. Otherwise, save energy and stress until his tests are proved ok.

Discuss with your doctor to invite him for at least a simple seminal fluid analysis. Seventeen months is too long for a dh not to have done this.

All the best

omicron:
Transvaginal scan is a type of scan whereby the probe is placed into the vagina rather than on the abodomen. It is non-invasive, not painful and shows ovarian and other pelvic structures in much more detail.

The progesterone test is a simple blood test done in any special lab, and in any tertiary hospital. You can either demand for it from your doctor, or get it done by yourself from a competent lab, and get interpretation from a doctor. The test must be done on day 21 of your cycle.

I strongly feel that you do not have ovulatory problems. If you have the money and time, do the tests. Otherwise, save energy and stress until his tests are proved ok.

Discuss with your doctor to invite him for at least a simple seminal fluid analysis. Seventeen months is too long for a dh not to have done this.

All the best

Thnks Dr I really appreciate

omicron:
Those are the commonest symptoms of hyperprolactinaemia, which means an excessively high level of the hormone prolactin.

When left untreated, it could lead to anovulation (lack of ovulation), which can in turn affect the regularity of the mesnses as well as fertility.

It is a treatable condition.

Let her see her doctor to comfirm this diagnosis, investigate what may have caused it, and get treated.

Thank you very much

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omicron:
Those are the commonest symptoms of hyperprolactinaemia, which means an excessively high level of the hormone prolactin.

When left untreated, it could lead to anovulation (lack of ovulation), which can in turn affect the regularity of the mesnses as well as fertility.

It is a treatable condition.

Let her see her doctor to comfirm this diagnosis, investigate what may have caused it, and get treated.

Hello Dr. Omicron, she met her Doctor today and he comfirmed the diagnosis, he prescribed BROMERGON(bromocriptine) 2.5mg.
Please how effective is this drug in the treatment?

Rexology:

Hello Dr. Omicron, she met her Doctor today and he comfirmed the diagnosis, he prescribed BROMERGON(bromocriptine) 2.5mg.
Please how effective is this drug in the treatment?

Hi! Good to know she has seen a doctor.

Bromocriptine is the drug of choice for hyperprolactinaemia. It's a good one.

All the best.

omicron:
Hi! Good to know she has seen a doctor.

Bromocriptine is the drug of choice for hyperprolactinaemia. It's a good one.

All the best.

Thank you for this humanitarian services you render on this plateform

Good morning Doc,
Please am planning to start making babies with my wife who has B-negative blood group which is not compatible with my O+positive,
Please I will like to know the current cost of the
anti-RhD immunoglobulin injection here in Nigeria and how many shot she has to take during and after pregnancy.

emmyvet:
Good morning Doc,
Please am planning to start making babies with my wife who has B-negative blood group which is not compatible with my O+positive,
Please I will like to know the current cost of the
anti-RhD immunoglobulin injection here in Nigeria and how many shot she has to take during and after pregnancy.

Good morning,

Last time I bought it was about 12, 000 naira per ampoule.

Number of shots she will need depends on if she is sensitized already or not.

If this is her first ever pregnancy and she has not had any episodes of bleeding or major medical intervention yet in the pregnancy, then she is not likely to have been sensitized.

Ususally, for those not yet sensitized, a shot will be given at 28weeks of pregnancy and another within 72hours after delivery. Some people also give one at 36wks.

Management of the sensitized depends on antibody level present in the mother, and will need much more shots and interventions.

She should register for her antenatal care with a tertiary hospital.

All the best.

omicron:
Good morning,

Last time I bought it was about 12, 000 naira per ampoule.

Number of shots she will need depends on if she is sensitized already or not.

If this is her first ever pregnancy and she has not had any episodes of bleeding or major medical intervention yet in the pregnancy, then she is not likely to have been sensitized.

Ususally, for those not yet sensitized, a shot will be given at 28weeks of pregnancy and another within 72hours after delivery. Some people also give one at 36wks.

Management of the sensitized depends on antibody level present in the mother, and will need much more shots and interventions.

She should register for her antenatal care with a tertiary hospital.

All the best.

Thank you sir!
Have a nice day!!

Good Afternoon, doctor please help me, my period is irregular since last year and i notice i spot in between since i had evacuation last year. let me give u my last 3 cycles , they are 26, 23 & 25 respectively. and i had my hormonal profile checked and i also did hsg which came out fine according to my doctor. but the prob now is the spotting, like this cycle now which started yst i was only having a brownish discharge , today just 2drops of blood, not likely to change my sanitary today, doctor please help me its kind of frustrating, though i have 2 intrmural myoma which my doctor said is not an issue, but a male factor, please help me cos i need a normal flow, a normal 3 days flow not a day flow.

omowunminow:
Good Afternoon, doctor please help me, my period is irregular since last year and i notice i spot in between since i had evacuation last year. let me give u my last 3 cycles , they are 26, 23 & 25 respectively. and i had my hormonal profile checked and i also did hsg which came out fine according to my doctor. but the prob now is the spotting, like this cycle now which started yst i was only having a brownish discharge , today just 2drops of blood, not likely to change my sanitary today, doctor please help me its kind of frustrating, though i have 2 intrmural myoma which my doctor said is not an issue, but a male factor, please help me cos i need a normal flow, a normal 3 days flow not a day flow.

Your history is not clear.

Is it that you are spotting in between your period or that your periods come as spotting?

The "evacuation" last year what was it for?

Thanks doctor for your quick response, yes my period comes spotting and d evacuation due to miscarriage. thanks

omicron:
It is unlikely that you are not ovulating, considering that your cycle has been so regular.

A mid-luteal (CD 21 for a 28-day cycle) progesterone test will comfirm if you are ovulating. Alternatively, follicular tracking using a transvaginal ultrasound will also comfirm ovulation.

How about your dh?

Dr pls what vitamins 'll you recommend I start taking to increase my chance of conception.though have started taking 5mg of folic acid,what else do I need.I heard 400 mcg of folic acid is the Israel but the pharmacist I met said 5mg is ok I hope am not taking overdose.thanks

omowunminow:
Good Afternoon, doctor please help me, my period is irregular since last year and i notice i spot in between since i had evacuation last year. let me give u my last 3 cycles , they are 26, 23 & 25 respectively. and i had my hormonal profile checked and i also did hsg which came out fine according to my doctor. but the prob now is the spotting, like this cycle now which started yst i was only having a brownish discharge , today just 2drops of blood, not likely to change my sanitary today, doctor please help me its kind of frustrating, though i have 2 intrmural myoma which my doctor said is not an issue, but a male factor, please help me cos i need a normal flow, a normal 3 days flow not a day flow.

omowunminow:
Thanks doctor for your quick response, yes my period comes spotting and d evacuation due to miscarriage. thanks

Ok.

Well, you just have to relax and your period would return, since your hormonal profile came out normal; intramural fibroid is most likely unconnected with it too, and - apart from a poorly treated PID - the evacuation cannot explain it too.

The 'period' dates you gave are rather regular.

You said it's (more of) a male-factor issue. I hope that is being addressed.

Manage the stress well and the flow will return. I really feel is something more psychological.

All the best.

Thanks doctor, really appreciate, i ran a scan test before the hsg which says my pouch is empty, or should i go for another scan, cos as i'm typing these i'm feeling heavy in my lower abdomen, my uterus precisely. Thanks we are working on the male factor.