what are the side effects of the intrauterine device? and is it a solution for heavy periods and not controlled?
mirena (levonorgestrel) it secrete progesterone and after your body gets used to it the heavy bleeding should stop altogether . it might take a few months though. cramping at first can be a side effect as well as irregular bleeding see more...
if this is the first time your period has been irregular, wait and see what happens next month. if it recurs, see your gynaecologist. iron tablets can cause stomach irritation. try to take them with food. gprd will not cause period problems.<br><br>best wishes greetings. thank you for your questions.
first and foremost, we truly understand your concerns. there are few types of emergency contraceptive methods available in malaysia if one does not desire to get pregnant after unprotected sex:

progestin only pills
iucd (a device inserted into the woman’s private part)

most commonly used is progestin only pills. it is will prevent 95% of pregnancies if taken within the first 24 hours, decreasing to 58% if taken between 48 hours and 72 hours after unprotected sex. although you have taken it later than the usual time, as long as it is taken within the first 72 hours, the effectiveness will still be there.
you may also opt for other contraceptive method for example using combined contraceptive pill and barrier method.
the following answers regarding your current queries are just general descriptions. you may also click on this link (doctoroncall) to speak with our doctors online or (doctoroncallepharma) to get connected to our pharmacy. we assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. thank you. i would get on some sort of birth control. this sounds like a hormone thing. your body is trying to regulate itself again and birth control would even out the hormones. you can use provera, starting 10 days before your period is due and stopping when you want to have a period.<br><br>best wishes i had a vasectomy 25 years ago, and almost immediately regretted it. i would have never done it knowing what i know now. the good part is no more kiddies, and i was ready for that.the bad part is i had some of the major side effects:1. post surgical infection of both incision points. i had abscesses the size of a nickel on both sides. took 60 days for them to clear.2. my balls ached for at least a yearthe sad part was my urologist didn't give a shit, and no one from his office would return my calls. 3. then there is the primal/psychological aspect of it. anyway you look at it, you are infertile. you know it, and your female knows it. rational or not, that fact sits in the back of your head. in college i had a girlfriend were we intentionally timed sex so that she was constantly carrying my live load in her womb for over six months. it was a fetish, obviously but we both really got off on it. primal. now, my wife was great about it, and appreciated not having to get a tubal ligation, as her gynecologist was leaning on her hard to get off bc pills. i'm pretty sure it didn't make any difference to her, but it did to me. it would be best to see your gynaecologist about the discharge rather than treating it when you don&#39;t know what&#39;s wrong. canesten only treats thrush.<br><br>best wishes hi kevin<br/><br/>they may well have harmful effects, yes. no one really knows, because they're never studied properly, and so the long term study to prove that they're safe is a non existent one. there is some evidence that they may be risky, especially phedra cut, because of the stimulatnt effect on the heart, and so i don't know that it justifies the risk. the problem is that there's no evidence that they work either. or that you need them. fact of the matter is that you don't need them now. you've just started out with your trianing and rather than waste money on these products (with some risks), i'd encourage you to make sure your diet is good and that you're training well. supplements are not part of the answer - diet is. so rather spend that money on the diet, by seeing a dietician.<br/><br/>good luck<br/> intrauterine insemination (iui) procedures are performed at 24 to 36 hours after hcg trigger shots are given with ovary stimulation medication. patients diagnosed with unexplained infertility may benefit from earlier iui procedures, which helps in increasing their fertility levels during ovulation with gonadotropins. unlikely but not impossible. i would suggest that you start your new method of contraception as soon as possible.<br><br>best wishes to answer this question we have to take into account several aspects. 

the first of these is the assessment of the male factor. when we speak of oligoazoospermia we refer to a low concentration of sperm in the semen. we consider an altered concentration when there are less than 15 million spermatozoa per milliliter (ml) of ejaculate. 

but although 15 million per ml is the reference parameter for talking about oligoazoospermia, when we assess the seminogram we must take into account the degree of deviation from that normality. that is, a concentration of 13 million/ml, where we would speak of a mild oligoazoospermia, is not the same as 1 million/ml, where we would speak of a severe oligoazoospermia. in addition we must also assess the other parameters of the study of the semen (total volume, motility). 

in order to group all the important parameters of the seminogram into a single value that will help us decide which assisted reproduction technique to use, the concept of msc (mobile sperm count) is established. this tells us the number of spermatozoa with good motility in each milliliter of ejaculate after the training of the semen in the laboratory. 

it is considered that in order to perform an artificial insemination (ai), the msc must be over 3 million spermatozoa. 

therefore, as far as the male factor is concerned, it will depend on the severity of the oligoazoospermia and how it influences the msc whether the technique of choice is an ai or, on the contrary, we have to opt for a more complex technique, such as in vitro fertilization (ivf). 

the second aspect to take into account is the female factor. in this case we are presented with a woman with a polycystic ovary syndrome (pcos). pcos is an endocrine pathology that is often difficult to achieve ovulation. when a woman is unable to ovulate, she will not be able to become pregnant and the clinic that most women with pcos consult for will appear, which is the absence of menstruation. 

thus, what we must do with this patient is to give her medication to help her achieve, first, follicular development and, later, ovulation. once ovulation is achieved, the semen sample should be added either by ai or by directed intercourse. one option or the other will depend on the quality of the semen. 

to achieve ovulation in a patient with pcos we perform an "ovulation induction" treatment. for this we have several therapeutic options. as first-line drugs we would have the drugs for oral administration (clomiphene citrate and letrozole) and, as second-line treatment, we would have the drugs for subcutaneous administration (gonadotropins). 

even so, before considering ovulation induction treatment in a patient with pcos, we should assess the patient's age. the main reason for this is that ovulation induction treatments end with ai or directed intercourse. it is known that women over 38 years of age do not benefit from these techniques due to poor egg quality. in such cases, the first option should be an ivf. 

therefore, and in response to the initial question, the most likely treatment of choice for this couple is ai with ovulation induction, but before indicating such a technique we must take into account other parameters such as emr and the age of the patient.