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[
{
"from": "human",
"value": "Hi my girlfriend is on Junel Fe 1mg birth control pill and has been taking it regularly at the same time for 9 days now. We had unprotected sex twice on the 8th day and once on the 9th. She also took plan b on the 9th day. I'm freaking out but I don't know if we should be ok."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no chance of the pregnancy because:1. You did sex in the safe period of cycle and there is no release of ovum at this time2. You are on the double protection -- On birth control pill and it is very effective in preventing the pregnancy (only 0.5% failure rate).Plan B has been taken with in 24 hours and it is again 95 to 98% effective in pregnancy. So there is no chance of pregnancy in your case. But your period could be delayed by 1 to 2 week as I plan B pill cause hormone imbalance.So do not worry of period will be delayed. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
|
[
{
"from": "human",
"value": "I have PCOS i was told this Jan 2010. My fiance and I are trying to conceive. I get my period faithfully every month but I get it sometimes the 5th or the 10th. I also lost 10 pounds. Wondering if I continue to have sex every other day will it be likely i get pregnant?. Please help me."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.See if you are PCOD then your ovulation occurs late than usual. You should go for follicular study with clomiphene so that you can know the exact time when to keep relationship with fiancee.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
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[
{
"from": "human",
"value": "hi , i m 24 yrs,married for 1 yr 23 mnths, trying to conceive now, have regular periods. A doctor prescribed duphaston ans fertab 50 mg saying i have facial hairs , so might have hormonal balance.is it safe to take these medicines though i have regular periods and without further check ups?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you are failed in normal way for conception, you and your partner both need complete investigation to find any pathology. Hormonal imbalance also cause menstrual irregularity and ovarian dysfunction. I would suggest to go for reproductive hormone analysis, USG scan and ovarian follicle study to find any pathology. You can use duphaston and fertab after complete evaluation by gynecologist.Duphaston will make the uterine environment favorable for pregnancy and support the pregnancy. Fertab can be useful to induce ovulation and increase the fertility. You can also use folic acid tablet. But make sure that your partner have no any problem related to fertility. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "Hi doctor,We are a newly wedded couple and to be safe we always use commercially available contraception viz condoms. We had our usual physical intercourse and I was using double condoms. After ejaculation, I had noticed that my semen was outside the condom and the topmost condom got stuck inside my wife's vagina. to avoid any pregnancy, she has taken emergency contraceptive pill. What are the chances of getting pregnant? Kindly reply"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You did not describe about the time of your cycle day and how much time after sex emergency contraceptive pill was taken. If you have had sex in safe period of cycle then no chance of the pregnancy.If emergency contraceptive pill was taken within 24 hour of sex then it is highly effective (98-98% success rate) in preventing the pregnancy. If pill was taken after 24 hours then it will 85 effective in preventing the pregnancy. Pill can cause earlier period, delayed period by 1 to 2 week and excessive bleeding can occur. If period will delay by more than 14 days then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. If you will be pregnant then you can still terminate intrauterine pregnancy by abortion pill under supervision of gynecologist.Avoid stress, take healthy diet, drink plenty of water and do regular exercise. Be careful while using condoms and make sure it will not break.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "well my question is i got married on june 30 this year me and my husband are trying to have a baby seen then every month we try but the test became (-) Until this monday i check the test became (+) can the be possible ?i have had symptom but i not have the shedding of the linging?can i be pregnant?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Following are the early symptoms of pregnancy:- Most common is missed period- Variable symptoms are nausea, tiredness, increase white discharge, breast soreness and enlargement, darkening of areola and increased urinary frequency.If your period will delay by more than 8 to 10 days then go for urine pregnancy test. Pregnancy test will give positive result only 8 to 10 days after delayed period. Sometime pregnancy test give false positive test. You can also go for blood HCG test as it is very sensitive and specific test, and detect pregnancy just 10 days after unprotected sex.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "I took a blood pregnancy test last week and it turned out negative... It has been almost 2 months since my last intercourse... I already had my period twice. But i still feel pregnant... I have nausea and back pains. Im not late for my period yet but i vomitted recently.. Could i still be pregnant?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. You got the period form last 2 months. In presence of the period pregnancy is not possible because absence of the period is the definitive sign of the pregnancy. Nausea, back pain are not due to pregnancy. Your symptoms could be due to hormonal imbalance, gastric problem, due to ovulation and premenstrual symptoms. I would suggest to consult the primary care physician and undergo health check up and routine blood test, reproductive hormone analysis to find any cause. Take tablet pantopazole + domperidone, Tablet ibuprufen for back pain. Take proper rest, eat healthy diet, take small frequent meal rather than large meal, avoid stress, do regular exercise like walking and yoga.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "I am married . 4years i have no baby . I have regular period for 25 days . my 1st day peroid 7.11.12 . my doctor give the susten 200mg . which date i will take this tablet . in night time after food or before food which timing i get it . please tell me."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and I understand your concern. Susten contain progesterone and it will make the uterine environment favorable for implantation and support the pregnancy. It should taken post ovulatory phase of the cycle for 3 to 5 months under the guidance of the gynecologist. You can take from 13th to 20th day of your cycle. It is recommended to use the capsule at intervals of 1 hour before or after meals. You can also use folic acid tablet. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "What is pcod problem in ladies..I would like to know what happens if that is there..will it make a problem during conceiving or sex what happens..I have no thyroid and my blood percentage is normal..I m not getting periods regularly.When i contacted doctor she told me we call it as pcod nothing more than that.."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and I understand your concern. PCOD is very complex disease, cause multiple cyst in ovary. It cause hormonal imbalance, menstrual irregularity and also cause difficulty in conceiving. But after proper treatment it is very treatable condition. I would suggest to consult the experienced gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management. Doctor will give following advised for PCOD: Drugs like Progesterone pill in second half of period to regularize the period. Drugs like Krimson, Metformin can be useful. Avoid stress, take healthy diet in small frequent meal, take more fresh fruits and green leafy vegetables, do regular exercise and lose 10 to 12 % body weight if you are obese.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "I am a married woman........ 15 days ago, my husband enters his penis into my vagina just for 2min without any protection........ is there any possibility to be pregnant....... actually i am studying master degree........ so i dont want a baby right now........ pls help me........."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a chance of the pregnancy because there is penetration of penis inside the vagina. Precum enter into vagina unknowingly before the ejaculation and precum contain sufficient sperm concentration that cause pregnancy. I would suggest to wait for the period.If your period will delay by more than 7 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy. If you will be pregnant then you can terminate the pregnancy by abortion pill containing mifepristone and misoprostol under the supervision of the gynecologist.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "i started seeing my period on 10th of this months today is 28th i have been having unprotected sex since my period stopped on 14th with my husband now am having lower abdomen pains and this morning i satrted having saliva in my mouth and i feel tired what could it be"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your period date is 10th. You have lower abdominal pain and tiredness at the 28th date. It is very early to tell about the pregnancy because delayed period is confirmatory symptom of pregnancy. Your symptoms could be due to hormonal imbalance and ovulatory pain. Take proper rest, avoid stress, eat healthy diet, drink plenty of water. You can also take meftal spas for the pain. So wait for the period to come, if your period will delay by more than 8 to 10 days then think about the pregnancy.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
}
]
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[
{
"from": "human",
"value": "i have a delay in my monthly cycle...the delay is 10 days!last period 19-11-2013...till now...i am having sex only with condoms(from the start till the and)it is possible to be pregnant?i havent make a pregnancy test yet,cause i think i m not...(with condoms?)how can i make my period to come?what do you say of primolut nor?its possible to be pregnant?what is your opinione?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You used condom while having sex every time. If it was not broken then chance of the pregnancy is nil. You have to check for any break in the condom after sex by filling the water. If condom was broken unknowingly then it cause pregnancy. Your period is delayed by 10 days. I would suggest to go for the urine pregnancy test with early morning urine sample to rule out the pregnancy. If you are not pregnant then consult the gynecologist to rule out cause. It could be due to hormonal imbalance, ovarian dysfunction, excessive stress, change in life style and dietary habit.You can use primout to induce the period in absence of the pregnancy under the advise of gynecologist. Avoid stress, drink plenty of water, eat healthy diet, do regular exercise.Hope this may help you. Contact further if follow up needed.Best regardsDr. Sagar"
}
]
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[
{
"from": "human",
"value": "I m ttc since year but no luck. Had harmones nd ultrasound done all fym Was on follic since lst cycle ha siphene 50 mg Had ovulation scan on 7 day Bt no positive result after 2 days nxt scan Doc advised hsg or hcg injection Can i hv details about this injection nd cost idea nd results"
},
{
"from": "gpt",
"value": "Hi.hCG is normally produced in the body and is also locally called pregnancy supporting medication, it is also naturally produced in yhe female body once conception has taken place and plays a vital role in sustenance of pregnancy.This is perfectly normal and has no side effects what so ever, so you need not worry about it and please trust your doctor.As for cost, it retails ar around 15-20$ a box where I live, unsure about the pricing in your country.Best wishes."
}
]
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[
{
"from": "human",
"value": "Hi,I am 29 years old. I have hypothyroid and PCOS. We have been trying for 2 years to concieve, but with no luck. Last Nov 2009, I was diagnosed with hypothyroid and PCOS. I am on metaformin. I took clomid 50mg for 2 months, but no use and hence discontinued. I am on Metaformin since Feb 2010.Can you please advise if this medictation is sufficient or should I continue with clomid ? How long does it take for me to concieve ?Please suggest"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If possible weight reduction. Get serum TSH and serum prolactin done. Then on d2 of the cycle start taking clomiphene with gonadotropins as prescribed by a gynecologist. Then go for follicular study till rupture and then keep relationship around ovulation/rupture.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
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[
{
"from": "human",
"value": "Hi I got married 4 months back.For the last 2 months I had irregular periods and i checked for HPT and it was negative.For this month i hav not got my periods and checked negative this time too.I visited a gyno and she has prescribed Regestrone for 3 days .Then she has prescribed Folinz tablet and Siocare Syrup for 30 days.I am worried is there any complicacy in me getting pregnant.Before marriage I had regular periods. I am not overweight and I look normal."
},
{
"from": "gpt",
"value": "Hallow Dear,To start with, let me discuss about the medicines you have been prescribed. Registrone is a retroprogestational medicine which helps controlling the excessive bleeding or inducing the withdrawal bleeding when taken for short period. If taken continually cyclically, it helps regularising the menses without affecting the ovulation. Folinz tablets are tablets of Folic Acid and Zinc. They help the healthy growth of the tissues. Siocare Syrup is an Ayurvedic medicine which is used for the treatment of Menstrual problems, Bleeding Gynaecological conditions, Reproductive system problems, Bleeding disorders, Diarrhoea, Eye disorders and other conditions. Siocare Syrup contains Ashwagandha, Asoka, Chandan, Daruharidra, Dashmoola, Dhataki, Guduchi, Jeeraka, Lodhra, Musta, Shatavari, and Udumbara as active ingredients. Now let us turn to your main issue of fertility and the irregular menstruation. By and large, the women with irregular menstruation are known to face problems in egg release; however, it is not a rule. If you are overweight also, having hairiness at the unwanted places of the body along with irregular menses, please check for Polycystic Ovarian Syndrome which is known to have ovulation problem and result in infertility. At this stage, I would advise you to monitor your ovulation. Ultrasonography would be option of choice for this. If you find evidence of egg release, you should not be concerned about conception problems. Try to plan your pregnancy at and around the day of egg release to achieve the pregnancy. If ultrasonography reveals the failure of ovulation, you will have to undergo treatment of ovulation induction. Please report to your Gynaecologist. Dr. Nishikant Shrotri"
}
]
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[
{
"from": "human",
"value": "Hello Last week in started spotting for 3 days . Sunday my period came on very heavy last 3 days on heavy and Wednesday back to light bleeding and today it very light. Period never Last this long always 5 days max...so am I pregnant or just stressed? ?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYour symptoms could be due to hormonal imbalance, ectopic pregnancy, endometriosis, adenomyosis, cervix and endometrium dysplasia.I would suggest to consult the gynecologist an undergo vaginal examination, reproductive hormone analysis, USG scan and if needed PAP smear and colposcopy.Specific treatment will depend on the cause and test result.Progesterone pill and tranexemic acid will help to stop the bleedingAvoid stress, take healthy diet with iron supplements, drink plenty of waterHope this may help youContact HCM for further queryBest regardsDr. Sagar"
}
]
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[
{
"from": "human",
"value": "I am on oosure, tryin to conceive since 4 months. I was diagnosed with mild pcos few years ago and was on chromet for 6 months before starting oosure as Scan showed no cysts. Today is first day of missed period and home pregnancy test is negative. What do i do?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernPregnancy test will give not positive result one after missed period.So wait for the period to come.It will give positive result once your period will delay by 8-10 days.You can also go for blood HCG as it detect the pregnancy 10 days after the unprotected sex.Your missed period could be due to hormonal imbalance.To become pregnant you can also use progesterone pill in second half of period, clomiphene citrate after consulting the gynecologist.Avoid stress, take healthy diet, avoid excessive sweet, do regular exercise and reduce 10-12% body weightHope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
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[
{
"from": "human",
"value": "So I ve been pregnant before and had a medical abortion due to amniotic band syndrome and I ve been trying for 4 months again the thing is I keep getting utis and I went to a urologist they said im healthily just prone to them so every month I take the antibiotics I was wondering if that s a factor I can t get pregnant and also we have intercourse everyday a few times I know they say save up a few days before but what can Ido to help conceive?"
},
{
"from": "gpt",
"value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. In my opinion, UTI may not be the cause of your inability to conceive. Please get urine routine examination and urine culture and sensitivity test done. I will suggest you to get diagnostic hysteroscopy done within first ten days of the cycle. This will help to know about any intra uterine adhesions affecting implantation of pregnancy. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar"
}
]
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[
{
"from": "human",
"value": "I have had 2 missed periods, spotting, cramps, lightheadedness, dizziness, white discharge and have tooken 3 hpt which all came back negative, i want to have kids, am 36 and have been trying for 19 years. Am i pregnant, im so nervous it coulld be something else."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYour symptoms could be due to pregnancy, hormonal imbalance, adenomyosis, endometriosis, ovarian dysfunction.I would suggest to consult the gynecologist and undergo reproductive hormonal analysis, USG scan, ovarian follicle study to confirm the causeSpecific treatment will depend on the causeMean while avoid stress, take healthy diet, drink plenty of water.In absence of pregnancy period can be induced by the progesterone pill/injection.Hope this may help youContact further if follow up neededBest regardsDr. Saagar"
}
]
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[
{
"from": "human",
"value": "Good afternoon, Are there any natural over the counter vitamins/herbs to take to jumpstart ovulation? My husband and I just had a baby in February, but she passed away at 17 days old, and we are trying again. However, my period hasn t returned and I stopped pumping fully close to 7 weeks ago. Also, when should I get concerned that my period hasn t returned? Thank you."
},
{
"from": "gpt",
"value": "Hallow Dear, Usually the period starts within 5-6 weeks after discontinuing the breast feeding. Even after the discontinuation of breastfeeding, if you continue to squeeze the milk from the breasts, the effect on the hormones is the same as the breast feeding. When expression of the milk by natural or artificial way has been totally discontinued, within 5-6 weeks, the menses should return. However, in many cases, the menses do return even while the breast feeding the child. Sometimes, during this period, conception may take place which is known as pregnancy in lactational period. Therefore before taking any steps to induce the menses, it is advisable to look for the possibility of pregnancy by pregnancy test. If you fail to get the menses within this stipulated time, you may report to your Gynaecologist. After ruling out the pregnancy, probably some progesterone preparation would help your menses to return again. After returning the menses, it may take few weeks for the ovulation to return. I hope this helps you. Dr. Nishikant Shrotri."
}
]
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[
{
"from": "human",
"value": "ive had unprotected sex last monday and saturday not sure if he ejaculated , but my boobs hurt and my stomachs really sore , i took a pregnancy test and it showed up one line and one faint line but the faint line kept disapearing , i also have my period every 3 months because it gets quite painful not sure when i get it next as i dont count , i also have forgotten the pill"
},
{
"from": "gpt",
"value": "Hallow Dear, I would have appreciated had you mentioned the date of your last period. The fact that your pregnancy test is positive suggests that you are pregnant. However, faint second line is an issue of concern. The main causes of such weak positive test are:1. Ectopic pregnancy: The pregnancy in such cases is implanted somewhere outside the uterine cavity, commonly the tube. Such pregnancy does not grow and subsequently ruptures to cause profuse bleeding in the abdomen. It requires emergency surgical intervention with many units of blood transfusion. Such condition is associated with extreme pain, which I believe you are having. Ultrasonography will help you. If in spite of positive pregnancy test, the uterine cavity is empty, it is most likely ectopic pregnancy. 2. Missed abortion of recent origin when the test is on the way of becoming negative. Ultrasonography can help detecting such condition. If detected, it needs immediate evacuation of the uterus. 3. Test performed too early in normal pregnancy. Subsequently it becomes strong positive. Weak positive pregnancy test, particularly with pain in abdomen should not be taken lightly and should always be investigated with ultrasonography. Please report to your Gynaecologist ASAP. I hope you got the message. Dr. Nishikant Shrotri"
}
]
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[
{
"from": "human",
"value": "Hi, I am a 20 yr old female and I m sexually active, now normally my period always comes either the middle of the month or the end and always lasts 5-7 days but my last period only lasted 3 days I thought it just simply stopped because sometimes ot does that but it always starts back up again and this time it didn t. I m somewhat concerned that I may be pregnant, I have notices that I have been tired more, loss of appetite, and with a couple of foods I have ate their was a metallic taste. I m not too sure what s going on"
},
{
"from": "gpt",
"value": "Hallow Dear, You had your normal menses. So the probability of pregnancy is very remote. Tiredness and altered taste with loss of appetite and repulsion towards certain (particularly) oily and/or spicy food can be due to affection of the liver with or without jaundice. Please have to look of your urine. If it is dark yellow, it may suggest jaundice. Please report to your physician. To ensure the pregnancy status, you may opt for:1. Pregnancy test about a week after the (supposed low) menses; earlier the test may report false negative. 2. Beta hCG test on the blood 10 days after the last unprotected sexual intercourse. I hope this helps you. Dr. Nishikant Shrotri"
}
]
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[
{
"from": "human",
"value": "my girlfriend's period date is 20 and 21 of every month.we have intercourse on 4 December without any protection.this month she miss her period so we are worry about this.is she pregnant ? if yes then let me know any medicine which will help to terminate her pregnancy."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYou have did unprotected sex in fertile phase of the period and so there is chance of pregnancy.Take I pill with in 72 hours of sex to prevent the pregnancy.If 72 hours has been crossed then wait for the period to come.If period will delay by more than 8-10 days then go for urine pregnancy test and or blood HCG test to confirm the pregnancy.If you will be pregnant then you can still terminate the intrauterine pregnancy by abortion pill containing MIFEPRISTONE PLUS MISOPROSTOL under the supervision of the gynecologist.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
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[
{
"from": "human",
"value": "Hi doctor, my menstrual cycle stoped on 5th march, thereafter i had sex, but 1 day after i took unwanted 72 i pill, my cycle till now not started which was on 22nd march, if there is conception, any bad effect will creat on my baby??? I want to conceive doctor......."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernUnwanted 72 contains hormones which are normally produced in body. So the only effect of taking Unwanted 72 is hormonal imbalance which occurs.But there are no documented side effects or bad effects on the baby per se.There is only chance of pregnancy being ectopic that means outside the uterus commonly in fallopian tube.So, a usg scan should be done of abdomen as early as possible to pick up the location of the fetus by consulting the gynecologist.But Unwanted 72 also cause delay in period by 1-2 week.If period will delay by more than 2 week then go for urine pregnancy test and or blood HCG test to confirm the pregnancy.Hope this may help youBest regardsDr, Sagar"
}
]
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[
{
"from": "human",
"value": "i am 24 year old,my weight is 50 kg,i have pcos.i got pregnant on 2008.after2 months got Miscarriage..since 2008 we are trying for baby with no luck..i am taking ovulation madicine from over one n half year with 15oo mg metformin..dr.did leproscopy on nov 2009 for pcos drilling..while leproscopy dr. seen some infection..she gave my akt4 for to months and akt3 for 4 months..now i finised my akt cource..my qu is how do i no that my infection is cure?? is there any test? is it ok to take ovulation medicine after taking one and half year?? plz help to get pregnant..i heard about vitex ,royal jelly and baby asprine...is it working for pcos?? should i try?? how to use these thing..plz tell me"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You should do serum TSH and serum prolactin. Then on day 2 of periods start with clomiphene or letrozole with gonadotropins as prescribed by your gynecologist. Then do follicular study till your follicles grow till 18 mm and get rupture and have a relationship with husband.Regards,Dr. Sheetal Agarwal"
}
]
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[
{
"from": "human",
"value": "Hi i had sex with my wife..where i didn t insert also my penis in her vagina..but condom has broken near the vagina but i didn t evacuate my sperm..in safety she took the emergency pill..after 20hrs..is there are any side effects if really the sperm didnt go also?? Her periods are about a week ago and i should wait till her next periods or go to a pregnancy kit?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYour condom was broken and I pill was taken after 20 hours.I pill is highly effective in preventing the pregnancy.IT has 0-5% failure rateIt cause following side effects: intermenstrual bleeding, earlier period, delayed period by 1-2 week, fatigue, sore breast, nausea, cramp.Now you have to wait for the period to come.If period will delay by more than 14 days then go for urine pregnancy test to confirm the pregnancy.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
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[
{
"from": "human",
"value": "Okay, i had the Implanon implant, the date went out a month before i went to the doctor. They didnt give me a pregnancy test, but they did insert the Nexplanon. I ve been having pregnancy symthoms, Maybe it s just in my head, i do have a 3 year old, so i have been through it before. It does have me worried that im having all the symthoms. Is it likely that you can get pregnant while gettin off birth control, changing to a new one?"
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.Implantable contraceptives like the Implanon and Nexplanon, even though they have expiration dates, are effective for even a few months beyond that date. This is because the manufacturer is required to post an expiration date that is actually earlier than when the device truly becomes ineffective.When switching birth control methods, hormonal symptoms are very common. Many of the symptoms that we commonly associate with pregnancy including bloating, breast tenderness, moodiness, weight gain, nausea, headaches and others are common side effects of progesterone based contraceptives (like the Nexplanon) and cannot be distinguished from pregnancy.The only way to know absolutely for sure that you are not pregnant is by performing a urine pregnancy test. Modern pregnancy tests are extremely accurate, and will become positive within 10 days to two weeks after conception. However, the reason your healthcare provider did not require pregnancy test before giving you your new Nexplanon is that, because of the reason I explained earlier, you really were not at risk for pregnancy.So the likelihood of your getting pregnant in between switching from Implanon to Nexplanon is close to zero. The symptoms that you are experiencing are likely side effects of your body's adjustment to the new medication, which will likely subside over time.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes,Dr. Brown"
}
]
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[
{
"from": "human",
"value": "Hi, I have been diagonsed with thyroid and doctor suggested me to take thyronorm 25 mcg for 3 months will this reduce weight? How soon can I conceive. I already had medical pregnancy termination due to baby stuck in tube, in sonography pregnancy wasnot detected in utres.."
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic In hypothyroidism sometime conception is difficult and chances of abortion high if conception occurred... So for controlling hypothyroid you are prescribed correct drug.. When your TSH level is between 2 to 3, chances of pregnancy related complications like abortion less likely So maintain TSH between two to three and according to TSH level adjust dose of levothyroxine... If conception not occurs after maintaining TSH level within limit than further work up needed for rule out causes of infertility Take care Hope your concern solved"
}
]
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[
{
"from": "human",
"value": "Hi, I am 23 yrs old n now I am trying to conceive but My periods are regular but my last period has continue for 8 days...I getting fear... I don't know why I it happen...please can u help me on it....I am trying to get conceive so can u suggest me what I do to get pregnent as soon as possible.."
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic Your period was slight high duration this time... If repeated prolonged menstruation occurs than work up for that needed ... For achieving conception do frequent unprotected intercourse especially around ovulation time between 10 to 17 day of cycle... To detect ovulation time LH kit can be used... If bleeding occurs more between menstruation than thyroid issue and pelvic USG needs to be done to rule out any organic cause if present ... For repeated bleeding trenexemic acid tablet or if needed Hormonal pill might prescribed If after one year of frequent intercourse conception not achieved than inclvestigate with.... -hemogram-x ray chest, ESR-Serum prolactin -endometrial biopsy if needed -diagnostic hysteroscopy if needed -Transvaginal USG With keeping this in mind consult gynecologist for examination and further discussion Take care"
}
]
|
[
{
"from": "human",
"value": "i had laproscopy in april for endometriosis cyst on my left ovary Dr has put me on lupron 3.75 for 3 months i had all the 3 shots i am married for two years am 30 year old and eager to have a child when are the chances to conceive and will it be normal or i have to prepare for IUI"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic Endometriosis cyst in ovary can lead infertility.. You have been treated for that laproscopically and by luprolide drug for that... Hence now conception can occur as you have treated underlying cause... Frequent sexual intercourse around ovulation time can lead conception... If you can't conceive than USG, endometrial biopsy, serum TSH, prolactin, FSH and LH estimation, hysteroscopy like work up can be done.... If no specific cause found and you can't conceive than only intrauterine cytoplasmic procedure like assisted reproductive technique needed Take care Consult gynecologist for examination with keeping all this in mind"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, Iam 22years old married women, I have a question about sex life. Iam playing for conceive baby from last 7months but still we are not successs When we having a sex my husband satisfied me 1st by rubing my virgina than he enter his pennis in my virgina becouse his stamena is very low so please tell is it the reason for not conceiving the baby"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic For getting conceive semen should enter into vagina by sexual intercourse... It is better to do intercourse around ovulation time with increased frequency that is between 10 to 16 day in 28 day normal cycle... During that period try to do frequent intercourse... LH kit can be used to detect ovulation If still you don't conceive than USG pelvis done first to rule out any organic cause esp ovarian problem if present.. Than further work up done for not conceiving by... -endometrial biopsy -semen analysis of husband-Serum TSH, LH, testosterone, prolactin-diagnostic hysteroscopy -Chest x ray -CBC and HB estimation etc... If specific cause found than treated accordingly Take care Consult gynecologist for examination with keeping all this in mind"
}
]
|
[
{
"from": "human",
"value": "Hi Dr I am 31 years old, 1,72 and weigh 72 kg s. I am currently trying to fall pregnant. I have had very irregular periods the last 3 months. I had a miscarriage about 2 months ago. My gp gave me Primolut N to use. I have since had irregular discharge (pink and brown). I have not had a normal period since the miscarriage. A sonar showed that all was normal after the miscarriage. I suspected that I was pregnant, but should not have been more than 4 0r 5 days now. This morning I again had a pink discharge. Does this mean that I might not be pregnant, as suspected?"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic You are having irregular periods... For that investigation needed as follow.... -pelvic examination -pelvic USG -Serum TSH, prolactin, testosterone estimation -ESR and CBC -RBS -Smoking, stress, weight loss history etc According to cause specific treatment given For Hormonal imbalance drug that you have been prescribed like synthetic progesterone can be used.... If needed vaginal swab taken to rule out infection After treating any organic cause if present and after regularizing period frequently intercourse around ovulation will lead conception... Take care If frequent intercourse occurs than molecular study needed for rule out chromosomal Abnormality which is common cause of abortion Consult gynecologist for examination with keeping all this in mind"
}
]
|
[
{
"from": "human",
"value": "I have done all the investigation almost every report is normal except right side tube is partially blocked (hsg).my hubby s report of seemen is also normal my age is 33 years.i want to conceive please suggest me?these inv.are as harmone test,torch test,biopsy,tb gold,hsg,rh factor"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic You have done almost all test regarding female infertility... Hysterosalpingiography showing partial blockage that might be the reason for not conceiving Tuberculosis should be ruled out by biopsy and molecular study if needed If blockage is by adhesions than adhesiolysis can be done If needed Try to do frequent sexual intercourse around ovulation time If needed serial USG can be done from day 10 of cycle to detect ovulation If you can't conceive than if needed as a last mode assisted reproductive technique can be useful Take care Consult gynecologist for examination with keeping this in mind"
}
]
|
[
{
"from": "human",
"value": "Hi... i m 33 years old and not able to concieve from the past 9 - 10 months ... kindly suggest me the right procedure for treating with my problem as after all the check ups & tests, which are normal, my doctor has recommended me for IVF ... which is not affordable for me ... Kindly suggest me any other process with the help of which i can find out what the exact problem for not conceiveing ... Thanks"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic You have not mentioned which report has been done Following work up needed in infertility cases... -semen analysis(of husbsnd) -ESR -Serum TSH, prolactin, FSH, LH estimation -endometrial biopsy -Hysteroscopy-TVS USG etc If specific cause found than treated accordingly... Try to do frequent sexual intercourse around ovulation time If still can't conceive than assisted reproductive techniques used Take care Consult gynecologist with keeping these in mind"
}
]
|
[
{
"from": "human",
"value": "i am 30 year old man .... my marriage took place some 6 months ago ... but still no conception of baby . please tell me what is the best time for conception after periods of women. my wife periods over on 2nd december . now what are the best day. 2nd my seman is so watery so what diet i should take or what medicine to increase my sperms strength and motality. thanks"
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic Sexual intercourse around ovulation time will be the best period for getting conceived ... If cycle is off 28 days than ovulation will be at 14 days So intercourse done at atleast alternate day from 10 to 18 day of period LH kit can be used for detection ovulation Your semen analysis should done and if count low than HEY FORTE like tablet prescribed Eat more fruits Avoid smoking and alcohol Blue berry, green tea, citrus fruits etc beneficial Hope your concern solved Consult gynecologist for examination with keeping all this in mind Take care"
}
]
|
[
{
"from": "human",
"value": "My sister in law is now 41 yrs and is having thyroid and tumor in her womb. Moreover her menstrual period has stopped from last month only. Previously due to some family reasons she had 3 times abortion. Can she have a child now? How much expenses is involved to do so? Please inform me kindly."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Get thyroid function, serum TSH, free T3, and the serum prolactin done. Send USG report as we need to know the exact location and size of tumor, after that we can decide.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "Hi,I am now 21 weeks one day pegnant according to my last period. My last period was may 14th 2014. The issue is im not sure who the father of my child is. I had sex with another man on the 17th of may while I was still on my period. But I had an appointment on the 12th of sept and the fetus was measuring at 17 weeks and one day so that keeps me on track for getting pregnant after my period ended, I always have regular periods on the same date every month. my question is what are the chances that I got pregnant while I was on my period."
},
{
"from": "gpt",
"value": "Hi welcome to the health care magic If cycle is regular and if sexual intercourse done during period time than pregnancy unlikely as it is safe period for intercourse and no ovulation occurs in that period But if you have issue regarding father of child than it is legal issue and for that confirmation molecular methods should be done like PCR.... Hope your concern solved Take care Consult gynecologist for examination and further discussion regarding this...."
}
]
|
[
{
"from": "human",
"value": "am karunya, my age is 23 and 6 months passed my married life still i didnt get concieve doctor told that ovulating egg is low so she prescribed Clomiphene Citrate (Siphene) tablet for 5 days ....... is it is really give good results? and also it ill increase again and again or whenever i take tablet only increases?"
},
{
"from": "gpt",
"value": "Dear Karunya, Clomiphene citrate is a medicine used for induction of ovulation (release of eggs from the ovaries) where the ovaries fail to ovulate. These pills are given for 5 days. Few days after that the ovulation results. Ovulation Monitoring by ultrasonography after the day 9 of the cycle will give evidences of ovulation; more over it will help you to locate the day of ovulation so that you can plan your sexual relations on and around that day. Addition of Metformin and/or Myo inositol may give better results in case of failure of egg release due to PCOS. Clomiphene citrate trial should not be extended beyond 6 cycles. If it fails to result in pregnancy, you may have to go for HMG/hCG combination therapy. I hope this gives you preliminary guidelines. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello, me and my girlfriend friend had unprotected sex, but before we did she well...mastarbated me and a little precum came out. Not to mention that i mastarbated earlier, but i used the bathroom and took a shower before she came over, so back to the story, while she was mastarbating me pre cum came out and she wiped it off with her fingers. So when we had sex i didnt ejaculate inside of her can she be pregnant? Can you please respond soon because im very paranoid"
},
{
"from": "gpt",
"value": "Hallow Dear, Body play and mutual masturbation never results in pregnancy. However, after masturbation, you had penetrative sex. There is always a possibility of discharge of secretions which will contain some left out sperms which are capable of impregnating her. As you have mentioned in the summary of your query, if you did not have any penetrative sex, you do not have to worry about the pregnancy. However, if you had penetrative sex even after couple of times masturbation, it is better to look for the evidence of pregnancy by: 1. Beta hCG test 10 days after this incidence. 2. Alternatively, wait for her menses. If she gets her menses, she is not pregnant. If she misses her periods, perform pregnancy test on her overnight morning first urine sample after a week; earlier the test may report false negative results. Beta hCG urine test kits can detect the pregnancy even few days before missing a period. I hope this clarifies your doubts. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I have polycyst ovary syndrome proble, doctor suggested me Glycipaage and fertyl tablet. Also i was asked to take scan from 12th day, my weight is 60 kg, my scan reports says, multiple small follicles and cyst size 31*42 mm size, i want to know what are the procedure to get of this problem and getting pregnant , how much months will take?"
},
{
"from": "gpt",
"value": "HiGREETINGS Polycystic ovarian deseaze will need regular follow up with follicular study after 2nd day of your periods .Once the follicle reach 18mm will either need injection for ovulation and timed intercourse or Intra uterine insemination if semen parameters and not adequate.Duscuss with your infertility specialist. Hope my answer helps you. regards"
}
]
|
[
{
"from": "human",
"value": "I went for a scan and d results show uterine fibroids. Bulky uterus measuring 7.48x7.25 CM with lobulated anterior outline. Subserus and submucosal uterine masses measuring 5.83x4.56 cm located in the anterior aspect of the uterus. Both adnexae are free. I m trying to concieve..is there anything to worry about"
},
{
"from": "gpt",
"value": "HiGREETINGS Submucosal fibroids need to be removed as it will be pressing on the inner layer of endometrium .That may affect implantation of embryo.consult with an infertility specialist. hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "I m 22 years old now. I had and ablation Andy tubes tied aug of 2013. I was made to get it done by my ex husband that didn t want anymore childern . I m now with another guy whoms amazing and he has no childern and really wants one and I would love to have a baby with him what should I do? Can I have a baby?"
},
{
"from": "gpt",
"value": "HiGREETINGS IF your cycles are regular you can try for recanalising the tube by surgery or go for Assisted reproductive technique like IVF.hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "Hi we are trying a baby from this mnth. My last period is June 6th. Now we are trying a baby. My cycle is regular cycle only. Every month I got a white layer in 17 to 22 days after my periods. This month also coming. So it s a symptoms for my periods will coming this month also ah? And I feel over heat in my body"
},
{
"from": "gpt",
"value": "HiGREETINGS ARE YOU HAVING regular periods.? Done any ultrasound scan or hormonal analysis.? If not first get a semen analysis for your husband and ultrasound scan for you.Your thyroud hormones also need to be evaluated .Hope my answer helps you.Regards"
}
]
|
[
{
"from": "human",
"value": "I was on my period, had been for roughly a week, and then me and my partner had unprotected sex, and the next day my period stopped... Its been about 6 days since that night and lately I ve started getting stomach cramps as if I m about to get my period but I m not due as I ve just had one.. I ve also become quite tired and having a few mood swings. I took a pregancy test yesterday and it said negative but it had only been 4/5 days after intercourse.. So I was just wondering is it possible I could be pregant as I ve read it s unlikely to get pregant on your periods"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernPregnancy is not possible when you had sex during the menstruation.It is safe period of the cycle and ovulation is not occur during this time and so no fertilization will occur.Pregnancy test will give positive result when your period will delay by 8-10 days from the normal expected period date.Your symptoms could be due to hormonal imbalance and premenstrual symptoms.So wait for the period to come.If period will delay by more than 14 days then consult the gynecologist for examination.Avoid stress, take meftal spas for the cramp, drink plenty of water and do regular exercise.Period can be induced by progesterone pill in absence of the pregnancyHope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hi docter , my gf and i had a protected sex , but this month her periods are still delay now its more than 6 days her date was 15 of every month but still she is not getting periods. Last month when we had protected sex i still gave her i pill , wen we had sex she was in her period cycle few days her period was stopped and after she had an i pill the next day then he got bleeding...but this month i had not given her any pill, but her periods are still pending .. please let me know what can i advice her to take that she soon get ths periods we dont want pregnancy to b happn and i also dont want to go to any docter or test please u give me the prescription."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernIf you are sure about the protected sex then there is no chance of the pregnancy.Delayed period could be due to hormonal imbalance, ovarian dysfunction, excessive stress, change in life style and dietary habit.Wait for the period to come.If period will delay by more than 14 days then consult the gynecologist for detailed examination.Period can be induced by progesterone pill.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hi doctor, i am 29 years old and my weight is 65 kg. I have two daughters aged 13 years and 8 years. After that i got family planning in 2006. By 2012 i got a ectopic pregnancy and undergone a major operation. But now due to some family issues i want to get conceive another baby. Is it possible and kindly give suggestions in this regards."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernConception is depend on the type of the operation.It Fallopian tune has been removed then conception is not possible.If tube is clamped then after recanalization surgery conception is possible. Success of this operation depends on length of healthy tubes left behind after sterilization.If recanalization is not possible then in vitro fertilization is the only option.So consult you gynecologist and take proper advises.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hi doctor,i am 25 years lady and i want to conceive. so that i visited to a gynecologist and she asked me for a follicular study and take duphaston tab. but aroud after 15 days i got Mencius.What should i do ? It may be some prob. or notReetu"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Do serum TSH, serum prolactin, then clomiphene from day 2, and then follicular study till follicle grows 18 mm and it ruptures. Around it keep the relationship with your husband.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "I and my fiance got intimate the other day, he did not ejaculate but the pre cum did come out. He did not masturbate in last 2 to 3 weeks before we got intimate. I am scared that ill get pregnant. I hv my date on this 7th april. I also go to gym regularly frm last 10 days. Please tell me wheathr icn get pregnant? Also he did not penetrate, just a slight physical contact with my anal part."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYou have non penetrative sex and just contact with the anal part.PRECUM cause pregnancy but penetration is require.To become pregnant, full penetrative sexual intercourse or intercourse up to vaginal intoitus in fertile phase of period is require.So in your case there is no chance of the pregnancy, if you sure about non penetrative sexual intercourse.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Dear Doctor, I am 59 and my wife is 35 years and we married last year - for both 2nd time. Both of us had children in the previous marriage.She had undergone family planning operation about 12 years ago and now we wish to explore possibility of having children by reversing the operation if feasible. Please advise if it is possible to conceive at this stage."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernConception is not possible if fallopian tube has been removed.If tube is clamped then after recanalization surgery conception is possible. Success of this operation depends on length of healthy tubes left behind after sterilization.If recanalization is not possible then in vitro fertilization is the only option.So consult you gynecologist and take proper advises.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hie doct i have gone under surgery in sept 2013 and my right overy is benn removed due to cyst on it. after operation my doct has prescribed my to take dronis 20 i am taking this since last one year. i am worrier weather i can get pregnant or not. will it affect my pregnancy life."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernThere is chance of the pregnancy but it is decreased compared to those who have both ovary.Ovulation occur for the alternated ovary.So you can become pregnant.I would suggest to consult the gyneccologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.Drugs like progesterone pill in second half of period, metformin and clomiphene citrate, folic acid will help to become pregnant.Avoid stress, take healthy diet, drink plenty of water and do regular exercise and reduce 10-12% weight if you are obese.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "i was delay menstruation almost 2 weeks but in pregnancy test it s negative that s why i go to ob and prescribed me a duphaston even she s not sure if i m pregnant or not.if it s okay if i ll take it?there s no side effect if i m pregnant?and what i m going to do if I ve missed to take 1 tablet in one day.the prescribed is 2X a day.please help me.thank you"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernThere is no harmful effect of the duphaston on pregnancy.If you will be pregnant then it help to maintain the pregnancy and promote the growth of baby.But I assume that doctor gave you to induce the period.Sometime missed one dose cause spotting and starting of period occurs.But overall no major concern about missed one dose.I would suggest to consult the pregnancy by blood HCG test as it is more accurate then urinary pregnancy test.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseBetter to take duphaston under the guidance of gynecologistHope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "I m female 25, TTC. My periods is late by 10 days. Im regular with a 30-32 day cycle. And I have pregnancy symptoms like nausea,fatigue, headache, constipation, food cravings & smell aversions..I took 2 home pregnancy tests.. Both were negative.. Today I went to the doctor. She again took a urine test and it was negative too. She has prescribed Regestrone 5 mg tablets for 3 days. Is it safe to use ?. May I still be pregnant ?. What is happening in my system ?. How should I proceed ?."
},
{
"from": "gpt",
"value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) With multiple negative pregnancy test results, you can assume that you are not pregnant. In your case, Tab Regestrone will not be harmful to you. But it will be helpful to induce periods. 3 ) I will suggest you to get USG done to know if polycystic ovaries is a cause for your irregular cycles. If it is so, then please contact your gynecologist to get proper treatment for treatment of polycystic ovaries and for getting pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar."
}
]
|
[
{
"from": "human",
"value": "Hi, i have my first day period on 17 May and last on 24 May. i had intercourse with my husband on 25, 26 , 27 May and follow by on 1 June. - after 25 and 26 intercourse i have some vleeding which is like ending period color (brown). (last for est 3 day) - my current stomach is bloated which i usually will not have. - slight tinkling feeling under my abdomen and the left side of my ovaries. May i know am i pregnant?"
},
{
"from": "gpt",
"value": "Hello, your symptoms are not suggestive of pregnancy but if you have doubts do a pregnancy test and get confirmed. Your symptoms suggest that your left ovary has ovulated in this menstrual cycle and if you want pregnancy that you can have sex for 3 days regularly to conceive."
}
]
|
[
{
"from": "human",
"value": "i had my failed IVF in jan..after that within three days i got my periods..thats on jan 8th..but in feb till nw i didnt get my periods..jan 18th we did pregnency test at home..but it was negative..wht should i do? should i wait? is thr any chance of pregnency?vyga..muscat"
},
{
"from": "gpt",
"value": "HiGREETINGS There best way is to get an ultrasound scan to find out what could be the reason for not getting periods ..What was the indications for doing IVF? Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "Took unwanted 72 within an hour after having sex (condom broke). My periods are irregular and I had my last period exactly a month ago and they lasted for 5 days. Day after I had sex there is no or very less mucus. What are the chances of getting pregnant? When does withdrawal bleeding start and what if it doesn t?"
},
{
"from": "gpt",
"value": "HiGREETINGS unwanted pill can be taken within 72 hrs of unprotected intercourse. But it is not 100 % effective.95 to 98 % and again it depends on which day of your cycle you had intercourse.You can get an early morning urine sample pregnancy test or an ultrasound scan if you have missed your period .Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "I ve been trying to conceive for 8 months and have had late cycles, no pregnancies. I have had two abortions in the past and cervical dysplasia. Could this be the reason why i can t get pregnant. Almost seems as if I have had a few chemical pregnancies as well"
},
{
"from": "gpt",
"value": "HiGREETINGS cervical dysplasia need not be a cause for not conceiving.You are having irregular cycles and the reason for that has to be found out .It could be the hormonal issue or other factors which need to be evaluated.Hope the semen analysis is normal.? Get it evaluated with an infertility specialist. Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "I had a tubal ligation in April 2014 following my c-section. My doctor described my left tube as sticky and said he could not tie it so he used a clip. My periods since then have been quite heavy. However the last 2 months they have been very faint pink and have only lasted 2 days. I did have spotting with my last 2 pregnancies. Along with this I also have had nausea, breast tenderness, occasional vomiting, and stomach cramps. I have had one negative and one positive pregnancy test. As I do not have health insurance I do not want the financial burden of a doctor s bill unless there is something to be concerned about. Should I be worried about a possible pregnancy or gynecological health issue?"
},
{
"from": "gpt",
"value": "HiGREETINGS There are very less failures with clipping as well as surgical sterilisation ,but it can happen.I suggest you you get an early morning urine pregnancy test or an ultrasound scan. Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "hi dr.mia , i am soooo sad actually because i think i have a problem ,i am 3 months off microgynon contraceptive pills , i was taking them for 12 months ,now i had first mensis by 35 days next 31 days than this month it was 39 days what can i do to get pregnant as soon as possible ??please help me"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Probably you have a case of PCOD. You should get your serum TSH and serum prolactin done. Then you can start taking clomiphene from day 2 of the period after TVS and go for follicular study.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "Hello, I had my embryo transfer 12 days ago on 25/04/12. I have had small discharges brownish in colour for 2 days now and am having severe waist pain which are my usual premenstrual pains. I am due for my Urine Test the next 3 days. Can you tell me if the discharge or pains are signs of implantation, Thank you"
},
{
"from": "gpt",
"value": "yes of course you are right..it is called implantation bleeding and pain..you need not panic madamit usually occurs around time of expected date of menses"
}
]
|
[
{
"from": "human",
"value": "We are planing for baby. We have stopped using precautions .e.g using condoms. Its been two months we are trying for baby. We do the sex at the right time i.e. starting from the 14th day of the period. But no success. Should be consult the doctor or wait for 1 or 2 months and then see the doctor."
},
{
"from": "gpt",
"value": "even after having regular unprotected intercourse for one year if you don't conceive then only you should go to a doctor..now it is not required"
}
]
|
[
{
"from": "human",
"value": "Hello , I'm 30 years old woman, no children, with very high level of prolactine - 1061, MRI is fine, but I still have a headache. I started to take dostinex last week- one tablet a week, but which one Dostinex or Bromocriptine is more suitable for me , if I want to get pregnant very soon? thank you"
},
{
"from": "gpt",
"value": "Hi there,Welcome to HCM,Since you have already strated Cabergoline (dostinex) and also that it is the newer and has less side effects you should continue it till your prolactin levels decrease. Do net plan pregnancy till your prolactin levels decrease to less than 30 and your symptoms are under control.I know you must be very anxious to conceive but if you conceive before the prolactin levels are normal it can create problems during pregnancy.Repeat prolactin in 3 months to know the response.Hope this helps.Regards"
}
]
|
[
{
"from": "human",
"value": "hai doctor, I have PCOD problem. MY LAST PERIOD JUNE 10. consulting doctor said my ovulation start on june 23 rd.after 5 days i start taking duphaston 10mg tab for 10 days. still menstruation not come. iam pregnant or not doctor? pls answer to my questions..thank you doctor."
},
{
"from": "gpt",
"value": "Hi there,Welcome to HCM,You will not get your period as long as are taking Duphaston. Stop the Duphaston on 10 July, after doing a urine pregnancy test.If you are pregnant the urine pregnancy test done on 10 July will be positive. In that case see a gynecologist and continue Duphaston.Hope this clarifies your question.Regards."
}
]
|
[
{
"from": "human",
"value": "I had a miscarriage at 5 weeks this june then had an ectopic pregnancy this september at 5 weeks too, I had a left laparoscopic salpingectony with a d&c. Is it possible that i can get pregnant naturally without ivf or medication to help me ovulate? Im only 29 yrs old."
},
{
"from": "gpt",
"value": "Hi there,Welcome to HCM,I done think you have a problem in conceiving, you have conceived twice in a year, but unfortunately both pregnancies had complications. But the fact that you conceived naturally remains.Missed abortions are common in first pregnancies, and since you already had the ectopic pregnancy with tube removed, you have one tube which is remaining.This means you can definitely conceive yourself naturally without IVF or medications. Ovulation does not seem to be a concern for you, as you have got pregnant before. Women who have ovulaution issues will not get pregnant at all.So please try to get pregnant and once urine test positive see gynecologist immediately.Hope this helps.Regards."
}
]
|
[
{
"from": "human",
"value": "I took norethisterone to delay my period when I got married on 28st May, this was my period due date also. Once I stopped, I started bleeding the next day. I am now trying to calculate when my period is due to start again, would it be 28 days from my actual period start day or my delayed bleeding date? I need to know to undertsnad my ovulation dates as we are trying for a baby"
},
{
"from": "gpt",
"value": "Hi there,Welcome to HCM,It will be from the day you had the delayed bleeding induced by the Norethisterone. And you will be expected to get your next period 28-30 days after that day. This is assuming you have had previous regular cycles before.Could you elaborate how many days and what dosage of Norethisterone you took?Hope this helps. Regards."
}
]
|
[
{
"from": "human",
"value": "Hi, This is Saranya. Married for 2.5 years. My Pelvis scan is regular and i am having regular cycles.I am getting Egg monthly without any medicines.Still i am not getting pregnant.We are having regular intercourse from day 9-21 daily.My weight is 77 Kgs. Is this preventing from getting pregnant?"
},
{
"from": "gpt",
"value": "Hi there,Yes weight could be an issue. Also other factors like your tubal patency needs to be checked with an HSG (hysterosalphingography). As tubal blocks can be a cause of sub fertility.Also, get your partners semen analysis done as sometimes it's a male factor fertility we are dealing with, and treating the women when the fault may lie with the male partner.Hope this helps.Regards."
}
]
|
[
{
"from": "human",
"value": "hi how are you.i had just ovulate on sunday me and my husband has been very intimate everyday since dec,22,2013,and my question is there any way that i can help the relases of my egg been implant health into the uterine wall to increase pregancy.please help me with a answer .if possible thank you"
},
{
"from": "gpt",
"value": "there is no such thing madam..it's all God's grace for all that to happen so just wait and hope for the best"
}
]
|
[
{
"from": "human",
"value": "Hi, i just had sex with my partner but he ddnt come inside of me but after a few hours he urinated and washed his penis with soap and we had sex for the second time around and he did come but didnt put it inside of my vagina , my question is, can i get pregnant with that situation? Is there sperm left inside of his penis even after he urinated and is sperm present in pre ejaculated fluid? Please answer thanks."
},
{
"from": "gpt",
"value": "sometimes there are chances that you may get pregnant while the chance is very less.few sperms may be present in preejaculte fluid."
}
]
|
[
{
"from": "human",
"value": "I have been trying to conceive for a year my boyfriend and I never used birth control. I ovulated on the fifth of September. I bled for three days lightly around the 8-11 i have had unprotected sex since then I ve been nausea and vomiting for a week or so off and on could i be pregnant"
},
{
"from": "gpt",
"value": "yes you have chances that you may get pregnant..the fertilisation can occur till five days after ovulation in some cases"
}
]
|
[
{
"from": "human",
"value": "Hi, I have been struggeling to fall pregnant for 2 years now. My doctor gave me Fertomid to drink for 6 month but I did not drink the last lot for 5 - 9 days during my cycle. I felf moody, got a lot of pain and started to pick up about 2 kl a month. 2007 - I had a chemical pregnancy. \"Colocscopy\" 2009 - oct I miscarraige about 2 weeks. I dont know what to do any more as we have been togerther for 10 years and never ever since high school used a condom. doctor should I be worried?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First, get your investigations done like serum TSH, serum prolactin, and husband semen analysis. Find the cause why you are not getting pregnant by your gynecologist, then treat the cause.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "Hi my name is Madeline and I d like to know if its possale for my daughter to get pragant after a tuble being done 2 1/2 years ago,she s 24 years old and very sceared and coukd it be nerves ? she s been under a lot of stress lately ,with possiable breast cancer ,which im thankfull she dose nt ."
},
{
"from": "gpt",
"value": "that depends up on the technique of tubal ligation done,the skill of previous and present surgeon,.. however if you conceive after tubal ligation chances of ectopic pregnancy are very high"
}
]
|
[
{
"from": "human",
"value": "Hi Doctor,My periods is delayed for more than 10 days due to work pressure ..Doctor prescribed to take primolut for 3 day and I will be getting my periods with in 10 days .. I am planning for pregnancy on coming cycle ..I am worried due to intake of primolut will it impact my pregnancy and will it impact baby health ? Kindly please advise ."
},
{
"from": "gpt",
"value": "no because you are taking premoult n before conception it will not effect the babyyou will conceive if your cycle is ovulatory"
}
]
|
[
{
"from": "human",
"value": "I give birth last august 2013 and I have myoma subserous the size is 7cm. After I give birth I did not come back again to my obgyne to check if my myoma shrink. I still look prego because my tummy still big. my questions can I still get prego even I still have myoma"
},
{
"from": "gpt",
"value": "Hallow Dear,Subserous myoma usually does not affect the pregnancy. You can become pregnant even with the subserous myoma. Your abdomen is looking large which makes you think that you are pregnant. In fact the myoma you are carrying in your uterus could have grown big enough to distend the uterus. The best way to resolve this dilemma is by finding any evidence of the pregnancy. With enlarged uterus, the pregnancy is also quite advanced and hence can be easily detected by ultrasonography. Ultrasonography also will inform you about the size and number of myoma in your uterus. I hope this helps you today. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend."
},
{
"from": "gpt",
"value": "Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception.The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you figuring out which intercourse is responsible for this pregnancy. The fool proof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Im 26 years old and im after a miscarriage. Ive been told to reduce my weight as i had pcos.its been 8 months since i miscarried.my height is 163 cm and i weigh 67kg.im given with ovamit for the past 4months.and my periods are regular. I want to know is whats the best way i can reduce my weight, is it advicable to do aerobics exercises and use the treadmill and orbitrek. And how can i get pregnant soon"
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history, Please find my advice below-:1)You can do exercise as well as dieting. 2)As you had already conceived so there is no problem for you not to conceive.3)Go to the causes behind miscarriage,as you know there are many causes responsible for miscarriages ,among them PCOS is one among them,so take treatment for it first ,if that is managed properly then there will be no problem in future.Do not take any symptomatic drugs at all.I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "Hello, my husband and I are trying to conceive and I know we have to keep trying for at least a year but I just want to make sure we are doing it the right way. My question is this : everytime we have intercourse, right after, I always pee. i also wash my vagina with cold water, to remove the stickiness of the sperm which makes me uncomfortable. (I was the outside and a little on the inside with the tip of my finger) Do these 2 things minimize my chances of conceiving? (1) peeing (2) washing?"
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history, Please find my advice below-:1)You can wash no problem at all which are outside of vagina.2)Use one app to calculate your ovulation date and try to do sex in that particular date only which you can feel by little practice.3)Remember Only one intercourse creates a baby .I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "Hi I recently had the contraceptive injection and was due for another one last week I ve only had one injection, me and my partner have now decide that we would like to try for another baby but I ve read lots of stories about people having taken a year for fertility to return what is the likelyhood of my fertility being resumed anytime soon? I m 24 and have previos had the implant prior to the injection I wasn t made aware that it may take so long for fertility to return"
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)You will gain fertility as soon as possible no problem at all.2)It takes some weeks but not years.I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "hi i have been trying to conceive for a year now but in vain i am 30+ and little worried recently i have seen gynae who initially did ultrasound on 10 th after my last period and could not see developed egg, then she gave medicine to regularise periods n this month on first day of my periods i went to her so she was suggesting DNC test to be taken but i wanted to continue with medication first, so now she has given me Ova care, siphene100, omnacortil 2.5 tablets and want me to see her on 10 th day after my periods so that she can check the growth of egg, do these medicines have any side effect and would could be the probable cause for this delay she did not do any other test like thyroid, blood or urine test please suggest XYZ Delhi"
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history, Please find my advice below-:1)Do full blood count with differential2)Do fasting blood sugar and TSH & Liver function tests3)Auto antibody testing of Gal beta1-3GalNAc & CCR1 mRNA4)Do a Diagnostic Laparoscopy and Biopsy of the samples to rule out endometriosis.5)Skin test for tuberculosis6)Urine RE/ME/CultureDo all these tests first -I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "hi, i had been diagnosed with bi lateral PCO and have been on metformin SR 500 for past two months. this month went for follicular scan. from day8 till day 15. on Day 13th i was given HCG injection IM when they measure my folicle its size were 2.1 (T) 1.6 ((AP) and 1.9 (L) in cms. on day 16th it is scanned and ruptured seen. my questions can i conceive now? Regards Debz"
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history , Please find my advice below-:1)Ya you can conceive if you try within 48 hours2)Regular follow up is required as you have PCOS, because 90% PCOS cases are increased risk for gestational diabetes, preeclampsia, and preterm and post term delivery and newborns are at increased risk of being large for gestational age.I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "Hi, I had my follicular reading done ,on 19th day my follicule size is 10mm . It s was constant from 10th day to 19th day and didn t increased a bit, my doc has prescribed me with metaformin 500mg (bd) and duphaston10 mg (bd). Can I get pregnant this month ? I have pcos."
},
{
"from": "gpt",
"value": "Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history, Please find my advice below-:1)The size is very small so it is impossible for fertilisation average size is (18-35MM)2)Do proper treatment for PCOS as per AACE guidelines only. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,"
}
]
|
[
{
"from": "human",
"value": "me and my boyfriend have been trying to get pregnant for around 5 months, im still having my monthly periods and every test i take comes up as negative. i cam off the microgynon pill last march, could that be anything to do with it? we both know he's fertile as he has a child to another girl from the past.. could to be me?"
},
{
"from": "gpt",
"value": "do serum tsh and serum prolactin den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results. ...or else keep relationship between 11th to 18th day of cycle"
}
]
|
[
{
"from": "human",
"value": "I am late on my period...last period was 08/07/10..I had sex on 09/05/10..seen slight spotting 09/20/10..abdominal cramping and pain similiar to a period but no quite..but still no period..is it possible that I may be pregnant based on my last period and the date I have sex which was the only day I have had sex this year?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You just do the urine pregnancy test if there is a single line do not worry, this is periods probably.That is dysmenorrhea pain during periods.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "hi doctor. my name is Maryanne. my husband and I have been trying for a second child for almost five months now and still nothing is happening.my monthly period length is always 1-3 or 4 days only. what days are my ovolutation days and the right day for me and hubby to try again. please advise as we really want a second child and preferrable a girl causr our first one is a boy and he is now 5 years old. thanks"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernFirst make sure than your period is regular.Day one is the first day of the menstrual period and the last day is the day before the next period begins.Ovulation happens about two weeks before the next expected period. So if your average menstrual cycle is 28 days, you ovulate around day 14.So do sex from the 10th to 20th day of cycle.For better penetration keep pillow under back.Eat healthy diet, drink plenty of water, do regular exercise, maintain proper pelvic hygiene.If problem persists then detailed investigation of your and your partner will require by consulting the infertility specialist.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hi my name is Heleny. im trying to get pregnant, however I don.t know how many days my cycle last, thats why its impossible for me to calculate my ovulation days :( my last period was june 2, and before may 8 (both last 5 days) before that april 4. please help me thanks"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYou have first find the average day of your cycle.I think it could be 30-32 days but you can judge form your next 2-3 cycle.Day one is the first day of the menstrual period and the last day is the day before the next period begins. Ovulation happens about two weeks before the next expected period. So if your average menstrual cycle is 30-32 days, you ovulate around day 15th-17th.So I would suggest to do sexual intercourse during the 10th to 20th day of your cycle.Avoid stress, take healthy diet,drink plenty of water, do regular exercise and maintain proper pelvic hygiene.If you have irregular period then consult the gynecologist for detailed examination.Progesterone pill in second half of period will help in conceiving and regularize the period.Hope this may help youContact further if follow up neededBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Sir I have my period on 4the June to 8th june and had unprotected sex on 14the. . I am not sure that my bf loose inside me or not . .though I take unwanted 72 on 15th . 1 Can I be pregnant 2 How can I be sure that I am not pregnant 3 Is there any effect on my pregnancy in future"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernYou took the unwanted 722 pill with in 24 hour of sex.It is highly effective in preventing in the pregnancy (95-98% success).So it has 0-5% failure rate in your case.After taking pill, you have to wait for the next period.If next period will delay by more than 14 days then go for urine pregnancy test to confirm the pregnancy.Pill also cause earlier period and excessive bleeding can occur.You an also go for blood HCG test 10-12 days after sex as it more accurate and give positive result earlier then urine pregnancy test.One time use of unwanted 72 pill dose not cause problem in future pregnancy. But avoid repeated use as it cause menstrual irregularity, ovarian dysfunction and fertility issue.Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr. Saga"
}
]
|
[
{
"from": "human",
"value": "Just had a 5 day embryo transfer today approx 10 hours ago.... Was told to lay flat on my back, not on sides for at least 2 days even while sleeping.... I m having a tough time keeping this up.... Was told it helps prevent ectopic pregnancy. How do I get through these days?"
},
{
"from": "gpt",
"value": "Hi there, I have understood understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) As such implantation will take place in 48 to 72 hours of embryo transfer, and embryo will get embedded in the endometrium. After that there is no chance of getting ectopic pregnancy. So please do not worry. You can simply take analgesic like paracetamol from your treating doctor's prescription. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar."
}
]
|
[
{
"from": "human",
"value": "Hi. I have a daughter n she is 4 now, I have been trying for second baby since last 2 years but I am not conceiving. Last year I went through laparotomy n one of my tube was removed because of the cyst. My ultrasound reports are clear but still not conceiving. I am really upset n tensed. I am 33 now. Is there any chances for me to conceive early n easily ?"
},
{
"from": "gpt",
"value": "HiGREETINGS Since one tube was removed because of cyst, the patency of other tube has to be confirmed .I feel it must be ovary and not the tube.However get it evaluated with an infertility specialist. Also get a semen analysis for your husband.Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "I have a syst in my right overy ,I have been treated for three months but its stil exist now I m given progyluton as I have blood leakag three days before periods and lots of pain during period. I got marrid eights months ago I want to concieve also. I also have stomach disorder n my age is 31 can you suggest what should I do???"
},
{
"from": "gpt",
"value": "HiGREETINGS The details of ovarian cyst is not known.There are different types of cysts.There must be hormonal issues causing this bleeding before periods. I suggest you to consult an infertility specialist and get it evaluated.Also get your husbands semen analysis. Hope my answer helps you. Regards"
}
]
|
[
{
"from": "human",
"value": "Hai happy mrng. mine is irregular periods.means once in three months. I took ginnette for 3 months prescribed by a doctor. I stopped taking pills after 3 months and I got periods naturally this month after 38 days without taking pills. now I want to get pregnant. I tried last month itself after stopping pills. but fortunately or unfortunately my periods came. will I get pregnant atleast this month. when willi ovulate? or there is chances for me to get conceive?"
},
{
"from": "gpt",
"value": "Hallow Dear,You were given Ginnette for regularizing your menses. These are oral contraceptive pills which help in regularizing irregular periods. Now for your conception, monitor your ovulation from day 9 onwards by ultrasonography. Usually the follicle ruptures to ovulate when it attains size between 18 mm and 21 mm. On and around the day of the ovulation, plan your sexual relations. This will give you maximum chance of conception. If the ovulation does not take place naturally, please report to your Gynaecologist for induction of ovulation, either by Clomiphene citrate or HMG/hCG combination. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello I am 26yrs old and its 4yrs I got married and I was under medication for PCOS and last month my doctor did scanning and confirmed there is no PCOS problem.Then she started treating me to conceive and the treament was Follicular study and on 19th day after scanning my doctor confirms follicle of size 28*30 got ruptured in rt ovary and in between days like 15th day and 9th day i was injected with HCG injection.what is the chances getting pregnant ??"
},
{
"from": "gpt",
"value": "Hallow Dear, Yu were given inj. hCG for induction of ovulation on days 15 and 19. The size of the follicle was 28x30 mm in size on day 19. This is not a good development for conception. What was the dose of hCG given to you - 5000 IU or 10000 IU?The follicle should have ruptured after the first hCG injection. It did not. Moreover, the follicle has grown to quite a big size. Follicles of size between 18 mm and 21 mm diameter release the healthiest eggs which have better chances of successful pregnancy. You should try induction of ovulation when the follicle is within this size range. Also please try to look for the thickness of the uterine lining (endometrium) at the time of expected egg release. Endometrial thickness between 09 mm and 14 mm is most conducive for implantation of fertilized ovum. I hope you will discuss these issues with your Gynaecologist. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am 25 years old and married for 2 year. we are try for baby and its cld not happen cause my follicle egg comes out late and rapturing on 21 st after my period. my doc suggest a treatment to bring the follicle egg earlier and rupture on time. so she gave me 1 inject of foligraft and me egg ruptured on 12th day.then she suggest me to take susten 200 pills for 10 day. and then she ask me to do pregnancy test.. can i get conceive ?"
},
{
"from": "gpt",
"value": "Hallow Dear,Delayed ovulation should not cause issue in conception. Pease submit yourself for ovulation monitoring. If your follicle is releasing the egg between the size 18 mm and 21 mm, it is healthy egg. Also observe the thickness of the uterine lining (endometrium) at the time of ovulation. Endometrial thickness between 9 mm and 14 mm is highly conducive for implantation of fertilized egg. If the egg is not getting released at this size of the follicle, inj. hCG will help do that. Susten is a progestational preparation and will help stabilizing the pregnancy immediately after conception. Inj. Folligraft contains Urofollitropin. FSH binds to the follicle stimulating hormone receptor which is a G-coupled transmembrane receptor. Binding of the FSH to its receptor seems to induce phosphorylation and activation of the PI3K (Phosphatidylinositol-3-kinase) and Akt signaling pathway, which is known to regulate many other metabolic and related survival/maturation functions in cells. Thus it helps in health conception. I hope this helps you plan your sexual relations around the day of ovulation for better results. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I had to do a DE six months ago because of my child loss . Then my doctor prescribed me MHR tablets when I would like to conceive . She prescribed one per day . Will you please tell me when should I start to take the tablets ? Is it when we start intercourse without precautions ? Please also tell me the advantages and disadvantages of the tablet .Thank you ,Payel"
},
{
"from": "gpt",
"value": "Dear Payel, MHR tablets are Folic acid supplementation tablets. You should start them immediately. You need not wait till you decide to conceive. These tablets will help heathy growth and healthy implantation of the products of conception.Since it is now more than six months of your miscarriage, you may attempt the pregnancy now. You can go ahead with the unprotected intercourses now with the aim of conceiving.I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "i had my cervix cauterized 7 wks ago and we werent allowed to have intercourse for 6 wks and then have to use condoms for 3 wks after...but when can can fall pregnant again? Do i have to wait until my check up in may or can i just go ahead and get pregnant after the 3 wks is over?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You can get a check-up as well and after the period is over you can get pregnant also. Side effect of cautery is discharge. Till date whole layer slough off and it will irritate you.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
}
]
|
[
{
"from": "human",
"value": "My boyfriend is almost always hard and I want to know if it is unhealthy for him and could possibly prevent us from having children? We have had a couple of miscarriages I m not sure if it is me because I have had one before him but Iconstantly worry about him. We have talked about it and he becomes hard randomly. He becomes hard even when he isn t aroused. Also after we have sex and he has cum he continues to stay hard. He tells me not to worry but I do. Does he need to see a doctor about this?"
},
{
"from": "gpt",
"value": "Hallow Dear,At the outset, let me assure you that frequent erecting dos not cause abortions nor does it affect conception. Erection is possible without sexual arousal (libido) even with tight underclothes or position. If you find him still erected even after ejaculation, you may not terminate the intercourse; continue to have the penis still in the vagina. After some time you will again start getting orgasm, this time within the vagina from what is called as G point. This is called as vaginal orgasm which hardly less than 10% of the women experience in their life. Continue the intercourse in the second innings and enjoy your vaginal orgasm. I do not feel he needs a medical intervention for his frequent erection and libido. Just cooperate with him. I hope this convinces you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi doctor..i am 29yrs old&a mother of 5 yrs old boy,now we are trying for second baby ,,but this month my follicle is not that much big &doctor gave me pivox tablet for next two weeks,,can i expect ovulation next month,my periods are regular ...^&for allergy i am taking levocetrizine every day any problem"
},
{
"from": "gpt",
"value": "Hallow Dear, Pivox contains Metformin. It is a medicine for treatment of Diabetes. It is not a medicine which initiates ovulation. However, this medicine helps the other medicines like Clomiphene citrate or HMG/hCG combination to effect the ovulation. This combination is effective particularly in Polycystic ovarian syndrome (PCOS) wherein the levels of insulin also are increased. Metformin helps controlling Insulin levels.Though Levocetrizine does not affect ovulation or maturing the follicles, it is not advised in early pregnancy. Hence, if you are attempting for the pregnancy, discontinue it if you can and take a Gynaecologist's opinion on it. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I have recently had a light bleed for 3 days which started when my period should have on the 17th of this month. I feel like i am going to come on my period again and have sore swollen breasts for the last 3 weeks. Should i see my doctor to see if i am pregnant?"
},
{
"from": "gpt",
"value": "Hallow Dear, Occasionally, some bleeding may show at the expected time of menses in early pregnancy. This used to be called previously as Placental sign. If you have all the other symptoms of early pregnancy; i.e. frequent urination, nausea & vomiting with pica and breast symptoms, there are chances that you are pregnant. You definitely have the breast symptoms. You may confirm your pregnancy status by performing pregnancy test on the overnight morning first urine sample. This test is reliable after a week of missed period. Since it is now 3 weeks from the placental sign, the pregnancy test should provide you reliable results. Alternatively, you may report to your Gynaecologist for detection of pregnancy. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Dear Sir, Last month I did my follicular study i took Siphene for five days from 2nd day of my period. 3 follice ruptured my husbands sperms count is normal , my hormone test are normal . But I still did not conceive. I am thinking of doing follicular study once again . My sonogaphy report is also normal. My friend advise me that this time in follicular study i should tell doctor to call me for follicular study even after ovulation just to check what exactly happen after ovulation."
},
{
"from": "gpt",
"value": "Hallow Dear, Siphene is a Clomiphene citrate medicine, used for induction of ovulation. This is an anti-oestrogenic medicine and hence has god adverse effect on the growth of the endometrium. Hence and due to some other reasons also, it has better success in ovulation induction; however success in achieving the pregnancy is lower. Please submit yourself for ovulation monitoring after Siphene. At the time of ovulation, please note size of the follicle(s) and thickening of the uterine lining (endometrium). Follicles between 18 mm to 21 mm size release healthiest eggs and have better pregnancy chances. If the follicles are becoming larger, you may request your doctor to give you Inj. hCG when the size of the follicle(s) is(are) within this range. If the follicles are remaining smaller, you may have to switch over to HMG/hCG combination. The endometrium of thickness between 9 mm and 14 mm is most conducive for implantation of the fertilized ovum. If the endometrium at the time of ovulation is thinner, please do not attempt pregnancy at that cycle. Get your endometrium built up by some oestrogenic preparation first. When it has reached the required thickness or more, then down regulate the oestrogen and attempt pregnancy in the next cycle by induction of ovulation. May be, if Siphene does not work, you may have to switch over to HMG/hCG combination. Also please find out by hysterosalpingography about the patency of your tubes. Husband's semen examination also is needed to find out the quality of the semen. I hope this has provided you preliminary guidelines. For detailed discussion, you may ask me Direct question with all your reports uploaded. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "last month i got my period somewhat like a week before, at 1st it ws light, and it continued for about 9 days as high bleeding. is it something like implantation bleeding? when i consulted the gyno, she gave me meftal, omeprazol and tranzamin. so the next day it got stopped. and for this month still i didnt get my period, like almost a week delay. is there any chance to be pregnant. i wish for."
},
{
"from": "gpt",
"value": "Hallow Dear, Since you had continued bleeding during menses for prolonged period and it had to be controlled by medicines, this this time the periods are delayed. Wait for some more days, may be for a week to 10 days. If still you do not get menses, you may have to induce your menses by some progestational preparation. Please get the advice and prescription from your Gynaecologist. I hope this helps you.Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hai im 30 years now and pregnant for 2nd time. my first child has mild autistic features.im confused whether to continue this pregnancy because i need to take care of my son first and if i plan pregnancy after 2 years im afraid i may give birth to a downs baby...."
},
{
"from": "gpt",
"value": "Hallow Dear, The risk of Down's syndrome goes on increasing with advanced age. However, 30 years is not that advanced age. These sorts of chromosomal abnormalities, though may be seen at earlier age group also, are more common after the age of 32 years. You have a history on one affected child. So you have to be more cautious. Please get your triple marker test, Nuchal thickness test done and report to a Foetal Medicine consultant. Meanwhile, start consuming Folic acid 5 mg tablets daily for better foetal and placental growth. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Was told today from fertility specialist that I have 2 20mm folicles and about to ovulate and to have intercourse all weekend what are my chances of conceiving (4th cycle of clomid ) low dosage as 50mg was making me overstimulate so this month to 1 50mg tablet 1/2 day 3 the other 1/2 day 5 So excited"
},
{
"from": "gpt",
"value": "Hallow Dear, Follicular size of 20 mm does indicate that you may ovulate anytime. Hence, you have been rightly advise to have maximum sexual relations during this period. However, at this stage, Inj. hCG would have helped you more. It would have caused ovulation within few hours and then sexual intercourse on this and the following day(s) would have increased the possibility of pregnancy. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I had my tubes tied in 2004 after my 2bd child. It has been 10 years And I recently been experiencing some symptoms of pregnancy. Can u get get pregnant after 10yrs being tied??? I m have been spotting these last few days with pain Also. My las menstrual cycle was a week and half ago???"
},
{
"from": "gpt",
"value": "Hallow Dear, Though failure of tubal ligation is not unknown, pregnancy after 10 years of tubal ligation is very rare. Moreover, you had your last menstrual period just a week and half ago. So there is no chance that you are pregnant. You have not specified which pregnancy symptoms you are experiencing. If it is nausea and vomiting, it could be due to acidity or gastro-intestinal disturbances. Try some antacid; if it does not give you any relief, please report to your physician. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I have a siix year old girl.am trying to get preg for 4years but did not work.i visit a doc this month and he gav letrozole 5mg and ovidac after. But am pcos .am 90kg.will it be risky for me? And coz ovidac wil it harm th baby with defects?? Is it risky to concive with pcos ??i dont hav diabtic,colestorol,pressure...nothing but fat.pls advice in detaill thanx"
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.Letrozole is a strong fertility medication that can produce ovulation in women who normally do not ovulate, such as women with PCOS. The Ovidac injection just induces you to ovulate at the correct time in your cycle to correspond usually with a timed insemination, either by intercourse, or by IUI.The fertility medication itself does not cause any risk to the baby if you do conceive, because the medications only affect your ovulation and ability to conceive. However, fertility medications such as Letrozole can produce high order multiple gestations (triplets and above) in women with PCOS because PCOS is a disease where women have many immature eggs waiting to be released.If you successfully conceive only one baby, your pregnancy is no more a risk than any other obese woman. You will have a higher risk of diabetes and high blood pressure during your pregnancy, and they should be tested for and monitored carefully, but with proper prenatal care women with PCOS and obesity can have successful pregnancies.So in summary, the fertility medications that you have been treated with really only increase the risk of conceiving multiple babies at the same time. The medications do not cause birth defects and are out of your system by the time you actually get pregnant. However, unless you have already tried milder ovulation induction medications (not injections) that failed in the past, I caution against the use of Letrozole as women with PCOS frequently conceive multiple eggs at the same time and twins or even higher order multiple pregnancies are possible.I hope I was able to adequately answer your question today, and I wish you the best in conceiving a healthy pregnancy. Best wishes,Dr. Brown"
}
]
|
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