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Doctor In The House:Obstetrics And Gynecology - Health (206) - Nairaland

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Ultrasound Machine Training On Obstetrics Pregnancy & Pelvic Scan in 2016 / Questions And Answers In Obstetrics, Gynaecology And Reproductive Health Issues / Re: Doctor In The House:obstetrics And Gynecology (2) (3) (4)

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Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 7:10am On Jan 11, 2016
Good morning Doc
It's me again o. Pls, I want u to clarify something to me o. My breast hurt so much especially wen I wake up in d morning. It's painful and heavy
I feel d pain during my ovulation period and few days to my menstrual period buh dis is kind of diff.
I started ovulation on the 5th of dis mnth and I shld av finished ovulating by nw. I still dnt understand y I still feel d pain so much and cramping too
Re: Doctor In The House:Obstetrics And Gynecology by Janix2: 6:50pm On Jan 12, 2016
Hello doc,pls can gallopy areas abort few weeks old pregnancy?
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 8:37pm On Jan 12, 2016
Janix2:
Hello doc,pls can gallopy areas abort few weeks old pregnancy?

What is gallopy areas?
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 8:40pm On Jan 12, 2016
Rukkington:
Good morning Doc
It's me again o. Pls, I want u to clarify something to me o. My breast hurt so much especially wen I wake up in d morning. It's painful and heavy
I feel d pain during my ovulation period and few days to my menstrual period buh dis is kind of diff.
I started ovulation on the 5th of dis mnth and I shld av finished ovulating by nw. I still dnt understand y I still feel d pain so much and cramping too

It's hormonal! Your prolactin level must have increased.
Re: Doctor In The House:Obstetrics And Gynecology by Janix2: 9:09pm On Jan 12, 2016
matrix199:


What is gallopy areas?

Like u are in a bus or keke that have to pass through bad road or gallop or speedbreak.
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 9:27pm On Jan 12, 2016
matrix199:
It's hormonal! Your prolactin level must have increased.
Ok doc, but wat does it mean.. is it abt breast milk cos am not pregnant I still feel d pain although it has reduce a li2 bit
Re: Doctor In The House:Obstetrics And Gynecology by portable4real: 9:56pm On Jan 12, 2016
Good evening doctor,,, please sir I have been having this unusual feelings for the past one week; briefly nauseated,headache,, I feel hungry seriously wish is unusual, and some funny sensation/pain similar to premenstrual in my abdomen(not movement). Though I bd for 5 days within my fertile period. Thanks
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 4:22am On Jan 13, 2016
Janix2:


Like u are in a bus or keke that have to pass through bad road or gallop or speedbreak.

Oh! You mean road bumps/speed break. Well, only if the road bumps are as high as a mountain, then maybe it cld abort it. That means when the car or the bus or the keke rides pass the hilly bump, the agitation it causes vibrates you like a hair clipper. That's the only way such could cause a few weeks pregnancy or a midterm pregnancy to abort.

On a serious note, the reply to your question is no, it can't. The embryo develops in a gestational sac, which protects it from mild or moderate shock.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by mitwitclement: 5:04am On Jan 13, 2016
Good Doc! Please sir I really need to know what is happening to me. I noticed dat d Spearm after meeting wit my husband comes out each time I get up n dis thing worries me so much...Please Doctor, I need your advice. Thank you
Re: Doctor In The House:Obstetrics And Gynecology by Janix2: 5:47am On Jan 13, 2016
matrix199:


Oh! You mean road bumps/speed break. Well, only if the road bumps are as high as a mountain, then maybe it cld abort it. That means when the car or the bus or the keke rides pass the hilly bump, the agitation it causes vibrates you like a hair clipper. That's the only way such could cause a few weeks pregnancy or a midterm pregnancy to abort.

On a serious note, the reply to your question is no, it can't. The embryo develops in a gestational sac, which protects it from mild or moderate shock.

Thanks doc.
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 7:02am On Jan 13, 2016
mitwitclement:
Good Doc! Please sir I really need to know what is happening to me. I noticed dat d Spearm after meeting wit my husband comes out each time I get up n dis thing worries me so much...Please Doctor, I need your advice. Thank you

Your partner's seemen is non-viscous(doesn't stick). That explains why after intercourse, it drips out.
Re: Doctor In The House:Obstetrics And Gynecology by mitwitclement: 10:20am On Jan 13, 2016
Ok Doc,I want to know if he Can get a woman pregnant because am really worried..
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 11:20am On Jan 13, 2016
mitwitclement:
Ok Doc,I want to know if he Can get a woman pregnant because am really worried..

Well, I can't tell if he can or can't impregnate you from viscosity. He should run a seminal analysis test. The result will tell.
Re: Doctor In The House:Obstetrics And Gynecology by mitwitclement: 11:28am On Jan 13, 2016
Thank u Doctor
Re: Doctor In The House:Obstetrics And Gynecology by Fumbaby: 11:42am On Jan 13, 2016
mitwitclement:
Thank u Doctor
Come to TTC thread
Re: Doctor In The House:Obstetrics And Gynecology by Sandyvenny(f): 4:51pm On Jan 13, 2016
Hello Doc. pls is this normal? i gave birth 6months ago, i did exclucive breast feeding. up till now am yet to see my period. i have done urine pregnancy test which came out negative in the last 5 months even after introducing cereals to my baby.
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 6:52pm On Jan 13, 2016
Sandyvenny:
Hello Doc. pls is this normal? i gave birth 6months ago, i did exclucive breast feeding. up till now am yet to see my period. i have done urine pregnancy test which came out negative in the last 5 months even after introducing cereals to my baby.

It's quite normal. The reason why your menstruation is yet to resume is because of high prolactin level. As soon as your prolactine level drops closer to the normal range, ovulation will commence, followed by menstruation(that's if fertilization didn't take place).
Re: Doctor In The House:Obstetrics And Gynecology by Rossy4doll(f): 11:43pm On Jan 13, 2016
Thanks doctor Kathy for been there for us.. Please i'd like to find out something.. I went for a pelvic scan, due to the fact that i do go through pains sometime around my lower abdomen, the result says there's fluid in my pouch of douglas, and that i have a functional cyst, they also said i have pelvic inflammatory disease.. Please doctor, can i get some advice on the kind of medication i can take for the PID.. secondly, can a functional ovarian cyst be treated, and lastly, can the cyst prevent a woman or rather me, from getting pregnant

Thanks..
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 5:34am On Jan 14, 2016
Rossy4doll:
Thanks for been there for us.. Please i'd like to find out something.. I went for a pelvic scan, due to the fact that i do go through pains sometime around my lower abdomen, the result says there's fluid in my pouch of douglas, and that i have a functional cyst, they also said i have pelvic inflammatory disease.. Please doctor, can i get some advice on the kind of medication i can take for the PID.. secondly, can a functional ovarian cyst be treated, and lastly, can the cyst prevent a woman or rather me, from getting pregnant

Thanks..

Why not go to the hospital to see a gynae in person for the PID treatment?

What is the size of the cyst?

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by Rossy4doll(f): 7:04am On Jan 14, 2016
2.4cm in AP diameter
Re: Doctor In The House:Obstetrics And Gynecology by firstlady4(f): 12:08am On Jan 15, 2016
Hi Dr, I have been feeling a mild pain on my right lower abdomen which comes few days after period. it usually last for two days accompanied with mild weakness on my right hand down to my leg over 8months.

Please attached are homonal profile test, pervic scan.

Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by firstlady4(f): 12:10am On Jan 15, 2016
Hi Dr, could not upload test results.

HOMONAL PROFILE

LH 14.27 U/L
FSH 3.61 U/L
PROLATIN 24.30 NG/ML/(5-25)
PROGESTERONE 0.289 NG/ML
OESTRADIOL (E3) 145.9 PG/ML

ENDOCRINE THYROID

TS4 3.01 ( 0.27-4.2)
T3 2.62 (1.3 -3.10)
T4 109.3 (6.0 -181.0)

FEMALE REFERENCE RANGE

Follicle ph/Ovulatry ph/Luteal P/ Post Menopause
fsh(u/l) 3-20 9-26 1.0-12 18-153

lh (u/l) 2-15 22-105 0.6-19 16-64

pro(ng/nl)<1-5 - 3-20 0-15

E3 (ng/ml) 50-145 1/2-443 50-241 <59

DID THE HOMONAL PROFILE 2DAYS BEFORE EGG WHITE DISCHARGE.


PELVIC SCAN

" Uterus is non-gravid, anteverted and significantly bulky in size with non-uniform myometrial echo pattern. It measures 41.2mm in AP Diametre. With a defined cystic masses with internal echoes measuring 30mm x 34mm was noted at the right ovary.
left adnexen is free
mild fluid collection noted in the pouch of douglas.

Vagina culture result

Wet Preparation

Pus cell - 0 - 2/hpf
Epithetial cell - many / hpf
Bacterial cells - +
yeast cells - +

Culture: No significant bacterial growth after 48hrs of incubation at 38c.

THE PELVIC SCAN AND CULTURE WAS DONE FOUR DAYS AFTER MY PERIOD.


Please sir am seriously worried. Would be happy if you can help me evaluate the above results. God bless you.
Re: Doctor In The House:Obstetrics And Gynecology by Rossy4doll(f): 8:11am On Jan 15, 2016
Still waiting for your response doc..
Re: Doctor In The House:Obstetrics And Gynecology by Melahou(m): 10:31pm On Jan 15, 2016
matrix199:


It's quite normal. The reason why your menstruation is yet to resume is because of high prolactin level. As soon as your prolactine level drops closer to the normal range, ovulation will commence, followed by menstruation(that's if fertilization didn't take place).


And what if you still don't see your menstruation after about six months of stoppage of breast feeding.
Should one be concern
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 11:36pm On Jan 15, 2016
Melahou:



And what if you still don't see your menstruation after about six months of stoppage of breast feeding.
Should one be concern

Yes one should be concerned.
Re: Doctor In The House:Obstetrics And Gynecology by Rukkington(f): 5:41am On Jan 20, 2016
Good morning Doc,
Please, if a pelvic scan didn't detect PID, does it mean dat person doesn't have PID. Hence, can't have blockage through dat...
Also, is der any oda way to detect if a person have blockage aside HSG test. The procedure of the test is kind of scary.

Please, reply me dis time. U didn't reply to my previous question.
Re: Doctor In The House:Obstetrics And Gynecology by heywhizzle25: 11:25am On Jan 21, 2016
Good mrn doc,
Pls can u help with explanation on this test result I had....
LH - 38mill [4 - 20]
FSH - 17miu/ml [0 -15]
PROLACTIN - 27ng/ml [5 -25]
PROGESTERONE - 2ng/ml [3 -55]

NB; I noticed that when I press my breast it brings out a clear liquid and I'm not pregnant.

During intercourse with my husband also we noticed that after he ejaculates in and withdraws the sperm pours out immediately. Though we have complained but all we keep hearing is its normal for some sperm to pour out back but to us it seems like all d sperm is coming back out.
Pls is there a way to know if th sperm is actually going in?

Would b glad if light is shed on this questions that have been a disturbance.

Thanks and expecting ur reply.

1 Like

Re: Doctor In The House:Obstetrics And Gynecology by firstlady4(f): 11:56am On Jan 21, 2016
firstlady4:
Hi Dr, could not upload test results.

HOMONAL PROFILE

LH 14.27 U/L
FSH 3.61 U/L
PROLATIN 24.30 NG/ML/(5-25)
PROGESTERONE 0.289 NG/ML
OESTRADIOL (E3) 145.9 PG/ML

ENDOCRINE THYROID

TS4 3.01 ( 0.27-4.2)
T3 2.62 (1.3 -3.10)
T4 109.3 (6.0 -181.0)

FEMALE REFERENCE RANGE

Follicle ph/Ovulatry ph/Luteal P/ Post Menopause
fsh(u/l) 3-20 9-26 1.0-12 18-153

lh (u/l) 2-15 22-105 0.6-19 16-64

pro(ng/nl)<1-5 - 3-20 0-15

E3 (ng/ml) 50-145 1/2-443 50-241 <59

DID THE HOMONAL PROFILE 2DAYS BEFORE EGG WHITE DISCHARGE.


PELVIC SCAN

" Uterus is non-gravid, anteverted and significantly bulky in size with non-uniform myometrial echo pattern. It measures 41.2mm in AP Diametre. With a defined cystic masses with internal echoes measuring 30mm x 34mm was noted at the right ovary.
left adnexen is free
mild fluid collection noted in the pouch of douglas.

Vagina culture result

Wet Preparation

Pus cell - 0 - 2/hpf
Epithetial cell - many / hpf
Bacterial cells - +
yeast cells - +

Culture: No significant bacterial growth after 48hrs of incubation at 38c.

THE PELVIC SCAN AND CULTURE WAS DONE FOUR DAYS AFTER MY PERIOD.


Please sir am seriously worried. Would be happy if you can help me evaluate the above results. God bless you.
please doctors in the house to help me out pleaseeeeee. Thanks.
Re: Doctor In The House:Obstetrics And Gynecology by Babyrex(f): 10:08pm On Jan 22, 2016
Hi doctor,
I am 25, my period has stopped since July 2015. Took hormonal test and all was normal except progesterone which was 0.2
Placed on primolut-N, noticed that my period comes after using the drug, but doesn't show up the following month. It has happened twice already.
I am a single lady and need your help. Tnx
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 4:31am On Jan 23, 2016
Rukkington:
Good morning Doc,
Please, if a pelvic scan didn't detect PID, does it mean dat person doesn't have PID. Hence, can't have blockage through dat...
Also, is der any oda way to detect if a person have blockage aside HSG test. The procedure of the test is kind of scary.

Please, reply me dis time. U didn't reply to my previous question.

If the pelvic scan reveals a POD is free(no fluid observed), it means no PID thus, no "prognosed" tubal blockage.

Well, apart from the HSG, no other less scarier diagnostic procedure. But then, if you don't have PID or salpingitis or endometriosis, you have nothing to worry about tubal blockage.
Re: Doctor In The House:Obstetrics And Gynecology by matrix199(m): 4:43am On Jan 23, 2016
heywhizzle25:
Good mrn doc,
Pls can u help with explanation on this test result I had....
LH - 38mill [4 - 20]
FSH - 17miu/ml [0 -15]
PROLACTIN - 27ng/ml [5 -25]
PROGESTERONE - 2ng/ml [3 -55]

NB; I noticed that when I press my breast it brings out a clear liquid and I'm not pregnant.

During intercourse with my husband also we noticed that after he ejaculates in and withdraws the sperm pours out immediately. Though we have complained but all we keep hearing is its normal for some sperm to pour out back but to us it seems like all d sperm is coming back out.
Pls is there a way to know if th sperm is actually going in?

Would b glad if light is shed on this questions that have been a disturbance.

Thanks and expecting ur reply.

Your hormonal profiling shows you have slightly high prolactin(which explains why you experience the clear breas.t discharge), plus low progesterone level(which explains why you've not had successful implantation).

The semen/sperm that flows out is attributed to non-viscosity. It seems his semen/sperm is not viscous/sticky/thick enough to stick to the wall of the v-gina. That explains why it flows out after intercourse.

Visit a gynae and have him review your case. Your hubby can get a fertility supplement that improves the semen/sperm quality.

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