conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Hai, MY name is padma priya i got married in dec 9 2012.after marriage my periods are irregular and i consult a gynaecologist and she found pcod.As per doctors instruction i follow krimson-35 for 5 months from october 2013 to feb 2014, again i consult the doctor and she made a pelvic scan .The scan report shows normal, but this march month my period date is 12th but i got 22nd ,10days late and she gave me fertyltablet ,primolut tablet,glyciphge.And she prescribed me to take follicle scan on 8th day,10th day,12th day from my period starts.am looking for a baby .can u explain me what are the problems i have ?my weih is 70 g height 5.2 ft.please suggest me"
},
{
"from": "gpt",
"value": "What you need is a full evaluation with complete infertility work up, hormone profile and all. You may actually need hormones to improve you fertility. But you need a complete evaluation"
}
]
|
[
{
"from": "human",
"value": "hi doctor Last month i got periods on 18 th of july and me and my husband had sex on aug 15 and 16 and i took postpone 72 on aug 17. Today is aug 20 still i didnt get periods we dont need a baby now. My periods is more or less regular is there a chance to get pregnant ?? Thanks nd regrds Xxx"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDo not worry.Pregnancy chance is nil because1. You have did sex in the safe period of the cycle and no ovum is released during this time so no fertilization take place.2. Postinor 2 is 95% effective in preventing pregnancy.Your period is delayed is just due to hormonal imbalance caused by the Postinor 2. It contain high progesterone and cause prolongation of second phase of the cycle and delay period.Avoid stress, take healthy diet and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hello,Doctors : I have Question to ask, Me and my husband make love in my 13days after my Period for example my Period came at Aug3 and then we make love at Aug15, and we do widrawal but he take a bit long have contact or he take a bit long inside of me is there some posible or chance that i will get pregnant, FYI we dot have any kids yet and i am 28 years old, I will apreciate some responce, Thank you so much and have great day, My apologies my English is not that good ;)"
},
{
"from": "gpt",
"value": "Hello dear.I understand your concerns.yes dear, there is chance of the pregnancy because you did sex in the ovulatory period.If your period will delay by the 8-10 days then go for urine pregnancy test and or blood HCG to rule out the pregnancy. Hope this will help you.Thanks.Dr.sagar"
}
]
|
[
{
"from": "human",
"value": "my bf fingered me on sep5 and i am scared he had precum. he wiped his fingeres with a handkerchief but did not wash his hands before fingering me, and it wasnt even deep he just rubbed his fingers at the entrance of my v***** im really scared and i want a experts advide please tell me if i could be pregnant this way?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernJust be relax.Chance of the pregnancy is nil.Rubbing by the vagina by the wiped finger with the handkerchief does not cause pregnancy.Pregnancy is possible with penetrative sexula intercourse or penetration up to vaginal introitus in the unsafe period of the cycle.Just avoid stress.Take healthy diet, drink plenty of water.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hi. I made out with my boyfriend and I m thinking he came. But I m still a virgin. His penis cap just entered my vagina a little. I took two tablets of postinor2 immediately after. This was during my ovulation period. I m scared. Can I still get pregnant."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Postinor 2 is highly effective in preventing the pregnancy around 95%. So now, you have to wait for the period to come.Your period may be delayed by 8 to 10 days as it contains high progesterone and causes delay in the period. If period is delayed by more than 12 days then think about the pregnancy.You can confirm the pregnancy by urine pregnancy test or blood HCG. Even if you become pregnant then still you can terminate it by using abortion pill under the advice of the gynecologist. Avoid stress, take healthy diet, drink plenty of water.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dholariya Sagar Jayantilal"
}
]
|
[
{
"from": "human",
"value": "Hello Mam, I am Priyanka from Bangalore. I am planning to conceive and I tried last month but it didn t happen. Then I met with doctor (Gynecologist) and she told me to take Siphene. Mam I want to know should I go for this medicine or I should try again. Any side effect of this medicine and how it works? Thanks, Priyanka"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernSiphene contain clomiphene citrate and used for infertility in case of ovulatory dysfunction.Clomifene inhibits estrogen receptors in the hypothalamus, inhibiting negative feedback of estrogen on gonadotropin release, leading to up-regulation of the hypothalamic–pituitary–gonadal axis.It should be taken first 5-6 days of the cycle.It cause minor side effects like reversible ovarian enlargement, hot flash, blurred vision.Reproductive hormone analysis, USG scan and ovarian follicle study will help in the diagnosis.Avoid stress, take healthy diet with vitamin and antioxidant supplementsDo regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "i m 31 year old and my cyclic period is 30 days,doctor checked my overy follicle on 14th day its 18mm*18mm and she ask to put injection and gave duphaston tablet and she ask to keep sex for continous 3 days of my 15th day onwards after that she ask to take that duphaston tablet for 12days is it possible to get pregnant"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDuphaston contain progesterone.It make the uterine environment favorable for the fertilization and promote the growth of the endometrium.Continue to take duphaston and it is safe drug.Should be taken under the advice of the gynecologist.You will become pregnant.You can also take clomiphene citrate during the starting days of the period (for 4-5 days).Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "I and my girlfriend had an unprotected sex yesterday around 12.30 in the noon.I ejacuated outside her but m not sure i did that completely.her periods was over about 6-7 day before we had sex.I gave her unwanted 72 after 25-26 hours.....how much chances are of her getting pregnant"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDo not worry, chance of the pregnancy is nil becauseYou have did sex in the safe period of the cycle and that time no ovum is released so no fertilization will occur.Unwanted 72 help in preventing the pregnancy and has 90-95% success rate.Unwanted 72 also cause delayed in the period by 8-10 days.Avoid stress, take healthy diet, drink plenty of water and do regualr exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hey doctor..I m 19 year old.. Actually i didnt hd proper sex with my bf. I really dont knw whethr semen has went inside or nt..but i hv taken ipill within 24 hr..nd nw i hv abdominal pain.. I m vry tensed abt it..i cnt evn go for chekup.. Evn i hv used ipill one more tym a couple of months back. Is der ny chance of getting pregnant and is der ny side effct in future??"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernI pill is 95 % effective in preventing the pregnancy as you had taken within the 24 hour of the sex.So there may be 0-5% chance of the pregnancy if you had sex in the fertile phase of the cycle.Following are the side effects:Delayed/earlier period, excessive bleeding, hormonal imbalance, ovarian hyper stimulation and infertility problem on regular use.Do not use I pill as regular contraception.If your period will delay by the 12 days from the normal expected period date then go for urine pregnancy test and or blood HCG to confirm the pregnancy.If you will be pregnant then intrauterine pregnancy will be terminated by the abortion pill under the advice of gynecologist.Abdominal cramp may be due to side effect of the I pill.Take bed rest and tablet meftal spasDrink plenty of plenty of water and take healthy diet.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "I have pcos and endometriosis we have a son 5 years old, we have been trying for over 4 years for another child but no luck, my husband has been tested and it was not good, low everything! He had undescended testicles and had 2 ops at 6 and 7 to correct, he had chickenpox at 12! I have been told to reduice my carobs but I m not sure what to eat now! We were trying to find a diet to help both of us can you advice on this pls??"
},
{
"from": "gpt",
"value": "Hallow Dear, You seem to have many factors which are interfering in your conception. 1. Polycystic ovarian syndrome is characterised by irregular heavy menses with infertility due to failure to release eggs.2. Endometriosis is also one of the condition which affects the fertility adversely. You need to undergo treatment for both for increasing your fertility. PCOS is also characterised by obesity. Please calculate your BMI; it should be maintained under 24 for Indian lady. You have been rightly told to eat less carbohydrates. You have to eat more proteins. In addition, start exercising. Your husband had multiple factors which have affected his sperm count adversely. Only if you let me know the detailed reports of both of you, I can advice you more precisely. Currently, some Artificial Reproductory Technique seems to be a first option for you. Intrauterine insemination or IVF/ET might help you. You may ask me Direct question to upload your reports and then have a two way communication. I hope this helps you at this juncture. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi my name is anvita age 25 weight 90 kgs. i had a fistula surgery in july 2010.doctor had asked me not to conceive for 6 months.we have beeen trying since october.i had a regular 28 days cycle.but from october its varying from 29-34 days.due to which i did a transvaginal scan and everything is normal.my gynaec has asked me 2 be on letrozole frm 3rd to 7th day of my periods.i want to know any other thing that i should do."
},
{
"from": "gpt",
"value": "do serum tsh and serum prolactin den do hsg on day 8th den do follicular study after taking letroze den till follicle size increase to 18 mm den rupture den iui fr early results. .."
}
]
|
[
{
"from": "human",
"value": "Hi! I am trying to decifer whether I am pregnant or if my period is just late - my last period was dec. 17-21. my boyfriend and i had sex a few times during the first week of january; never more than once and we always use protection. he actually only ejaculated during sex one out of the 3 times we did, the other two he did not finish and he actually masturbated to finish. i was suppose to have started my period on the 18th of january. i realize that high stress can play a big part in a late or missed period. just after my last period i was home for the holidays and lots of arguing was going on the whole time [i actually broke down crying one night], and then on the 11th i was actually in a car accident - we have had really bad snow and i was driving down a hill and actually slid off the road and hit a telephone pole [this has never happened before and i was in shock for at least a day]. a few days after the accident my mom called and was asking me if i had started my period or not, and got me freaked out because she started telling me i should have started days before that, and thus my boyfriend and i started freaking out about the possibility of me being pregnant. there has been a LOT of fighting between my boyfriend and i because we are both so afraid that i am pregnant [its not something i would be looking forward to right now] and so there has been an extreme level of stress in that regard. i took the clear blue digital pregnancy test on the day i was originally suppose to start my period [the 18th] and it said i was \"not pregnant\". I still have not started my period, but i have been having cramping. I have read about the implantation cramps, but that they are suppose to occur 5-10 days after fertilization, which at the latest would have been the 14th. the cramping did not start until yesterday [the 19th]. my question is really what should i do? i have one more clear blue test - should i use it? if so, when? what is the likely hood of me being pregnant?"
},
{
"from": "gpt",
"value": "u do upt urine pregnancy test ...if 1 line up r not pregnant. .take registrant 5mg thrice daily three days...if d line is 1...u will get ur period within 7 days...if two line visit doctor for usg ...as u r pregnant...fr further mx"
}
]
|
[
{
"from": "human",
"value": "My question is can I get pregnant if me and my boyfriend had sex several times then in the middle of it my period came. We are currently trying to get pregnant. We started having sex Saturday and I started bleeding when he hit too hard. Then my period came yesterday. Is there a chance at all? Or will we have to try again after my period is over?"
},
{
"from": "gpt",
"value": "Hello dear!I am happy to hear such people want to be parents and it is a pleasure to help them. First, I would say that menstruation days are not the days when you have to search for a pregnancy because the chances are really low. In a regular cycle you have to search almost in the middle of the cycle, which means especially in the 14th, 15th, 16th days of the cycle, because it is supposed that an egg is available. If you have more 1 year that are looking for a baby regularly, you have to do a consult with your gynecologist. Otherwise try to have sexual contact during the days that I mentioned.Good luck,Dr. Thano"
}
]
|
[
{
"from": "human",
"value": "I am a 40 year old woman and sexually active. just got married and trying to conceive. I have a normal 28 days period but last two months a had a 19 days period and this month it was 24 days. i feel nauseous most time. what do i expect. can i conceive naturally with this development?"
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.First of all, your having symptoms of chronic nausea has no effect on trying to get pregnant.However, your age is a factor to be considered. Many women can get pregnant in their 40's but the overall fertility rate is decreased. There is no way to know if you have the ability to conceive in advance without actually trying to get pregnant. However, the majority of women will conceive within one year with regular (at least every 2-3 days) intercourse from the time their period finishes or day 7 of their cycle (whichever comes first) until they start to develop premenstrual symptoms.So yes, it is possible for you to become pregnant, however I would recommend evaluation by a fertility doctor if you have not conceived within 6 months.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "Hi doctor I was spending some good time with my bf at hotel where we didn t had sex but my bf touched my vagina with dried sperm hands. I got scared that I might get pregnant so I took unwanted 72 within 3 hours. My period date is today IE 24 July and I took unwanted 72 on 19 night. But after taking it I am having stomach pain. Now the pain have reduced but I have breast pain and no period"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDo not worry chance of the pregnancy is nil because:1. Sperm can not travel without the seminal fluid2. You did sex in safe period of the cycle.3.Unwanted 72 is around 95 % effective in preventing the pregnancy.Now your delayed period, pain in abdomen and breast is due to the side effect of the Unwanted 72.Take rest, drink plenty of water and eat healthy diet.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hello i am trying to conceive since from one year and m on ttc for a baby boy .my hsg is normal tsh is normal .now my doctor gives me duphaston from 14 th day after my period for 10 days .tell me this will help me for conceiving or not.is dyphaston has some side effects?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDuphaston contain progesterone and make the uterine environment favorable for the conception.Progesterone cause growth of the endometrium and cause increase the chance of the pregnancy in the second half of the period.It does not cause and serious side effect and you ca take safely.If not help then go for USG scan, ovarian follicle study to find other causes like ovarian cyst, endometriosis.Avoid stress, take healthy diet, and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hello...i m.anjali i had a sex with my bf yesterday at night 11 pm but it was fourth day of my periods .he didnt use condom so i was too much worried of getting into the risk.of pregnancy. I stay in small town where i just got neil 72 unwanted ipill ..i had taken it just now..so can you please tell me is it will be sure not getting pregnant. Is there any chance to get pregnant"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernBe relax as chance of pregnancy is nil.1. 4th day after the sex is the safe period. Ovulation is not occur during this time so no fertilization will occur.2. Unwanted 72 is 95% effective in preventing the pregnancy.Unwanted 72 cause delay in the period by 8-10 days.Avoid stress, take healthy diet and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hi dr iam priya. I got marriage in april 2012 my hubby has low sperm count. Is it problem for my pregnancy,?? I want 2 tell u frankly onething dr tat i hav self sex in b4 marriage. Not now. Is this making ptoblem for my pregnancy???? Pls doctorreply me soon"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernLow sperm count can not cause pregnancy.Self sex does not cause problem in the pregnancy.You should consult the urologist for you husband problem and undergo color Doppler of scrotum, semen culture to find the cause of the problem.Clomiphene citrate, gonadil F, healthy diet and regular exercise will help.Avoid stress, smoking and alcohol.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "i am married .i m trying for baby. last month i got my periods before 14 days . i went to doctor,she said i m not pregnant & she suggested me Duphaston for period on time. today is my 8 day of duphaston but no periods yet. & i have also PCOS problem. Duphaston are good for pregnency?"
},
{
"from": "gpt",
"value": "Hallow Dear, As your doctor has very rightly informed you, Duphaston will help you get your menses. If you are not pregnant, you should get withdrawal bleeding within 4-7 days after consuming the required adequate dosage of Duphaston. If even after Duphaston you have not got the withdrawal bleeding even after 8 days, consider the following possibilities: 1. You may be pregnant. Please perform pregnancy test on the overnight first morning urine sample. By this time, the test results are reliable. 2. You might have taken Duphaston in insufficient dosage and/or for less number of days. Please get the schedule confirmed from your Gynaecologist. Duphaston for only one day will not cause desired withdrawal bleeding. Later, you will have to report to a Gynaecologist for management of PCOS. PCOS is characterised by irregular menses with infertility. I hope this will help you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am a 29 year old, diagnosed with PCOS, and have irregular menses.Been trying to conceive and carried out an IUI procedure recently after a basl temperature drop- sign of Ovulation.Usually when i take Primolut,it induces bleeding.But my Doc prescribed it for Day 16-25 of period.Is it safe even after IUI procedure @ day 14?"
},
{
"from": "gpt",
"value": "Hallow Dear, If you are a case of PCOS, you should not go for IUI empirically. Just do not go by temperature changes in the Basal Body Temperature Chart; some other relevant information is important and required before attempting any Artificial Reproductory Technique like IUI. In patients with regular menstrual cycle, day of ovulation is 14 days before the expected menstrual cycle. However, since you are a PCOS case, your menses must be irregular. Hence, better not rely on day 14 of the cycle. I would advise you to go for ultrasonography ovulation monitoring. It will help following way: 1. It will precisely detect the day of ovulation when you can go for Intrauterine Insemination (IUI). 2. It will inform us about the size of the follicle when it ruptured to release the egg. Follicles of size between 18 mm to 21 mm release the healthiest eggs having good chances of successful pregnancy. 3. If the eggs are not getting released naturally (which is characteristic of PCOS), your Gynaecologist can plan induction of ovulation by some medicines like Clomiphene citrate or HMG/HCG combination and then plan IUI accordingly. May be you might require Metformin or Myo Inositol as an adjuvant therapy. 4. Ultrasonography will inform us about the development of the uterine cavity lining (endometrium). Endometrium of thickness between 9 mm to 14 mm is most conducive for implantation of fertilized egg. If the endometrium is thin, your IUI may go waste. Hence, please submit yourself for ovulation monitoring from by Ultrasonography day 9 of the cycle and then plan for IUI.Please do not take Primolut pills for regularizing the menses; they may interfere with the egg release. Ovulation induction medicines will regularise your menses along with the induction of ovulation. Please report to some Infertility Consultant. I hope you got the message. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I have been smoking for 4 years but recently they have made me feel physically sick. Also i have not been able to sleep on a night and i m needing the toilet more often. My stomach seems to be slightly bigger aswell. Could i be pregnant? I m on the depo injection but i m cofused on when my last few apointments were."
},
{
"from": "gpt",
"value": "Hallow Dear,The first cardinal symptom of pregnancy is missing a period. All other cardinal symptoms of pregnancy; i.e. nausea & vomiting, frequent urination and breast symptoms appear about 10 days later. The size of abdomen starts increasing only after 14 weeks of pregnancy. If you have not missed a period please don not think of pregnancy. If your menses are yet to appear, please wait for the menses to appear. If you get menses, you are not pregnant. If you miss your period, perform pregnancy test on the overnight first morning urine sample about a week after the missed period; earlier the test may report false negative reports. Sleep problems may be related to smoking. Please stop smoking. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi am a mother of a 4 month old baby and had my periods for 2-1/2 months since delivery. Last month I had my periods twice and my lmp was February 28th. I had unprotected sex with my husband 3 days before my due date that s March 28. He didn t ejaculate anything but I didn t get my periods yet am worried am pregnant. Having menstrual cramps for past 3 days. Is it a sign of pregnancy and I don t want to get pregnant again . Wat can I do to get my periods at this stage to avoid pregnancy. Pls help with ur suggestion."
},
{
"from": "gpt",
"value": "Hallow Dear,During lactational phase, though the periods have started, they may be irregular and so is the egg release. Hence you cannot rely on safe period. Even though he did not ejaculate in the vagina, usually pre-ejaculation secretions (precum) does get deposited in vagina unknowingly. Precum contains some sperms in it which can cause pregnancy. I would not give importance to the menstrual cramps. May be you might get menses in few days. To determine the possibility of pregnancy, the best and quickest option for you is to opt for Beta hCG test on the blood 10 days after the incidence of unprotected sex. Alternatively you may wait for 21 days after unprotected sex and perform pregnancy test on the overnight first morning urine sample; earlier this test may report false negative results. If you are not pregnant, you can take some progesterone preparation like Deviry for 5 days or Oestrogen + Progesterone combination like EP Forte for 2 days. 4-7 days later you will get withdrawal bleeding. If you are pregnant, you can terminate the pregnancy by medicines upto 9 weeks of gestation. For either of the options, you should report to your Gynaecologist; do not take these medicines of your own. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hello doctor, i am 27 and my husband is 28 and we are trying since 2008 but not able to conceive.My husband sperm count is 40 mn. n everything is normal in me except T-shaped uterus acc to doc. i already had HSG and one cycle of IUI and also going with Follicular study but i dont knw still how long i've to wait"
},
{
"from": "gpt",
"value": "u can go to a gynec who will remove the septum by hysterosalpingography. ..and u can conceive after d procedure..."
}
]
|
[
{
"from": "human",
"value": "hello, my due date is 14th and i haven t got my periods yet, suffering with frequent headaches, vomotings and motions, my breasts are paining and i sens ethis slightly burning feeling when i urinate(but not all the time). My stomach aches badly at times. confused if its pregnancy or nt and i think its too early to have a pregnancy test at home"
},
{
"from": "gpt",
"value": "Hallow Dear, The first cardinal symptom of early pregnancy is missing a period. You seem to have missed your period. All the other cardinal symptoms appear about a week to 10 days after missing a period. They are :1. Nausea and vomiting with pica : you are having these2. Frequency of urinations : You seem to experience this also. 3. Breast symptoms: Engorgement with tenderness, dark discolouration of nipples & areola with areolar widening & Montgomery's tubercles under the areola and secretions from the nipple. You seem to have some of them. Stomach ache cannot be attributed to pregnancy. Some carminative like soda and antacid might give you relief from it. Considering all the symptoms, the possibility of pregnancy is quite high. You can confirm the diagnosis by:1. Pregnancy test on overnight first morning urine sample a week after missing a period; earlier it may report false negative. 2. Beta hCG test on blood: Values more than 25 mIU/ml are diagnostic of pregnancy while in non-pregnant state, the vales remain under 5 mIU/ml. I hope this will clarify your doubts. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hai on june i gt very sick filling dizzy and not eating at all for almost end month and clensed ma stomuch with starmater,then i started having my periods dat june twice....i dnt remember having my periods july. On august early around the 6th i started vomiting and not eating for almost 3months,i went to da hospital told me i was pragnent which is true.what realy bothers me is i dont know how many months i am,bt i think m 6months nw...please help me doctor cz now m worried nd wnt to plan for da baby"
},
{
"from": "gpt",
"value": "Hallow Dear, Let me congratulate you for the pregnancy. To find out the duration of your pregnancy when you are not sure about the date of your last menstrual period, you have following easy options:1. Report to an Obstetrician. By clinical examination, he/she can estimate the duration of your pregnancy. 2. Get ultrasonography done. By the size of baby, period of gestation (age of the baby) can be concluded. In any method, there is variation by a week or so, which does not matter for management of pregnancy.The delivery may take place anywhere between three weeks earlier to one week later than estimated due date of delivery. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hello sir..18th dce me and my wife had make love when period is running..(on 4th day)... Sir just 1 time my penis put into her vegina without sperm.. Then i felt little bit worried..so i took her unwanted 72 pills.. Her periods cycle is 28 days.. Naturally her periods comes 13th ..but periods till now not come.... Sir my question is why periods till now not come??? is she get pregnent?? sir plesase ans on it... We are very worried...so please ans on it....."
},
{
"from": "gpt",
"value": "Hallow Dear, You have taken hasty steps after the intercourse and have landed into a stressful situation. The egg is released 14 days prior to the next menses. Egg has a life of 24 hours and the sperms are active for 72 hours. Hence, a period of about a week is a fertile window. In short, during menstrual flow, there is no egg present and hence there is no possibility of conception. So there was no necessity of any protection by Unwanted 72 pills. You have given her Unwanted 72 pill. This pill has following after effects:1. There may be some bleeding a few days after the pills. 2. The following period may get delayed by about a week or so. So there is no reason to get worried about delayed menses. Wait patiently and she will get the menses (Provided you did not have any other incidence of unprotected intercourse during the cycle). One more word of caution : Blood is a very good medium for pathogenic organisms; hence there is a great risk of infection if you perform sexual intercourse during the bleeding phase of menstrual cycle. Please avoid it. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I had partial sex with my gf...i insertex my penis half inside n than pulled back within 15 sec...it has been 10 days n we didnt use protection nor pills...m sure i didnt ejaculated inside since it was there for very short period n i didnt feel anything coming out...she is getting late for her periods n we had pregnancy test on 11th day after sex the test was negative..what are the chnaces n plz tell me when to test again"
},
{
"from": "gpt",
"value": "Hallow Dear,Even though you did not ejaculate inside her vagina, the possibility of deposition of pre-ejaculation secretions (precum) cannot be ruled out since it is deposited unknowingly. Precum does contain some sperms which have potency to fertilize the ovum. Moreover, when the penis had entered halfway inside the vagina, it is penetrative sex. Pregnancy test on the urine 11 days after unprotected intercourse is too early to perform. It gives reliable results usually after about 3 weeks of conception. So to find out her pregnancy status, you have following options: 1. Submit her blood for Beta hCG test 10 days after the last unprotected sexual intercourse. 2. Since she has missed her periods, perform pregnancy test on overnight first morning urine sample a week after missed period; earlier, the test may report false negative results. I hope this helps you in this situation. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I debsmita kundu. I am 31 years . About 2 years ago I have get pregnant but it miscarriage. So at that time i am trying to get pregnant. Thyroid level is normal. For my doctor suggestion everyday i am taking Folinext tablets and after menstruation days 3 i am taking ovofar 100 tablets. For pregnant i can take Ebexid tablet."
},
{
"from": "gpt",
"value": "Dear Debsmita,I do empathize your situation due to repeated abortions. I would have appreciated had you mentioned the period of abortions - how many weeks pregnancy. The pregnancies which get aborted under 6 weeks of pregnancy are usually due to chromosomal abnormalities for which there is practically no remedy. You should get chromosomal study of both of you done. Sometimes there could be deficit in placental or chorionic hormones leading to abortions. It can be managed by Progestational medicines or hCG. If the pregnancy gets aborted after 3 months of gestation, you may be having weak mouth of the uterus which needs reinforcement by putting a stitch. Ultrasonography can detect such condition. In fact there are many conditions which can lead to repeated abortion. Please report to an Obstetrician and get investigated thoroughly before you attempt your next pregnant.When your Thyroid function tests are within normal limits, there is no necessity of taking Ebexid. When you can conceive naturally, what is the need of Ovofar tablets? They are Clomiphene citrate tablets which help release of eggs from ovaries. These tablets will not have any effect in preventing your abortions. Please do not take any empirical nor irrational treatment. Report to a Good Gynaecologist. I hope you got the message.Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi, I had sex on last month 26th. And my period date is 16th and this month I missed my periods I thought im pregnant so today morning I checked my pregnancy test through pregasure and the result shows negative.. My question is can i take the test tomorrow again or do I need to give gap??? And still my periods dint started for this what should I think ?? Please do the need.."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernAs you did sex in the fertile phase of the period, there is high chance of the pregnancy.Pregnancy test will give positive result 8-10 days after the missed the period.So I will advise you to repeat the test once your period is delayed by the 8-10 days.Do urine pregnancy test with early overnight first morning urine sample.You can also go for blood HCG test. It will detect the pregnancy earlier then urine pregnancy test and more accurate.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hello doc., i am 25 yrs f., and i m married 6 months, after marriage my periods are irregular and i ve consulted about this and found that there is a pcos, and using metformin for the past 1 month, and this month also my periods is getting late and my doctor advised me to take registron, after a home pregnancy test, today i ve taken the HPT and the result was negative. and i ve taken the registron tablet this morning, i am trying to get pregnant, can you suggest me to get pregnant soon apart from the other issues."
},
{
"from": "gpt",
"value": "Hello dearI understand your concernPCOS cause hormonal imbalance, anovulation that cause infertility.First you have to regularize the period by usingProgesterone pill like regestrone or krimson 35Metformin and clomiphene citrate can be used to induce the ovulation.You can also add FSH analogue to increase the fertilityYou have to use treatment for at least 6 months to increase the cahnce of the pregnancy.Reduce 10-12 % weight if you are obese.Drink plenty of water and do regular exercise.Avoid excessive sweet and take small frequent meal rather than large meal.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hello, I want to know that either pregnancy happens in dates or not? The semen was come out after urination from vagina.....when she go to washroom right after intercourse. She was in periods, and it was 4th day of periods. More over, what are the symbols display with in first 1 week if pregnancy exist?"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDo not worry.Period is not possible when you did sex during the time of the period.During the period there is no ovum is released during this time so no fertilization will occur.It is very difficult to predict the pregnancy in the first week.In majority of case there is no noticeable symptoms during first week.Following are the early symptoms of the pregnancy: tiredness, fatigue, enlargement of the areola and breast, darkening of the areola, urine frequency, implantation bleeding, white vaginal discharge.But I do not think you will be pregnant as you did sex during the period.Take healthy diet and avoid stress.Use safe sex practice to prevent the pregnancy.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you."
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.First of all, there is no medication that can be taken by the father that has any way to get into your system or a baby if you conceive. Medications can only affect a fetus if you take it while pregnant.The only issue is that certain medications may decrease a man's sperm count and affect fertility, however pain medications like Oxycodone do not have this effect.So there is no reason for you to worry about conceiving while taking this medication. The best way you can prepare for a healthy pregnancy is to follow a well-balanced diet, limit alcohol consumption and avoid cigarette smoke, and take a daily prenatal vitamin or folic acid, as folic acid supplements in early pregnancy helps to prevent certain types of birth defects.I hope this answers your question and best wishes for your upcoming pregnancy,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "My boyfriend and I are sexually active. We have a routine when we are messing around. I go first. He fingers me with both of our clothes on and then its his turn. For his turn, I give him a handjob and a blowjob and I swallow his semen. Then afterwards when we are done, we both wash our hands with soap and water. But a little but later i stuck a finger in my vagina and immediately took it out. Is there a chance of pregnancy?"
},
{
"from": "gpt",
"value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1.First of all do not panic.2. Whatever narration of your sex act that you have stated in your query,there is no chance of you getting pregnant.Spillage of sperms in and around the vagina is needed for pregnancy to occur. Also, if this spillage occurs during the fertile period of the cycle, means in a woman with regular cycle between day 10 to 20 of the cycle; then only there is chance of pregnancy.3. I will suggest you to get proper sex counseling done. Get proper idea about sex, sexuality, fertility and contraception.I hope this answer helps you.Thanks.Dr.Purushottam Neurgaonkar"
}
]
|
[
{
"from": "human",
"value": "Arghyabindu female 28yrs having pcos problem and given the medicine. after completuion of 6 months agian go to doctor, advised to take clomophene tablets for 5 days 50mg 2 times daily. then from 16th day of cycle to take duphastone. i want to know what idsthe right time for taking duphastone? i m working lady. Also please let me know details of timed intercourse for pregnency. i want to concieve as soon as possible."
},
{
"from": "gpt",
"value": "as u r a pcos patient...u should have a serial usg study to know ur day of ovulation...normally it's on 14 th day after day date of period..but for pcos patient it is late ...duphaston can be taken after ovulation only....even after clomiphene if ur follicles r not increasing...Go for gonadotropins or letrozole..."
}
]
|
[
{
"from": "human",
"value": "hi i am 30 year old gal got married 6 months ago we are trying to have sex but its very painful so just end up in foreplay .. my hymen is intact...can i use some gel to avoid pain for only few days until t get easier ,, if so which one to use please help .. we are planning for a baby and is it 30 years to late to conceive"
},
{
"from": "gpt",
"value": "Hello!First do not panic. You do not have reason to get worried.I think that you should start enjoy you marriage to all the meanings, even to your sexual life. Your husband will help you to get through the difficulties of intercourse. Of course you can use lubricants agents to ease the penetration.Second, you should have at least 1 year regular sexual activity to worry about conceiving. Of course that I would recommend you to try because until 35 years old, is thought that ovarian reserve and ovarian response is the best. Medicine is not mathematics, but I told you that you should first have a pleasant, regular intercourse and then try to conceive."
}
]
|
[
{
"from": "human",
"value": "Hi, I want to ask if it is possible to get pregnant if we had intercourse after my menstruation (8th day from 1st day of menstruation), there is a discharged after intercourse which I suspected sperms. I have a regular menstrual cycle of 28 days. Thank you."
},
{
"from": "gpt",
"value": "Hi, your pregnancy depends on the time of your ovulation.Ideally for a normal cycle of 28 days, the ovulation would occur somewhere around 14th day. Let me stress this is not the thumb rule, it is generally around this day in a normal cycle of 28 days. The confirmation can only be done by noting the daily morning body temperature and different tests.So, in a normal 28 days cycle, if we assume that the lady ovulated on 14th day, then 12th to 17th day are the fertile period wherein there are chances of conceiving. Rest are termed as safe periods.In your case, 8th day seem to be unlikely but nothing can be said for sure as the life span of sperms are two days, so if you happen to ovulate on 10th day then there could be a possibility of you conceiving. So everything depends on your day of ovulation.Hope this answers your query.Thank you and take very good care of yourself."
}
]
|
[
{
"from": "human",
"value": "my period was late 6 days. now that its on im experiencing painful cramps and loose stools (not often), which isnt normal for me. my cycle isnt heavy at all. i was wondering if i could be pregnant even though my cycle came?. ive also taking 3 tests early on but they were negative."
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.When your period is late, the blood and tissue that normally is passed with menstruation has longer to build up within your uterus, which usualy will give you a heavier, crampier period.Secondly, the substances that your body secretes during menstruation to make your uterus contract, called prostaglandins, also accumulate to a higher level. Prostaglandins have the side effect of making your intestines contract as well, and many women experience diarrhea during a heavy and painful period for that reason.So there is no reason to suspect that these symptoms are due to pregnancy if your pregnancy test is negative, as they are typical for a delayed menstrual cycle.To help reduce the cramping and diarrhea, taking an anti-inflammatory pain reliever like aspirin, ibuprofen or naproxen will reduce prostaglandin release and ease these symptoms for you.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "It s been 69 days since my last period, I am not pregnant as I have taken 5 pregnancy tests. I am 30 years old and have been trying to conceive for the past 5 months. I came off the contraceptive pill in October 2014. Could you let me know what tests I should be asking for when I see my doctor?"
},
{
"from": "gpt",
"value": "Hello, and I hoop I can help you today.In some women, especially if they have been on birth control pills for a long time, it can take even up to a year to resume normal hormone cycling, especially if they had irregular periods before starting the pill or very light periods. Furthermore- 80 percent of couples will conceive within one year- and infertility is defined by inability to conceive after trying for a year.I know it is hard to be patient, but most of the time it just takes more time for your regular cycle to resume. In general, however, it is not a bad idea to see your doctor if you have not resumed menstruation within 6 months of stopping the pill, because there can be medical causes as well that can cause women to have irregular cycles or not menstruate.An adequate evaluation for amenorrhea (not getting your period), assuming you are not pregnant should include:TSH (a test for thyroid disease)Prolactin (the hormone that makes breast milk- can be caused by some tumors)FSH (shows how hard your ovaries are working to make estrogen)Estrogen levels (to see if you are making estrogen)and possibly LH (a hormone that should not be higher than your FSH level)Your doctor may also recommend your partner get his sperm evaluated as well, as 50 percent of the time a male factor can be involved in infertility as well.But again, I suggest waiting 6 months before having a hormonal evaluation as post-pill amenorrhea (the term for the syndrome of not getting your period after you stop the pill) is not unusual and most of the time gets better by itself within 6 months.I hope I was able to adequately answer your question today and I wish you the best of luck conceiving,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "Hi I m 22 year old I had a implanon for 4 years nd had put a new one in April 2013 nd had it removed on June 5th 2014 what I wanna know is can I fell pregnant straight away nd is their a chance I may have a miscarriage nd I have been also having weird symptoms like my belly seems to feel a bit tight at times seem to be weeing abit nd had a day of just spotting I had unprocected sex with my boyfriend on the weekend before my implanon was removed and all so afterwards"
},
{
"from": "gpt",
"value": "Hello and I hope I can help you today.First of all, I want to reassure you that it is not possible that you could have conceived if you had unprotected sex before your Implanon was removed.Implanon is nearly 100 percent effective in preventing pregnancy while it is in place, and it takes time for you to ovulate again (at least 7-10 days) after it is removed.So if you only had unprotected sex immediately before and after your implant was removed, it is unlikely you could have conceived so quickly. Pregnancy symptoms vary widely between women, and many of the same symptoms we commonly associate with pregnancy such as nausea, bloating, breast tenderness, headaches and irregular bleeding can also happen from an irregular menstrual cycle as well as pregnancy. Many women have irregular periods after discontinuing a hormonal birth control method.So, I suggest you wait for your period, which should occur around 4 weeks after your Implanon removal, and if you miss your period, a urine pregnancy test will be accurate at this time.I hope I was able to adequately answer your question today and that this information was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "Had a 3rd day Embryo transfer , with 2 embryos. I have taken 2 weeks leave as I have a history of miscarriages. I have done many IUI and ovulation inductions. My first pregnancy was a spontaneous and ended miscarrying. I have Endometrin suppositories twice daily, cyclogest 1 a day, Duphaston 2 tabs twice daily and proguluton only white tablets.I have a few symptoms like frequent urination, occasional nausea and vomiting after eating, mild cramping and mostly piniching sensation occasionally on the right. I am on the 9th day after ET.What are my chances of pregnancy?I am a case of PCOS but did not have OHSS."
},
{
"from": "gpt",
"value": "Hello!I may understand your anxious situation since you have gone through many difficulties. But you have to stay calm. The therapy that you are using is the right one. I would also recommend taking Folic Acid and Aspirin if you were my patient. The embryo transfer is the right one, your uterus is a better place for the embryo to continue growing. If you have serious cramping you may use a spasmolytic to calm down. You have to wait another 5 or 6 days to confirm your pregnancy with a blood bHCG. After you transfer the embryos, you can not be able to know what is happening between your embryos and your organism, so you have to wait a little bit further. Cases with PCOS have minor chances to have OHSS because the quality of the eggs is supposed to be not very good, bur the doctors have to use large amount of medication due to the resistance of your ovary responding.Hope I have helped.Dr. Thano"
}
]
|
[
{
"from": "human",
"value": "Hi. My lmp was July 26 2014. I started getting normal PMS from Aug 2nd weekbut not got my periods. I instantly started tracking pregnancy thru upt till 24th. Around 5 times in all these weeks I checked it came -ve. Was still getting abd.pain n leg cramps. Visited gynaecologist on 24th n did beta hcg. It came 0.1. She put me on regesterone 5mgfor 3 days. 2 days over after the course still no periods though m gettingbback pain n abd cramps. M also in medical field. Was psychologically impacted by this ectopic preg.. is there any chance of me getting? Should I go for an ultrasound? Does it confirm the ectopic? Thanks"
},
{
"from": "gpt",
"value": "Hallow Dear, Even in ectopic pregnancy, the pregnancy test results are positive, though weak as indicated by faint second line. So you can safely rule out normal as well as ectopic pregnancy. You seem to have some misconception about the periods by Regestrone. These pills will not get you menses while you are taking them. Take a full prescribed coursenof the pills. Then after stopping the pills, you will get withdrawal bleeding within 4-7 days. I hope this resolves your dilemma. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I was going to gym from Oct'2013 till Dec 20th and stopped (I lost 3 kgs). I had my last period on 12th Dec 13. I didnt get periods in the month Jan-2014 till now. My husband and I had intercourse on 12th Jan thinking that I am closer to my next period and cant get pregnant. I didnt get periods at all, I had unprotected sex on 19th of Jan and started taking regestrone from 20th onwards and stopped after taking 4 tablets looking at the side effects of the tablet in the internet.Today i saw a yellowish discharge on the tissue paper after passing urine. My question is, is there a chance of getting pregnant as i took 4 regestrone after having unprotected intercourse?"
},
{
"from": "gpt",
"value": "Hallow Dear,Your unprotected intercourse on 19th Jan was well protected by 4 tablets of Regestrone taken within 24 hours. So this intercourse does not pause any threat of pregnancy. You may have some bleeding after few days and your menstruation may be delayed by few days to a week. However, you had one more unprotected intercourse on 12th Jan was not protected at all and hence this intercourse may result in pregnancy. You are not sure of the dates of menstruation. Moreover you have taken Regestrone pills which will delay your menses. So you cannot figure out whether you have missed your period or not. Hence, the options to detect your pregnancy status are:1. Perform Beta hCG test on the blood after 29th Jan. 2. Perform pregnancy test on overnight first morning urine sample after 10th of Feb. I hope this resolves your dilemma. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi doc. I am taking an ovamet as prescribe by my doctor for 5 days. taking the medication on the 2nd day of my menstruation. and my ob instruct me to go back for an ultrasound after and 10days. but i failed to do so due to my schedule. until now i am not yet pregnant since i have my pregnancy test kit test yesterday. I am already delayed from my menstruation for a month. Note: i have polycystic ovary and i menstruation is irregular. seeking for help and advice on how to get pregnant. hope you can help me and answer my query."
},
{
"from": "gpt",
"value": "Hallow Dear, Polycystic Ovarian Syndrome (PCOS) is a complex dysfunction of multiple systems in the body. Irregular delayed menses and infertility is one aspect of it; the other being high insulin levels and high male hormone (androgen) levels. To have success in the management, comprehensive treatment should be taken. Ovamet is Clomiphene citrate which helps the ovaries release the eggs. You are taking the pills as per the prescribed timings. However, after ovament, egg release should be ascertained and the day should be located. This is done by Ultrasonography ovulation monitoring. It will show you the evidence of ovulation, will inform you about the size of the follicle before ovulating and also will inform you about the thickness of the endometrium. Knowledge about the day of ovulation helps to plan the sexual relations. Follicles between 18 mm and 21 mm size release the healthiest eggs having more success rate in terms of pregnancy. Endometrium of thickness between 9 mm and 14 mm is most conducive for implantation of fertilized ovum. If the eggs are not getting released in the proper size of the follicle, Inj. hCG will help this. If the endometrium is thinner, first get it well built by oestrogen treatment before you go for ovulation induction. Clomiphene is known to affect the endometrial growth adversely. If Clomiphene fails to induce ovulation, it may be supported by Inj. hCG. Medicines to lower the raised insulin levels help to release eggs. Metformin or Myo Inositol are useful in this aspect; the later is claimed to have better results. Clomiphene citrate is not advised to be taken for more than 6 months. If it fails, you will have to shift to HMG/hCG combination with the help of Infertility consultant. In PCOS, obesity is a classic symptom and needs to be controlled. Exercise and diet control will help you do that. You should try to maintain your BMI between 18 and 24. Please follow all the instructions of your consultant. Erratic treatment will not help you. I hope you get the message. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello I have a question, I had sex and the condom ripped we don t know if something went inside of my vagina, but after like 30 minutes I took the morning after pill, I wss close or I was already ovulating, I haven t had any side effects, does that mean I m pregnant?"
},
{
"from": "gpt",
"value": "Hallow Dear,Though the condom was torn during intercourse, you have well protected yourself from pregnancy by taking Plan B morning after pill within half an hour. These pills also change the milliu interni of the uterus preventing the implantation. So even if you were ovulating, you are well protected. The after effects of these pills are:1. Some amount of bleeding few days after the consumption of the pill. It stops within few days. 2. The next following menses may be delayed by few days to a week. This should not cause any concern to you. I hope this clarifies your doubts. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi, my age is 31. married for 5 yrs. my due perionds date was 26 may , bt i hav missed it. i hav done pregnency test at home. one upper line is dark which is usually of negative . bt the lower one is light. is this considered as positive"
},
{
"from": "gpt",
"value": "Hi there,I will suggest you to get morning's first sample of urine tested for pregnancy. Usually, there is a line near letterC, means control and if you get line nearT ,then pregnancy test is positive. In case of doubt, you can opt for blood beta HCG test and USG. I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar."
}
]
|
[
{
"from": "human",
"value": "I am 27 yr old,i am trying for second baby last 4 months,my periods are regular and doctor says everything is normal,this month i am using siphene 50 mg and duphestone 10 mg and take an injection also,but my periods come as usual in 28 thday of my cycle,,,i am totally tenced,"
},
{
"from": "gpt",
"value": "Hi!To have the periods regular is important, but this is not the only condition to get pregnant. I will try to explain you the reason. The fact that you have had a baby does not mean that everything is alright to have another one quickly because there may be changes to both of you. The Siphene and Duphaston that you are taking help to induce your ovulation. But we don't know what has happened to your tubes. Are they patent or not. And the last thing that I would tell you is the spermiogram. Anyway, a period of 4 months is not a long time to get worried, but to have these points in mind."
}
]
|
[
{
"from": "human",
"value": "i am 37 years ,my height is5.4feet and my weight is 55kg i am married in 2011 since then i having problem for my pregnancy, my right tube is block but doctor told you can conceive with one , i tried so many medicine and injection but no use . thanking you, please help"
},
{
"from": "gpt",
"value": "Hi!Yes, your doctor is right. You can conceive even with only one patent tube.In a normal cycle, the ovulation happens one cycle to one ovary, and one cycle to the other one. So you have the possibility to pregnant.The only thing you should wish is to have the dominant follicle (which is the largest follicle with the ovum inside of it) to your left ovary."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, M 29 n v r planning to conceive. My LMP was 1st may n my cycle is usually 25-28 days. V consult a gynec for planning. I told her of my delay periods. After examining she told wil get periods in two days. But still no clues. Had pregnancy test at home. Test line was visible clearly but not as dark as C line. M i pregnant or not is bothering me, since gynec told me i will get periods in two days n no result as yet. Pls help."
},
{
"from": "gpt",
"value": "Hallow Dear, The very fact that second line is visible, you are pregnant. However, the question is about the faint line (weak positive). If the test is performed too early, it may report weak positive. If the pregnancy is implanted somewhere outside the uterine cavity (ectopic pregnancy), also the test can be weak positive. To clarify the matter, please get ultrasonography done. If sac is seen within uterine cavity, it is normal pregnancy; otherwise it can be ectopic pregnancy. Such pregnancy does not grow and may rupture causing severe bleeding emergency requiring emergency surgical intervention with many units of blood transfusion. However, if diagnosed in unruptured state, it can be treated conservatively wioth medicines like Methotrexate. Please report to your Gynaecologist ASAP. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi I m feeling little flutters that feels like little locking in my stomach it just started to today but I am kind of scared. I am on birth control I just got off my menstrual a day ago so I don t think and hope I am not pregnant. What else could this be ?"
},
{
"from": "gpt",
"value": "Hallow Dear, Birth Control Pills contain Oestrogen and/or Progesterone hormones containing medicines. These medicines increase the stomach acidity and also cause nausea due to their metabolism in the liver. These things ultimately lead to indigestion and/or gastrointestinal upsets. This causes flutter like feeling you are having. To control the gastritis, please take some proton pump inhibitor acidity controlling medicines like Pantoprazole. Also take some carminative like carminative mixture or Gasex or plain soda. These will give you relief from your symptoms. I hope this helps you, Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Last night i fooled around with a guy and he came on my leg. I then went to the bathroom about 10 mins after it had happened and wiped it off my leg, i dont know wether i used the same tissue to wipe my vagina as i did with my leg is there any way i could be pregnant ( i know my chance of pregnacny is low at the moment)"
},
{
"from": "gpt",
"value": "Hello dearI understand your concernDo not worry.Pregnancy is not possible if you did not have penetrative xexual intercourse.To become pregnant, full penetrative intercourse or penetration up to introitus with semen ejaculation in fertile period of cycle is require.Wiping by the contaminated tissue does not cause pregnancy.Avoid stress, take healthy diet and do regular exercise.Use safe sex practice in future to prevent the unwanted pregnancy.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
}
]
|
[
{
"from": "human",
"value": "hi 4 years ttc i have a tvs last monday the result is all normal waiting for the result of my husband on coming monday my question is, is it possible to get me pregnant? because if we dont have any findings in my check up result why im not become a pregnant in 4 years,what are the possible reason. i have a family history of diabetics but actualy ive already done for my blood sugar test and it is normal also."
},
{
"from": "gpt",
"value": "Hello!I understand your worry. In fact 4 years are not a short period of time. The ultrasound you have done and spermogram are two of the exams needed to perform in cases of infertility. In fact there, the reasons of infertility may be of the female, of the male and there are a few cases when the infertility is unclear, which means that you may have all the analyses ok but still not getting pregnant. If you were a patient of my clinic, I would recommend:1. An US on the twelve day of the cycle to control your ovulation.2. A blood analysis, which is called AMH (Antimullerian Hormone) for the ovarian reserve and that could give us an information if you should hurry up.3. A Hysterosalpingography to control if your tubes are patent.After you have all of these, you can have an idea of the current problem.Thank you and good luck."
}
]
|
[
{
"from": "human",
"value": "Hello doc hope so u ll hlp me out sir actually me n gf had sex a day before her periods cylce (i.e accordin to cycle 8th september is her date n v had sex on 7th september n condom tore off bt wit in 15hrs she took postpone 72 bt she din feel any diffrence yet so ll she get preg or nt doc plzz reply me asap ..?"
},
{
"from": "gpt",
"value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1.First of all do not panic.2. As you might be aware that in a woman with regular cycles, day 10 to 20 of the cycle is the most fertile period of the cycle. And you had episode of sex act beyond this period, just before the expected date of cycle. SOyou were in almost the safe period. 3.The emergency contraceptive pill is 95% effective if taken within 72 hours of unprotected intercourse.As she had taken it within stipulated time the chances of pregnancy are nil.The pill causes hormonal imbalance leading to irregular bleeding spotting and the period might come early or late.4. Please get proper sex counseling done, so as to avoid unwanted pregnancy and to avoid unnecessary medications.I hope this answer was helpful to you!Thank you and best regards!Dr Purushottam S Neurgaonkar"
}
]
|
[
{
"from": "human",
"value": "Hi.I started taking folic acid and zinc vitamin at the beginning of Sept..My period was suppose to come on on the 15th but it came on on the 12th.now here it is Oct.I had all symptoms of my period coming on...but nothing...I m trying too get pregnant just wondering what should I do?"
},
{
"from": "gpt",
"value": "Hello, and I hope I can help you today.If you last had your period on September 12th, and today is October 5th, your period is not yet late for October. Most women have a 25-35 day cycle, so until you actually miss your period for October, there is no reason to assume you are pregnant. The folic acid and zinc you are taking are just extra vitamins that provide health to a growing pregnancy; these should not affect or change your menstrual cycle or it's symptoms.If your period is late in October, you should purchase and perform an over-the-counter pregnancy test. Modern pregnancy tests are very accurate and can be positive even 10 days after conception.If you do find out you are pregnant, there is nothing that needs to be done immediately as pregnancy is not a disease- it is a normal state for women in the reproductive phase of their lives. So it is important only to keep taking your vitamins, get plenty of rest, eat a balanced diet and avoid alcohol, caffeine and drugs. If your period is mate but you are not pregnant, the delay in your cycle can have a number of causes, including hormonal imbalances, certain medical conditions like thyroid disease, and even the stress of worrying about pregnancy. If you miss more than 2 months of your cycle (no bleeding for 3 months) and your pregnancy test is negative, you should see a physician for a hormonal evaluation.So in summary, a late menstrual cycle can be caused by pregnancy but there are other causes as well. I suggest you perform a pregnancy test if you are late, and if it is negative, try to be patient and you will likely get it before another month goes by.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "What is the best way to get pregnant. We ve been trying hard for one year.. I am also under the care of an obgyne..and still not get one..I took medicines and some injections for my follicles..my husband s sperm count is very good and normal..I hope u can help me..thank u."
},
{
"from": "gpt",
"value": "Hallow Dear,Since your husband's sperm count is very good, one issue is sorted out. Now considering failure to conceive for one year, you will have to undergo certain evaluations to assess your fertility capacity. 1. Evidence for Ovulation: Ovulation can easily be assessed by ultrasonography and home kit. However, initial evidence by ultrasonography has many advantages. It provides direct visual evidence of egg release. Moreover, we can see the size of the follicle before it released egg. Follicle of the size between 18 mm and 21 mm size produce healthiest eggs who have better possibility of successful pregnancy. Also it provides information about lining of the uterus (endometrium). Endometrium of thickness between 9 mm and 14 mm is most conducive for successful implantation of the fertilized ovum. Once you locate the day of ovulation, sexual activity can be planned on and around the day of egg release. Microscopic study of the endometrium in the second half of menstrual cycle also can provide evidence of ovulation. Hysteroscopy gives the visual impression of endometrium and then biopsy of the endometrium can be taken for microscopic study. Hysteroscopy will also give information about any abnormalities, diseases or adhesions in the uterine cavity. Hormonal study like FSH, LH, Progesterone, Oestrogen and Prolactin can throw a light on the function of the genital system. 2. Patency of the reproduction tract can be assessed by Hysterosalpingography in which X-ray of the uterus and tubes is done after filling radio-opaque dye in the uterus. Laparoscopy also can give this information. Laparoscopy also provides information about the external appearance of the internal genital organs. If any issue is detected, it will have to be treated accordingly. If all the findings are within normal limits and still you fail to conceive, then it becomes an unexplained infertility when Artificial Reproductory Technique may have to be followed. Please report to an Infertologist. I hope this should help you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello my question i normally do have pretty regular cycles only ever a day late at the least however me and my significant other had unprotected intercourse where he ejaculated in me and oddly enough my period is late this month should have started 1/20/14 but has yet to show up and the month is nearly over plz help its strange an stressful any info would be great?"
},
{
"from": "gpt",
"value": "Hallow Dear, Missing a period after an unprotected sexual intercourse in reproductory age group does raise a suspicion of pregnancy. Now since it is more than a month that you have missed your period, pregnancy test on urine sample will provide you the evidence of pregnancy status. Even ultrasonography also can provide you a visual evidence of the same. If you are pregnant, and it is unwanted pregnancy, you can opt for medical termination of pregnancy upto 9 weeks of gestation. However, it has to be done by Gynaecologist's advice and prescription. If you are not pregnant, take some progestational preparation like Deviry for 5 days; within 4-7 days later, you will get withdrawal bleeding. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "trying to conceive after miscarriage at 5 months in dec '09. waited for 2 cycles , after 3 months of rest to try for the next pregnancy. period late by 50 days so doc put me on siphene. met doc on the 12th day and scan was done, since the follicles were maturing well I was given an injection called fertigyn 5000 and were asked to try from the 12the day to the 17th day. Periods are usually long about 10 days n suddenly on the 14th day of cycle a gush of blood when i woke up in the morning, (like what is experienced during a heavy period) with a bit of clot. Doc asked me to take cosclot 250mg for 3 days to stop the irregular bleeding and to continue trying.I hv PCOS and am on metformin. Im worried if i should take cosclot 250mg? She has also prescribed maintane 500 from the 15th day. What should I do?"
},
{
"from": "gpt",
"value": "hi there, please do not panic.You can use the above mentioned medicines or hemostatic medicins to control the bleeding,with the prescription help from your treating gynecologist. Also, please get per speculum and per vaginal examination, to rule out any cervical erosion or polyp as a cause for your vaginal bleeding. I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar."
}
]
|
[
{
"from": "human",
"value": "i have PCOD and i took krimson 35 for 3 months.Later doctor gave me a ovalution tablets and on 11 days of my period i took scan and my scan report says myometrial echoes appears.Both the ovaries shows multiple peripherals follicles with central echogenic stroma.No free fluids ub clu-de-sac.No Dominant follicles in both the ovaries.Will i be pregnant?"
},
{
"from": "gpt",
"value": "Hi! In PCOD the ovaries have multiple follicles and there is a difficulty in having a mature follicle, so you have to induce your ovulation. In this way, the doctor controls your cycle from outside as you have a irregular and long cycle. If you were my patient, I would start giving you Clomiphen Citrate, which is a pill used to induce ovulation. This tablets start with low doses and then are giving rising doses according to the follicle growth."
}
]
|
[
{
"from": "human",
"value": "Hello Doc! Please let me that conceiving process depends upon the male discharge into the female body only or male and female discharge at the same time results in pregnancy? Will the female discharge during the intercourse effects the pregnancy? Is it necessary or good or bad or neutral?"
},
{
"from": "gpt",
"value": "Hello! The conceiving process occurs when the ovum (female cell) and sperm (male cell) meet each other, merge and divide. So, the condition for this process to occur is having sexual contact. When the male ejaculate his semen inside your vagina, some of his sperm pass through the cervix and uterine cavity and reach your ovum at the level of the uterine tubes. Only one of this sperm is able to conceive the ovum and then the embryo is formed."
}
]
|
[
{
"from": "human",
"value": "I am 13 weeks post-partum, breastfeeding and supplementing as well. My fiancé and I has intercourse three days ago and he came inside me. I have not had my period and the moment it happen I felt flutters like swimmers and now I m having cramping. Could I be pregnant and when can I take a home test?"
},
{
"from": "gpt",
"value": "Hallow Dear,If you are exclusively breast feeding your baby day and night, you have very good contraceptive protection; however, occasional cases of pregnancy in lactational amenorrhoea are known. However, the symptoms of pregnancy like feeling the movements of baby will not come so soon. Abdominal pains are not cardinal symptom of pregnancy.For confirmation of status, you have following options:1. Perform Beta hCG test on the blood 10 days after the incidence of unprotected sex. hCG Values above 25 mIU/ml are diagnostic of pregnancy; in nonpregnant sate, the values are under 5 mIU/ml.2. Perform pregnancy test on overnight first morning urine 3 weeks after the unprotected intercourse. Either of these tests will provide you reliable results though the former test is more reliable and sensitive. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am 21, I am 5' 1\" and 120lbs. I had been on the depo shot for 6 years with the last shot being over a year ago. I would like to get pregnant. My periods have been regular for months. I have intercourse about every other day. With no turn out. Last week I went to the doctor due to having some pain in my lower left abdomen all that they found was follicular cysts in both ovaries. Which the doctor did not seem to think that was why I was having the bad pain but was relieved at the results. I have many questions on the follicular cyst subject however what I am trying to get to is that I was due to get my period today and there is no sign of it. I did take a pregnancy test but that was late this afternoon and was not with the first morning urine and I was unable to hold my urine for four hours could I still be pregnant?"
},
{
"from": "gpt",
"value": "Hallow Dear, Let me start from the end. Performing a pregnancy test on the day you have missed your period is too early. These tests report reliable results about a week after missed period; done too early may report false negative results. If you are so keen on having the reliable results so early, you may opt for Beta hCG test which gives reliable results even few days before missing a period. Else, wait for about a week and repeat the test on overnight morning first urine sample. Urgency for urination though is one of the symptom of early pregnancy, it usually appears about 10 days after missed period. Your both ovaries are showing follicular cysts and you are facing problem in conception. It is likely that you may be having Polycystic Ovarian Syndrome. However, your BMI is 22.7, which is within normal limits. Please get your blood examined for FSH, LH, Prolactin, Oestrogen and Progesterone. This will give us any evidence of PCOS. Also, submit yourself for ovulation monitoring by ultrasonography. If you are ovulating, plan your intercourse on and around the date of ovulation. If you are not ovulating, you will have to take some medicines like Clomiphene citrate or HMG/hCG for induction of ovulation. In fact since your ovaries contain so many follicular cysts, hCG injection might help you. Please report to your Gynaecologist and/or Infertility consultant. I hope this provides you initial guidelines. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi doctor; me and my gf did nt had any sexual intercourse; bt while we were just mastrbating each other; i accindentally touched my pre cum, and thn into her;.. Bt she took i-pill 50hrs latr; out of fear..and had some abdominal pain on that day only... Is she pregnant??.. Pls help..."
},
{
"from": "gpt",
"value": "Hallow Dear, I-pill is a very reliable to prevent pregnancy if taken within 72 hours of the unprotected intercourse. Since you had accidently deposited your precum in her vagina, she has taken a good step in taking I-pill.I-pill has following after-effects:1. Few days after consuming the pill, some amount of bleeding may show. Nothing to worry about. 2. The following menses get delayed by few days to a week. Eventually, they do appear. So if any of these effects show up, please be patient. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi.We had sex in morning and night two days before .Dr gave me injection to rapture egg on same night. Yesterday also dr checked that egg is well raptured..so is there any chance to get pregnant.. We had not done sex after injection given by dr.pl help and suggest."
},
{
"from": "gpt",
"value": "Hallow Dear,In fact the egg is not ruptured; it is the follicle that ruptures releasing an egg in it. Egg has life of 24 hours while the sperms are active for 72 hours. So sexual relation on and around the day of egg release do have good chances of conception. You should have continued to have sex even after the injection given to you for follicular rupture; this practice further increases probability of healthy pregnancy. So if this cycle you do not conceive, modify your coital practice accordingly to increase the conception chances. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Yes, my husband and I are trying to conceive. We conceived in 2008 & lost the baby at 14 weeks with a miscarriage. Since then, we have tried to get pregnant and learned April this year, I have premature ovarian failure with very little egg reserve left. Also, I just turned 40. All those factors are working against us. I've been on clomid for 3 cyles, and the last 2 months had mature follicles. Both times did not get pregnant. We decided to have my husband do a seamen analysis to see if things were ok in that area. He took 2 tests one month apart. There are 2 factors less than the desired level. My question is, could these 2 things be contributing to us not getting pregnant. His concentration was 6.2 out of desired 15 , and the motility was 33 out of desired 40."
},
{
"from": "gpt",
"value": "Hallow Dear,At the age past 40, the fertility does go down; however, with proper monitoring and scientific approach, pregnancy is not impossible. Now let us start from the end of your query. Though a couple of parameters in your husband's semen report are somewhat substandard, they do not rule out the possibility of conception. You may have to go for some assisted reproductory technology like intrauterine insemination of so.I am more concerned about your ovarian reserve. On what basis you have been declared a case of premature ovarian failure; and if so how is it that are responding to clomiphene citrate by ovulation? Anyway, your ovarian reserve seems to be very poor. Hence I would advise you to monitor ovulation by ultrasonography. This will help assessing the endometrial growth also. Ovulation from the follicle between 18 mm to 21 mm gives best results. The endometrial thickness between 9mm to 14 mm at the time of ovulation (thus indirectly conception and implantation) is very conducive for successful implantation and pregnancy. So at the time of ovulation with such conditions, you may get intrauterine insemination done to increase the possibility of pregnancy. You may try this for 3 months (considering your age and ovarian condition) after which you might seriously think of in vitro fertilization and embryo transfer. In this advice, I am presuming that you have tested the patency of your tubes and they are patent. If you have not tested, please get Hysterosalpingography and/or Laparoscopy done for the tubal assessment before you take any active intervention step. I hope this clarifies your doubts. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I had sex with my partner on the 14th of august and the condom split, he didn t cum inside me but we still panicked so i got the morning after pill (levonogestrol). My last period finished on the 13th of august and it was due to begin again 2 days ago. 5 days after taking the MAP i experienced heavy bleeding for 3 days. I have taken 4 pregnancy tests and all of them have been negative. What s going on? Any help would be amazing, I m really worried."
},
{
"from": "gpt",
"value": "Hi. This bleeding disorder has happened because of the levornogstrel you have taken. First, you have done sexual intercourse just the day after you finished menstruation. This means a very low possibility to get oregnant. Second, you have taken the emergency pill and it has functioned since you have had bleeding. So, you are not pregnant but I would like you to avoid as much as you can Taking the emergency pill."
}
]
|
[
{
"from": "human",
"value": "Hi my wife of age 24 has undergone a DNC procedure about an year back after an incomplete medical abortion. Now she is suffering from some infections some times 2 or 3 days after an intercours . And we are planning to have a baby soon. Is there any problem to have a baby in this stage? her menstrual periods are regular. And can we hav intercource during pregnency ? Up to what stage?"
},
{
"from": "gpt",
"value": "Hi. First of all I would like you to take some preconceptional exams before getting pregnant. These include some blood analyses and some vaginal analyses. If something comes out, you should take medications for both of you and then you wife should start taking Folic Acid, which is the only proven pill that has shown to be effective to the embryo and fetus."
}
]
|
[
{
"from": "human",
"value": "GOOD AFTER NOON! My doctor said that my utress size is below then normal so She recommended me to take Glasterone tablets for 3 times a day. I want to ask you about this ;if it will be helpful to me for fast concieving because i want to conceive fastly."
},
{
"from": "gpt",
"value": "Hi. The only thing that I wanted to ask you if you have regular menstruations? Because regular menstruation are the feeding of the uterus. So if you do not have regular ones, you should take E-P (estroprogestative pills). Because they make menstruation regular and feed your uterus to become grow."
}
]
|
[
{
"from": "human",
"value": "i am a 29 yr old female trying to conceive for last 4 yrs. diagnosed with genital TB and after laproscopy found my tubes to be affected with beaded appearance and hydrosalpinx even though patent. My NK cell test also positive. shall i go for NK cell treatment?am on ATT now. What are my chances to conceive naturally? and with IVF?"
},
{
"from": "gpt",
"value": "Hello,I have gone through your query and here are your answers. 1. Tuberculosis of the pelvis is likely to affect the genital organs including the uterus. Since your fallopian tubes have been shown to be affected, it is possible that your endometrium also is affected. 2. As you are on ATT now, you should avoid pregnancy until the treatment is over. 3. Steroid treatment for NK cells is better avoided for the time as immunity is compromised with tuberculosis infection. Other modes of treatment may be considered if you are fit. 4. Taking all the above facts into consideration, I would ask you to think of IVF or surrogacy as natural conception chances are very low. Hope this helps."
}
]
|
[
{
"from": "human",
"value": "I am 44 and trying to get pregnant. My cycles have been off for the past six months. My daughter had a triple organ transplant and is fighting for her life, so i have a lot of stress. I don t know if i am starting to go through mentopause or if it is stress related. I have a new partner, we have never had children together but he has had three and i have had five. I have been trying for eight months. Do u suggest clomid?"
},
{
"from": "gpt",
"value": "Hi. Your situation is a little bit delicate. You are 44 and you have menstrual delay for 6 months. Do you have hot flashes? The greatest possibility is that you may be in the perimenopause, which is the phase around menopause. Anyway, what would give an accurate answer regarding the desire of getting pregnant is a single test which is AMH (antiMullerian Hormone). It could tell us your current situation of the ovary. If you want to take clomid, first you need to have menstruations and you should try Progesteron to take them back."
}
]
|
[
{
"from": "human",
"value": "Sir I have one question that is.. If female and male having same blood group that is o+ then they will get any problem during the pregnancy... They will have baby or not... And I heard that a women having o+ blood group they have less egg is it true or not..."
},
{
"from": "gpt",
"value": "Hi. Having the same blood type is not a problem for pregnancy. The only case when we should take care is when the mother/woman is Rhezus negative and the partner is Rh positive, because she may have the need to do an injection, but not in your case. So, do not worry."
}
]
|
[
{
"from": "human",
"value": "Hello Dr., I am undergoing ovulation study right now. Had done laparoscopy and ovarian drilling last month. Today Day 11 Right Ovary : 19mm Left Ovary : MSF. ET : 7.5mm What do you think are the chances of follicle rupturing in the next 2 days and chances of conception."
},
{
"from": "gpt",
"value": "Hi, ovarian drilling raises the chances to stimulate follicle growth. In your case, your follicle is grown well, which indicate that it will be ruptured on the 13th or 14th day of the cycle. Anyway, the chances of getting pregnant are not higher than 15- 20% in a spontanous cycle."
}
]
|
[
{
"from": "human",
"value": "Hi. Pregnancy Question...My last mens. cycle started Jan.23 ended Jan.28. Right before I got it I was vomiting with diarrhea then I started cycle and then the day after it ended I started vomiting and diarrhea again. Ive been having mild abdominal discomfort (cramps). Now today im having left shoulder/arm pain. Should I be worried about a possible undetected pregnancy which could now be ectopic or a possible miscarriage? I started my cycle so I assumed we were not pregnant but now im unsure."
},
{
"from": "gpt",
"value": "First just do a pregnancy test. If it is negative then you should consult a gastrointestinal doctor. If it is positive, then you have to do a vaginal ultrasound to see where is the pregnancy located."
}
]
|
[
{
"from": "human",
"value": "hello, this is Mrs. Shahid i want to be pregnant i m 10 years old my married life but my prolactine level is 36 when i take medicines for reduction this i become in very very bad condition that s why i had to stop med please guied me about injections for this problem"
},
{
"from": "gpt",
"value": "Yes there are medications and different ways to get pregnant. If the prolactine levels are high then you should do a MRI of the head, especially if you have milk discharge from nipples and irregular menstruations. There are a lot to tell in this case but I have to know your age, sperm analyse etc."
}
]
|
[
{
"from": "human",
"value": "I am 20 days late and today makes 8 weeks from the first day of my last period. I took a blood test a few weeks ago and it was negative. I took a hpt today and it was negative. Could it still be to early for the hot to show up positive ? I have been feeling very tired and sick."
},
{
"from": "gpt",
"value": "Hallow Dear,If even after 8 weeks from last menstrual period your urine pregnancy tests are negative, you are not pregnant. The delay in your period could be due to some hormonal imbalance - could be reproductive hormones or could be Thyroid dysfunction. Please get your blood examined for FSH, LH, Progesterone, Oestrogen, Prolactin, T3, T4 and TSH. Depending upon the values and the diagnosis, the treatment will have to be planned. Meanwhile, you may take some progestational preparation like Deviry for 5 days; 4-7 days later you will get withdrawal bleeding. Though missing a period is the cardinal symptom of pregnancy, pregnancy is not the only cause for missing a period. You have to get investigated to find out the cause of your delayed menses. Please report to your Gynaecologist. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi doctor . i have one child of 4years old recently i have ectopic pregnancy and went for laproscopy ,now i want to get pregnant .since 3 monts using ovacet tablets and progesteron tablets but iam not getting pregmant buy my body weight is increasiny 3kg every month.can u suggest any thing pleasa thank you"
},
{
"from": "gpt",
"value": "Hallow Dear, It seems you had undergone tubal repair/removal during Laparoscopic management of the ectopic pregnancy. When this is done through Laparoscope, the damage to the tube and surrounding tissues is much less and the chances of pregnancy are better. Your previous pregnancies were natural. So there should not be any issue of egg production with you. You have been given progesterone which helps the stabilization of pregnancy. Ovacet contains Methylfolate, Myo-Inositol, Vitamin D3. These tablets are given for folic acid supplementation. It also helps good growth of chorionic tissue which binds the baby to mother's uterus. Try to find out about the patency of your reproductory tract - particularly tubes. Since you had ectopic pregnancy, probably only one of the tubes is likely to be patent. If that also is blocked then you will have to get the reconstructive surgery of the tube performed. Tubal patency can be assessed by Hysterosalpingography and/or Laparoscopy. If at least one tube is patent, please undergo ultrasonography for ovulation monitoring. Plan your sexual relations on and around the day of ovulation. If the eggs are not getting released, you will have to take medicines like Clomiphene citrate or HMG/hCG. If you are putting on considerable weight (3 kg/month), please find out any evidence for Polycystic Ovarian Syndrome (PCOS). Ultrasonography during ovulation monitoring can detect this. If it is detected, you will have to undergo comprehensive treatment with the advice of a Gynaecologist. Diet control and exercise will help you reduce the weight. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi Doc, i am a 33 years old female and a blood group o positive. been trying for a baby with my husband since november 2012 and still not yet pregnant. my husband is blood group b positive and he is 31 year old. what can we do to get pregnant. i have been on contraceptives. please help."
},
{
"from": "gpt",
"value": "Hallow Dear,If you have failed to conceive after such a long period of fair trail, you need to undergo complete work up. Usually, after discontinuing contraceptives, the fertility returns soon. Your blood groups are not responsible for your infertility. Please undergo following investigations:1. Evidence for egg release (ovulation): There are many tools available for this. Home ovulation detection kit can also inform you whether you ovulate or not; however, at least once, ultrasonographic evidence of ovulation is desirable. It will also inform the size of follicles before ovulation. Follicles of the size between 18 mm and 21 mm release healthy eggs having more possibility of successful pregnancy. Also endometrial thickness can be assessed by ultrasonography. Endometrium of thickness between 9 mm and 14 mm are most conducive for successful implantation of the fertilized egg. Microscopic study of the endometrium before the menstruation can inform you whether you are ovulating or not. Hormonal profile is also very useful in assessing the reproductory function, particularly ovulation. Anovulation can be tackled by induction of ovulation by Clomiphene citrate or HMG/hCG combination as per the indication. 2. Laparoscopy and/or Hysterosalpingography will inform about the patency of the reproductory tract. Former one can inform about the anatomical condition of the reproductory organs. Hysteroscopy can find out any intrauterine abnormality if present. 3. Husband's semen examination after four days abstinence for the sperm quantity and quality. If any pathology is found, it needs attention. However, if there is no abnormality, plan your intercourse on and around the day of ovulation. Still if there is no result, it becomes a case of unexplained infertility which can be managed by Artificial Reproductory Technique. Please report to your Gynaecologist and/or Infertility Specialist. I hope this provides you required guidance. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi doctor, my lmp march 13 now, i can trying to get preganant since one year, doctors said me you having pcos , then i can take medicine,now last month i can check abodmen scan, blood test , hormone test, everything my result is normal, i get married in 2010 , in that time i get concieved twins baby but baby get injury in formation of skull so they aboted both babies in 2013 by using tablet to take of that babies, so, i am asking you know i didn t having any problems i can concieve now.....?????/"
},
{
"from": "gpt",
"value": "Hallow Dear, Polycystic Ovarian Syndrome (PCOS) is a multi-systemic complex disorder. There are dysfunction of reproductory system (delayed menses and no egg formation), metabolic system (high insulin levels) and hormonal dysfunction (high male hormones) in PCOS. While treating for infertility, all these three systems have to be addressed. Because the follicles do not rupture and release eggs, the ovaries form multiple cysts; hence Polycystic Ovarian Syndrome. For egg release (induction of ovulation), some medicines are required. Clomiphene citrate is given initially. Along with it, Metformin is also given which helps control the raised insulin. Now a days, instead of Metformin, Myo-Inocitol is being tried which along with insulin levels brings down the male hormones levels also. Myo Inocitol is claimed to give better results as far as the conception is concerned. Clomiphene citrate should not be tried for more than 6 months. If it fails, then HMG/hCG combination is given to induce the ovulation. If both these do not offer success, Laparoscopic drilling of the ovaries also may be tried. Weight gain is another problem in PCOS. To treat PCOS and achieve fertility, weight reduction programme is very essential. BMI should be maintained between 18 and 24.9. For weight reduction, high protein and low carbohydrate low fat diet along with exercises is advised. Please calculate your BMI based on your height and weight and then take the action accordingly. You had previous two unsuccessful pregnancies. So, it seems that you have developed PCOS after the last pregnancy. Stress also is one of the precipitating factor for PCOS. I hope this helps you planning your further management of infertility due to PCOS. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi I did IVF and had a scan at 5 weeks 6 days where the yolk sac was seen but no fetal pole. My gestational sack measured 5mm and yolk sack measured 1mm. Today I went in at 6 weeks and 5 days and the gestational sack measured 7mm and yolk sack measured 3mm. I believe I had a late implanter but could it have implanted so late to have these pore results. They want me to start a DandC but I just can t yet so I asked for another ultrasound. It is scheduled for 7 weeks and 5 days. Could you please tell me if there is any hope."
},
{
"from": "gpt",
"value": "Hallow Dear,The very fact gestational sac and yolk sac are showing progressive growth, the implantation seems to be successful in your case. You should try to get the information about the foetal pole in the gestational sac which proves this to be fairly normal conception. Please ask this to your doctor. Meanwhile, please continue to take Tab. Folic acid daily. This will help good implantation and development of placenta and the baby. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hello doctor!! i really need your help.i really wanna get pregnant these days but the problem is i m still a virgin and my virgina is too tight.my husband couldnt even get through it.i really appreciate if you can give me some advice to solve my problem.thank you"
},
{
"from": "gpt",
"value": "Hello,Thanks for letting us know your health concern. In the current scenario, the cause of the vagismus should be detect es. If it is any anatomical defect like a septum or a thick hymen, surgical correction is possible. For neuro-psychiatric causes, medication, counseling and relaxation procedures are helpful. Please do not worry, you have a correctable problem. Please get further help from a specialist. Take care."
}
]
|
[
{
"from": "human",
"value": "Hello, my name is Chelsea.I am currently using cerezette pills for birth control. I have been using them for around 3 and a half months. I went on holiday for the past 7 days and left them at home. On the 5th day of the holiday, had unprotected sex with my boyfriend. What should I do? Could there be a chance of pregnancy?"
},
{
"from": "gpt",
"value": "Dear Chelsea,Cerezette is a Progesterone only contraceptive pill containing 75 microgram Desogestrel in it. These pills need be taken every day without break for 28 days every cycle for its successful action. Since you have dropped the pills for 7 days and had sexual relations on the 5th day of the dropped pills, you do stand the possibility of pregnancy due to this intercourse. To protect this intercourse from pregnancy, you could have taken Plan B post-coital emergency contraceptive pill within 72 hours of the intercourse. If that period is passed, you have to look for the possibility of pregnancy now. You have following options:1. Wait for the periods. If you miss them, perform pregnancy test on the overnight first morning urine sample about a week after missed period; earlier these tests may report false negative. Alternatively2. Get Beta hCG test done on your blood 10 days after the incidence of last unprotected intercourse. Values above 25 mIU/ml are diagnostic of pregnancy while values in non-pregnant sate are less than 5 mIU/ml.If any of these tests suggests that you are pregnant; and if this is unwanted pregnancy, you can opt of medical termination of pregnancy upto 9 weeks of gestation with the advice and prescription of a Gynaecologist. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi , actually i want to know that I have 36 days mensuration cycle and in some books i read that those women have more than 35 days mensuration cycle they cant be ovulate is this true and my periods are always regular or if it is true so it will cause in pregnancy."
},
{
"from": "gpt",
"value": "Hallow Dear, Yes, theoretically, the regular menstrual cycle is defined in the books as a cycle of 28 days with variation of 7 days on either side; so the span is between 21 to 35 days. Any cycle beyond these limits is defined in the text books as irregular cycle. One day beyond the text book definition may not be a hopeless situation. If you are releasing your eggs regularly, you can conceive. The best way to get the evidence of ovulation is to go for ovulation monitoring. Though ovulation monitoring home kits are available, I would advice you to go for ultrasonography for the first few evidence of ovulation. Ovulation occurs 14 days before next expected menses. So in your case, it would be day 21 of the cycle. Subject yourself for ultrasonography for ovulation monitoring from day 17 onwards. Do this for consecutive 3 months. If you get the evidence of ovulation, you have all the possibilities of pregnancy. If you are not ovulating, you will have to undergo complete hormonal profile - Thyroid and reproductory - to assess the cause behind it. So better report to a Gynaecologist in such case. I hope this answers your query to the satisfaction. For ongoing advice, you may ask me Direct question on this forum. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hello, I am currently taking M2 Tone, women s eve multi, female balance, folic acid and using the natural progesterone cream. I used the clearblue ovulation kit and got a smiley face Q1: when should I have Intercourse to achieve pregnancy Q2: when do I stop the other supplements"
},
{
"from": "gpt",
"value": "Hallow Dear,Let me answer your second question first. All the medicines which you have mentioned (except progesterone cream) are supporting medicines. Please continue the supplementary medicines, even after conception also. Please do not discontinue them, the only option to it being progesterone cream. You can take your Gynaecologist's advise regarding it. When you see the evidence of egg release (ovulation) on the kit, you should have sexual relations. Then onwards, have daily or alternate day intercourse for next 4 days. The egg has life of 24 hours only while the sperms are active for 72 hours. Hence, you may start the sexual relations every alternate day when you have the indication of impending ovulation. I hope this answers your queries. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi my name is sobha i got ectopic pregancy 5 month back and dr told me folic acid tab 5 month now i have thyroid on borderline dr told me to take thyroid tab and again try for 3 months after that they will do hsg ihave only my right tube can i have to chance to conceive again 1 st i conceive naturally after 8 yrs of my marriage im 30 now"
},
{
"from": "gpt",
"value": "Hello, and i hope I can help you today.Unfortunately, having had a history of ectopic pregnancy is a risk factor for infertility as well as damage to the other remaining tube.However, thyroid disease can also affect ovulation and regular cycling of your period, so the treatment with the thyroid medication may help your chance of conceiving.However, I agree with your doctor's recommendation to check an HSG to determine if your one remaining fallopian tube is blocked. If you find out that your right tube is open, you certainly could conceive on your own. Many women with only one tube and ovary are able to get pregnant successfully.If it turns out that your right tube is blocked also, pregnancy can be achieved with in vitro fertilization which can be performed by a fertility specialist.So in summary- the results of the HSG test will be able to tell you definitely if you are able to conceive again. I hope I was able to adequately answer your question today and that this information was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "Hi Dr . I got a injection hcg 10000 on 3 rd June but till morning 9 am my follicle are not rupture, my follicle size is 20.5 in left ovary now. But around 11 am i have some lower abdominal pain n crams. We had a sex in today morning. What is a chances of my pregnany.when my follicule get rupture n when to intimate plz suggest"
},
{
"from": "gpt",
"value": "Hallow Dear,Usually, after hCG injection, the follicle ruptures within 24 hours. You have noticed that the follicle was unruptured at 9:00 am; however at 11:00 am, you had some abdominal cramps. It is very likely that this pain was due to egg release (ovulation). It may sometimes be associated with little bleeding also. This is known as Mittelschmerz. The size of the follicle just before the ovulation was 20.5 mm. This is most ideal size of the follicle. Follicles of size between 18 mm and 21 mm produce most healthy eggs which have best pregnancy chances. You had intercourse at the time of ovulation. Sexual relations on the day of ovulation and then at least every alternate day are very productive in terms of pregnancy. You may confirm the rupture of follicle by ultrasonography. Wait for your menses. If you miss them, perform pregnancy test on overnight first morning urine sample after a week; done earlier, the results may be false negative. Alternatively you may opt for Beta hCG test 10 days after your intercourse. Then report to your Gynaecologist. I hope this helps you. Dr. Nishikant ShrotriSo considering all these facts, you have very good chances of pregnancy."
}
]
|
[
{
"from": "human",
"value": "DEAR DOCTOR.I AM A MAARIED LADY WITH 10 YEARS .I HAD TWO MISCARRIAGES .ONE IN 2004 WHERE MY LEFT TUBE GOT REMOVED . AND SECOND WAS A NORMAL CONCEPTION BUT ABORTED AFTER THREE MONTHS AS MISSED ABORTIONI TRIED 3 IVF IN D.Y.PATIL WITH NANADIDAT PALSHETKAR BUT NO USE .mY EMBRYOS ARE VERY GOOD AS PER THE EMBROYOLISTS ON LY THAT IT IS NOT GETTING IMPLANTED IN THE UTERUS. PLEASE HELP ME AS I HAVE NO CHILD TILL NOW."
},
{
"from": "gpt",
"value": "Hallow Dear,One patent normal tube is sufficient to give you pregnancy. If the quality of your embryos is good but they fail to get implanted successfully, please find out the quality of your endometrium. Ultrasonography will reveal the endometrial thickness. Endometrium of thickness between 9 mm and 14 mm is most conducive for implantation of fertilised ovum (embryo). If your endometrium is thinner, please get it well built by some oestrogen therapy before you attempt next IVF. At this stage, endometrial evaluation appears to be the key factor in your case. I hope this helps you today. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "i want to get pregnant and iam trying to conceive since 6 months my cycle is 35 to 40 days before i get my periods my breast is very painful to touch please suggest me and wen is the best time to intercourse thanks akki My age is 26 Height 5 2\" weight 57"
},
{
"from": "gpt",
"value": "hello.80% of couple with unprotected intercourse get pregnant at the end of 1year.and you r just 26 so no need to worry for conceiving.to no fertile period, you had previous 3 months menstrual charting recordand u have to do the shortest cycle days minus18days. The longest cycle days minus 10days. example supposeshortest cycle is of 26 days so shortest cycle [26days] minus18days=8th day. and longest cycle is of 31 days so longest cycle [31days] minus 10days=21st day 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.there are other methods to know ovulation but these are blood tests and invasive.try this one"
}
]
|
[
{
"from": "human",
"value": "Hi..am 28 yrs old married since 2 years..had a DNC done a year and a half back (March 2010) . am unable to conceive since then.Could you please suggest the tests that myself and my husband have to undergo ?? also should my husband meet a male gynaec for his tests???"
},
{
"from": "gpt",
"value": "Hello, and i hope I can help you today.If you and your husband have been having regular (at least 2-3 times per week) for over a year and have not conceived, an infertility evaluation is a reasonable course of action.The preliminary evaluation of infertility in a couple includes hormone tests and an evaluation of your uterus and fallopian tubes. The hormonal tests will likely include (at a minimum) a serum FSH, LH, TSH and Prolactin level. The test to evaluate the fallopian tubes is called a hysterosalpingogram, or HSG.For your husband, he does not need to see a specialist but he should have his sperm count checked. His primary physician can recommend a laboratory where he can do the test.A general OBGYN can order these tests for you and review your husband's semen analysis results. If you require treatment, you may be referred to a fertility specialist. I hope i was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown"
}
]
|
[
{
"from": "human",
"value": "sir,my friend's girl friend had her periods 8 days back.they both are 18 yrs old..today he said he met her..and eventually was on bed..he had sperms on his hand nd accidentally touched her vagina.he dint insert the penis.now he's afraid if she'l get pregnant..what is the possibility?..he's really upset"
},
{
"from": "gpt",
"value": "Hallow Dear,I believe when you say semen in the hand, you mean semen stained hand. By this he has not instilled some amount of semen in the vagina. Just touching vagina from outside the vagina should not be an issue of threat of pregnancy. To cause pregnancy, semen has to be injected inside the vagina or even at the introits. Then sperms in the semen can swim towards the egg through the uterus and tubes. I feel he should not be concerned about pregnancy. Please tell her also to get rid of the stress as stress itself can delay the menses. Let her wait expectantly for the menses to appear on time. If at all the menses are delayed, then she may think of performing pregnancy test on urine 8-10 days after the missed period; done earlier, these tests may report false negative results. Alternatively, she may opt for Beta hCG test which can give reliable results even few days before missed period. If the pregnancy test reports positive, she can terminate the pregnancy by medicines. However, I feel, this should not happen and she will get her menses in time.Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi, I was wearign underwear and my boyfriend was wearing his underpants and slacks. We were grinding and making out for 3-4 hours. There was no penetration. He said he did not come but I saw something wet. I am in my ovulation phase. Is it possible for me to get pregnant?"
},
{
"from": "gpt",
"value": "Hello,Thanks for writing to us.There is NO chance of pregnancy WITHOUT actual penetration or proper ejaculation. It was a complete dry sex.Sexual excitement make you some wet feeling. However, you CAN'T be pregnant as there was no sexual intercourse.Don't be worried much. Practice safe sex in future. Good luck."
}
]
|
[
{
"from": "human",
"value": "hi this is shakuntala from canada, i deleverd pre meture baby in june 22nd 2009, bcz of my high bp(22 weaks baby gal), doctor said due to stress i got and it was un contorlable and delevered pre mature baby, and after that again i concieve october 2009 ( i measn lmp was oct 7th), after that they did all blood tests and everything was normal, but again i got missed abortion, they said i have clot and there is bleeeding, baby groth has been stoped, i realy worried about all these things, u please tell me when can i concieve and which medicines have to fallow before concieve"
},
{
"from": "gpt",
"value": "Hi, Thanks for the query. I understand your concrrn. I am sorry to read your suffering. Yes.. a full term delivery can be acheived with proper gynecological advise&few lifestyle changes during pregnancy. -Before planning for a baby.. you should get a full medical check up &investigations to exclude possibility of raised blood pressure./any kidney (urine) infection .If at all mild. bloid pressure is found.. itshould be tr.eate.d &kept in normal level before getying pregnant. -A healthy lifestyle with sufficient dietary supplements with a balanced diet&vitamines &minerals in optimum amount./mild physical exercises like walking or yoga exercises/sufficient dound sleep of 8 hours .in a day/avoiding excessive physical or psychological stress./pranayama,dhyan &meditation would help for keeping positive. -Regular ptegnancy check up & strict intake of advised medicines timely. Yhus expertadvise &self csre eould get your dream come true. Thanks."
}
]
|
[
{
"from": "human",
"value": "Ok. Im a week late on my period n i have a milky looking substance the leaks out i always think its my period but its not n i have sex a week after my last period which was June 20 is the day it ended. i had sex on the 7th. we used a condom n it did look like it busted"
},
{
"from": "gpt",
"value": "Hallow Dear,If you have used condom correctly and it had not burst, the chances of pregnancy are very rare since condom is a having a good success rate in preventing the pregnancy. The day on which had sex is fairly near the Fertile Period which is about a week around the day of ovulation. However, you have delayed menses for a week. So you have to find any evidence for pregnancy. I would advise you to confirm the status of pregnancy by pregnancy test on overnight first morning urine sample. Alternatively, you may opt for Beta hCG test. Either of these test will give you the evidence of pregnancy. Then you may take further decision. You have milky discharge from vagina. You may be having some vaginal infection like Trichomona or Yeast. The former is treated with Metronidazole while the later by antifungal medicines. Please report this to your Gynaecologist.I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "fertility and reversla tubal ligation and regrowing lining is it safe can I still have more kids I had an ablation in 2010 I still get my period periodicallly 8 had my tubes tied in the same year 2010 I really regreat doing both procedures If I wanna have more kids is it safe to reversal tubal ligation and is it safe to try to regrown my lining I wanna another baby so bad please help"
},
{
"from": "gpt",
"value": "Hallow Dear,I believe when you mention ablation, you are referring to ablation of uterine lining (endometrium). If so, all your endometrium is completely destroyed. Endometrium is necessary for the implantation of the fertilized egg. So if there is no endometrium, pregnancy is not possible. Even though the tubal blocks can be reopened by tubal recanalization, the pregnancy would not be possible for the absence of endometrium. You may opt for adoption of child. This would give you additional child and the orphan child also will have parents. I am sure you need a more detailed discussion on this issue. You may ask me a Direct question on this forum for it. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi, My doctor have asked me to get done the follicular study. I have started that and the endometrium size is 0.67 cms on 26.12.2011. Now the doctor has asked me to get the next scanning done on 29.12.2011 and said that if the follicular size is >= 0.67 cms then take Injection Ovumax 5000 units SC.Please advise what does this indicate."
},
{
"from": "gpt",
"value": "Hallow Dear,The egg is inside the follicle. Immediately after menstruation, the follicle and the egg inside are very small in size. Day by day, they go on increasing in size. About 14 days prior to the next menses the egg is released from the follicle. Just before the egg release (ovulation), the follicle attains the size between 18 mm and 21 mm. Endometrium is lining of the uterus. During menstruation its outer layers get shed off when it becomes very thin. Day by day, it also starts becoming thicker. A healthy endometrium is between 9 mm and 14 mm thickness at the time of ovulation.You have mentioned the size of follicle and thickness of endometrium, which are too low; however it is not clear these sizes are on which day of the cycle. If these measurements are at or around the ovulation, they are too low. You will need some medicine to increase the size of the follicle. As the follicle grows in size, endometrium also will become thicker. However, Ovumax is an Injection which contains Human Chorionic Gonadotropin (hCG) hormone. This injection is given to induce ovulation from a well grown follicle. It would not help the growth of the follicle. For growth of the follicle, Inj. HMG has to be given. Clomiphene citrate also may be of use; however, it may hider the growth of the endometrium.I would not advise you to go for these or such injections before you get some of your investigations done which will try to point out the deficiency. Get your blood examined for FSH, LH and AMH. Based on there levels, further management should be planned. Please report to an Infertility Consultant for expert and scientific management.I hope you got the required guidance. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "hi,i am 28 years married woman.i have polysistic ovarian syndrome.before marriage i face the problem of irregular periods.now i consult a gynecologist and take a contraceptive pills.now a days my periods is normal.do i have any problems to get pregnant?"
},
{
"from": "gpt",
"value": "Hallow Dear, Contraceptive pills will regularise your menses in Polycystic Ovarian Syndrome (PCOS); however, they will not help you conceive. In fact, contraceptive pills, as the name suggests will prevent pregnancy. If you are keen on conceiving, you should manage the PCOS comprehensively. PCOS is a complex disorder of multi-systemic dysfunction; the main being reproductory system, carbohydrate metabolism and sex hormones. It is therefore characterized by delayed heavy menses with non-release of the eggs, high insulin levels and high male hormone levels. For attaining the fertility, all these three aspects have to be managed. The main symptoms of PCOS are menstrual irregularities, infertility, obesity, hair on unwanted areas like face, chest, abdomen, legs, etc.. One of the main causes responsible for PCOS is obesity, particularly fat deposition around the waist. Clomiphene citrate or HMG/hCG combination are used to achieve the ovulation. However, high insulin levels and high male hormone levels may hamper the success of these medicines. Therefore, Tab. Metformin is added to this treatment which can lower the insulin levels. Myo Inositol is supposed to control insulin levels more effectively; moreover it can control male hormone levels also. Hence, some claim more success to this medicine. Reduction in weight is equally important in management of PCOS. Daily caloric intake upto 1000 to 1500 calories through high protein and low carbohydrate and low fat diet can effectively bring down the weight. Along with, daily exercise is very important. Please calculate your Body Mass Index (BMI). You should maintain it between 18 and 24.9. PCOS needs addressing all the aspects comprehensively. I would advise you to consult an Infertility Specialist for the management of your Infertility. I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi my last mensutral period was on 22nd sep 2011 and this month it should come on 20th of this month.I have missed my periods for 10 days.I have tiredness,feeling sleepy,white discharge, feeling my stomach size increasedeven i have vomitting feeling....Hence i would like to know can i conform my pregnancy with these symptoms.."
},
{
"from": "gpt",
"value": "Hi, thanks for writing.. get a urine pregnancy test to confirm your pregnancy.. A b hcg level more than 10 also indicates positive pregnancy.. Hope i have answered your query.. Good day"
}
]
|
[
{
"from": "human",
"value": "29 yrs i h've irregular periods1 year passed h'ving marrige doctor gave birth control pills then she put me on letrozole four cycle has been passed 1) no result, tests were ok like fallopion tubes ,sperms and ovalation were also happen. then why wht is the reason? that i h've not conceiveing 2) wht to do next to h'ving better chance"
},
{
"from": "gpt",
"value": "Hallow Dear,You have briefly narrated the required information and I should compliment you for the same. Since your Tubes are patent, semen examination is normal and the ovulation is occurring, the advice has got definite directives. However, if you are ovulating normally, I wonder why you are put on Letrazol which is to help the ovulation. Now my suggestions are :1. Get ultrasonography done for ovulation monitoring. This will be done from day 9 of the cycle till the ovulation occurs. It will provide you the information as when the ovulation is taking place and what is the size of follicle when ovulation takes place. Egg released from the follicle between 18 mm to 21 mm size are healthiest and have got better chances of fertilization. You may plan your intercourse at and around ovulation day which will increase the possibility of fertilization. Also you will get the information about the thickness of uterine lining (endometrium). At the time of ovulation, the endometrium should be at least 10 mm thick. If the endometrium is thinner, you will require some support to build up endometrium.2. In fact I am surprised to note that your ovulation is normal and still you are having irregular menstruation. Please get the information and evidences of ovulation confirmed from your doctor. 3. If with timing of the intercourse around the ovulation day still you fail to conceive, then the case is labelled as unexplained infertility. These are the cases suitable for Assisted Reproductory Techniques (ART) which include artificial insemination (vaginal or uterine), in vitro fertilization and embryo transfer, etc. I hope this should give guidelines for further management.Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am starting to be more concerned with my body. I am 31 years of age. My husband and I have been trying to get pregant for a few months. I do know that it takes time but that is only a small concern. I have a 10 year old also. I have not been on a birth control for about 8 years now and have never had any pregancy scares so to speak. but the concern that I have and have not been able to get an answer for is that about abnormal paps. I Have been haveing abnormal paps short after I gave birth to my son. I can not recall haveing a normal pap in the last 10 years. so my main question is could all the abnormal paps be a leading cause to why I think i will not get pregant. Thank you for your time, Valerie"
},
{
"from": "gpt",
"value": "Hi Valerie,Do not worry.Since you already have a child and were on birth control for 8 years now, it is unlikely that you have infertility.Abnormal PAP are related to chances of cervical malignancy not infertility. The PAP smear would not affect your chances of getting pregnant.But if you do have a chronic problem of the cervix which is leading to abnormal PAP, its advisable to get treated for abnormal PAP and then try for a pregnancy.Hope this helps.Regards."
}
]
|
[
{
"from": "human",
"value": "iam 32 years and marriage life is 8 years and have 7 years baby girl and now iam trying for 2nd child but no result from past 1 year my pelvic, hcg, and one follicular study is also over but it was not sucess and today is my period 2nd day what should do"
},
{
"from": "gpt",
"value": "Hallow Dear,From your brief description, I gather that your uterus and the tubes are normal and patent and you are releasing the eggs regularly. Please get the semen examination of the husband performed. If that also is normal, please observe the following instructions. Follow the ovulation monitoring. This can be done either by a home kit or by ultrasonography. Plan your sexual relations on and around the day of egg release. The advantages of ultrasonography monitoring are:1. Size of the follicle can be assessed at the time of ovulation. Eggs released from the follicles of size between 18 mm and 21 mm have best chances of fertilization and successful implantation. 2. The thickness of the uterine lining (endometrium) can be assessed. Endometrium of 9 to 14 mm thick is most conducive for successful implantation of the fertilized ovum.If in spite of all the investigation reports within normal range and planned intercourse you fail to conceive, you fall in the category of unexplained infertility. Then you might have to report to Infertility Consultant for some Artificial Reproductory Technique. However, I feel, since you have proved your potency to have a successful pregnancy, with little assistance depending upon the results of the remaining investigations, you should be able to conceive.I hope this helps you. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am 30 years old and I have been diagonised with PCOD, we are using fertyl 50 mg, folic acid and metaformin tablets. Please let us know what are the other methods to conceive early like going for an alternative medication or laproscopy, please throw a light when the laproscopy should be done. We are married since 2 years"
},
{
"from": "gpt",
"value": "Hallow Dear,Fertyl contains Clomiphene citrate which helps egg release from the ovary. In cases of Polycystic Ovarian Syndrome, there are raised levels of insulin and male hormones. To control insulin levels, Metformin is given which is supposed to increase the success rate of pregnancy in PCOS. However, it has been found that use of Myo Inocitol in place of Metformin gives better results. Myo Inocotol in addition to controlling insulin levels also controls male hormone levels. You may try this with the advice of your infertility consultant. While on medication for induction of ovulation, I would advise you to monitor your ovulation either by ultrasonography or by home kit. Please try to have sexual intercourses on and around the day of ovulation. It will increase the chances of fertilization. Inj. hCG after ovulation helps continuation of pregnancy after conception. If these practices are not successful, you may have to opt for Assisted Reproduction Techniques with the help of Infertility Consultant. If your tubal patency and the study of the other reproductory organs have not been done, they should be carried out. Laparoscopy and/or Hysterosalpingography can provide such information. If there is tubal block, it will have to be managed surgically. Any other anatomical abnormality will have to be dealt with accordingly. In fact you should have got husband's semen examination done before this. If not done, please get it done after at least 4 days sexual abstinence. Considering your age and marital history, you should not waste your time in trial and errors. Please report to Infertility Consultant ASAP. I hope this provides you sufficient guidance. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "Hi, In June this year my spleen got badly ruptered and I had to undergo emergency surgery to have it removed. I now have a huge scar down the centre of my stomach and have to take penicillen for life. I am 26 years old. I was just wondering will I now have any complications getting pregnant and also how will this effect my scar? What is the recommended time I have to wait following surgery to try for a baby? I ask this as I may be healed on the outside but it obviously takes much longer for the scar tissue and muscle to heal inside. Hope you will kindly answer my questions. Thanks. Jodie"
},
{
"from": "gpt",
"value": "Hallow Dear,Absence of spleen per se should not affect the course of pregnancy neither should it cause any problem in becoming pregnant. However, after the surgery, if you have developed lots of adhesions inside the abdominal cavity, it may cause problem in the tubes which will affect the transport of the egg to the uterus. Then, it may lead to infertility. This can be assessed by Hysterosalpingography/Laparoscopy. The scar on the abdomen should not cause any problem in the progress of pregnancy and delivery, provided the abdominal muscles have been well approximated and the scar has healed good in its full thickness. Your scar is on the abdominal wall and not on the uterus. So it should not create any problem in the progress of pregnancy nor labour. You may go for pregnancy anytime after 6 months of the surgery. However, since it was an emergency surgery, you should get your blood examined for its normal values. Usually splenic rupture leads to lot of bleeding. Please see that you have regained all your blood parameters to normalcy before you become pregnant. You should get your health checked up from an Obstetrician and get green signal for becoming pregnant. As it is, pregnancy is a condition which dilutes the blood. Pregnancy is an additional burden the body. Meanwhile, right from today, start consuming high protein diet with lots of minerals and micronutrients with special attention to iron and Folic acid. This will help improve your general health which is absolute requirement of pregnancy and motherhood. If you are tolerating Penicillin, it should sot create any issue during pregnancy, labour or breastfeeding. I hope this helps you today. Dr. Nishikant Shrotri"
}
]
|
[
{
"from": "human",
"value": "I am currently using Nuvaring. I accidently left it in one week too long, taking it out on day 28 instead of day 21. On the 28th day my husband and I had sex. I usually start my period a few days after I remove the nuvaring but I haven't had any spotting. I am concerned that I may be pregnant, a hope pregnancy test said I was not pregnant. With having the nuvaring in one extra week, am I still protected with birth control?"
},
{
"from": "gpt",
"value": "Hi, Thanks for the query. I understand your concern. Putting nuvaring in for one more week can not raise chances of pregnancy...your protection was already there as you had already worn the ring for 21 days.. &the menstrual cycle was already without ovulation. But the delay in removal of ring has caused delay in getting withdrawal bleeding.. which is considered .. to be menstruation.Now because of late removal of the ring... you would have bleeding late by 8- 10 days.pl. don't worry. Thanks."
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.