mauryn87:
Hello DOCs in d houx..is it normal to have painful periods? I have been battling with it for years and am tired of taking drugs..what can I do to help reduce d pains..thanks..awaitin your response

omicron:
Ok.

Well, 4 months is rather too early to conclude that you have difficulty with conceiving.

Maybe you are psychologically stressed or anxious, as it all seemed to have begun once you got married.

Take it easy. Live your normal healthy life. Unless you are above 34 years, you can wait till a year before you start fertility work up.

All the best

omicron:

Hi,

There are 2 types of painful periods. The primary type has no known cause and it is usually common during the years after the first ever menstruation in adolescents and young adults

The secondary type is caused by a specific medical condition like a fibroid, endometriosis, adenomyosis, etc, and usually arise after extended period of painless mesntruation.

Pain relievers can help, and are available over the counter. There are other helpful medications that may be used when prescribed by a doctor.

Primary painful periods will improve with age, and pregnancy. Most would significantly subside after the first pregnancy.

All the best

omicron:
Hi,

So much information that needs to be known.

How is her period? Where exactly is the source of her problem? Ovulation? Implantation? Tubes? Male factor?

PCOS is a syndrome that causes lack of ovulation due to hormonal disturbances. It is treatable; aim of treatment being to restore hormone balance and ovulation.

She has to try to optimise her weight (very important), and continue standard treatments for any diagnosed conditions. Sometimes it takes time, but she could still conceive, of course.

If, for any reason, she chooses to have assisted reproduction, she should be counselled about their success and failure rates.

All the best

mauryn87:
thanks for your response. Mine falls in d primary category..d onli tym I experienced a painless period was d very first time I had it..when d pain comes @ tyms I can't stand it. Please is dere any other drug apart from felvin that I can take?

nkem79:


She has regular periods (30 days as told), all tests are normal, her condition so far is unexplained. Tubes are are fine but she was told she is slightly pcos.

omicron:
Ok.

You can only conclude it is the primary type when all likely secondary causes have been ruled out.

Other pain relievers used belong to the group as felvin. Mefenamic acid may be more effective. Diclofenac is also effective. Others are Naproxen and Ibuprofen.

These drugs are taken with food, and children, the elderly, and those with peptic ulcer should avoid them.

mauryn87:
waoh!!! Is dere no alternative drugs for ulcer patient?

aolatunde00:
Evening house,
Came across this thread for the first time today and I would like your input.
Sometime in January I started having discharges,I went to a pharmacy and was given some drugs but they didn't seem to work.I went to see a doctor,did a swab and tested positive for a yeast infection.i was given diflucan and augmentin.the discharge and itch stopped but returned two wks later.I did another swab and I still tested positive for a yeast infection and staph.Only that this time I was also pregnant so the doctor suggested I take no drugs at all.
So from that time till I was 25wks,I didn't take any drugs for the discharge or itching.At 25wks,I was given klovinal pessaries for 5day(since the itch and discharge had become really much and I suspected i had Bv as well)
The discharge stopped only to return after about a wk(I suspect this was due to a re infection by my hubby cos we made love).
I went back to the hospital and had a swab done.i was then given ampicillin tablets and klovinal pessaries again for 5days since I again tested positive to candidiasis and staph.its been 3days I ended this treatment but I still feel funny!I read online that candidiasis during pregnancy can be pretty difficult to treat Moreso as mine went untreated for 6straight months!
Pls what do I do?(now 30wks preg)

ciscajewel:
gud evenig doc, pls i don't know how many days cycle i run . in june i saw my menses on the 10th, in july it was on 8th and august it was on the

4th now sept it was 2nd pls help i am ttc.

Chili89:
Good morning doc. Pls I'm TTC and period goes thus June 28, July 24, Aug 20, and my hubby and I bd on the 31,1 of Sep and 3rd. Since the my temperature is a bit high though my next period is on the 16th of Sep.

omicron:
Hi,

Candidiasis is not really an "Infection" in the sense that many people understand it. Understand it as a condition that arises when one is exposed to some risk factors like obesity, antibiotic use/abuse, low immunity and pregnancy.

When any of these risk factors continue to be present, candidiasis is difficult to eliminate, and the person could be said to have recurrent candidiasis. I think that is the problem here, pregnancy being a major risk factor in you.

Ensure, however, that Bacterial Vaginosis, is ruled out as it could present with similar clinical features to candidiasis. BV, unlike candidiasis, may adversely affect pregnancy (premature labour).

Candidiasis will respond to Topical (recommended) or oral (not advised) antifungals, but it might return in the face of a persistent risk factor.

All the best.

Opejibola01:
Morning doctor, what can i use for vaginal discharge odour. my hubby always complain whenever we av sex. note- im very neat and i dont have vaginal itching. thanks

omicron:
There are.

Paracetamol and its combinations can be used.

If your ulcer is not active, your doctor could still prescribe you NSAIDs (diclofenac and co) with an acid-blocking pill ( a controversial practice), to be taken a few times during the painful periods.

Your doctor may also use oral contraceptives to manage your painful periods if he determines that you can take it, and if you are not ttc.

aolatunde00:
Thank you doctor.

I read inserting garlic in the vagina might help as well as using probiotics.
I tried the garlic thingy for the first time last night but I'm yet to begin using the forever living active probiotic I just got.
Are they probiotics and garlic in pregnancy?
Can they help?

Thanks

Peacewealth:
pls dr in d house i need reassurance. i took a shot of depo that expired june 5. Had bleeding that lasted 4 2wks. Stopd, saw menses 21 aug. Dat lastd 4 7days. Had unprotectd sex. 4days later i ve been having lower abdominal sharp pain on my left ovary. Seems as if something is walking around my uterus. Nil bleeding, nil discharge. Feeling naesous did pt bt negetive. Just confused is pt too early?

omicron:
Are you ttc again?

yes dr

Since last period was Aug 21, it is a bit too early. Nxt week will be more reliable for a PT.

God bless u i ll repeat another one by nxt wk

All the best

dexcira:
Hello doc omicron...

Huskyfrancis:
IVF/IUI Talk!!!

In vitro fertilization or fertilisation (IVF) is a process by which an egg is fertilised by sperm outside the body: in vitro ("in glass". The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (egg or eggs) from the woman's ovaries and letting sperm fertilise them in a liquid in a laboratory.

If you will agree with me, IVF in practical understanding is the wisdom of God manifest in the knowledge and understanding of human. Anyways, we don't have to flog this.

While this medical practice is almost 100% (99.9%) success in some part of the world, it is still 50% with our best consultants here in Nigeria. Our government need help revamp our health sector.

If you need discuss your IVF or speak with a consultant free of charge, Panel of Consultants at Ruby Hall Clinic, India will be delighted to avail you right information.

To arrange video-conference session for you, speak with Folu:

Mobile: 08116950634, 08038243730
Whatsapp: 08038243730
BBM: 2BA5C16B
Facebook: Komolafe F. Francis
Skype: komolafe.francis
E-mail: folu_mgtworld@yahoo.com

If you also what gender/sex selection, we can arrange without network clinics outside india.

I am waiting! :-)

omicron:

Hi,

When was your last menstrual period? And are you on oral contraceptives?

An acute-onset vaginal discharge with fever indicate an acute PID, especially when there is a positive relevant sexual history. You may run an endocervical swab, a high vaginal swab, and a full blood count. It is better to see a doctor before the labs. You will require a dose of antibiotics, if so diagnosed.

I am not in Lagos, so I do not know many hospitals on the island. Reddington is on the island, and I believe they are of a high standard.

All the best.

omicron:
Ok.

Well, PCOS is PCOS. Nothing like "slight PCOS".

Approach to "unexplained infertilty" include "watch and wait" and assisted reproduction techniques like IVF or Artificial Insemination.