Q11) My spouse had her period delayed by 2-3 days. As we are concerned, she took a home pregnancy test. It was a positive. Since it was an unplanned pregnancy, we were concerned and just before we decided to go to a dcotor she had the period. Does that mean that the home pregnancy test was wrong? Is it possible that even after having periods, there are chances of pregnancy. Please tell us the next step we have to take.


Srinivas,

A. 11 The home pregnancy test has 5 % false positives results also. She night has had a very early pregnancy or bio chemical pregnancy if your wife had periods. Still she needs to repeat pregnancy test, if positive to sea a gynecologist

Dr Anuradha & Dr Prasad

Q12) We are married for two years two months. We are planning for kids for 8 months now without luck. We consulted a Gynic lady doctor in Bangalore and she performed tests for both of us and confirmed that nothing is wrong after seeing our reports. She advised us to be patient and keep trying. She prescribed Fertomid tablets for my wife and asked her to use them for three months. After three months, my wife still could not conceive. Can you please let us know why this is happening? We are not able to bear this delay in having kids. Please advise.

SSK

A12. Nearly 80 % of couples conceive with in two years of un protected intercourse. As you have been trying for 8 months and your wife is below 25 years of age you can still try for 6 months before you sea a doctor for help. She should take clomiphene only under supervision of a gynecologist it is better to be seen by a local gynecologist. You have not mentioned about semen analysis. If it is not being done you can get it done, as it is a basic and simplest test. If it is normal and if she has regular cycles you can try few more months between 13th to 18th days of cycle I.e. that is the time of ovulate on and has better chance of conception.

DR ANURADHA & DR PRASAD

Q13) I am 30 years old and got married 4 years back. Still I do not have children. Daily I am enjoying sex with my wife. Why my wife is not getting pregnancy. We both satisfy with sex. I want children. So, please give your advise.

suresh

A.13. You have not mentioned about your wife’s age but as you have been trying normally for the last 4 years it is better to consent a local gynecologist who might help you in getting basic investigations done and advice some simple treatment. In the mean while before you see your doctor you can try normally alternate days between 13th to 18th days of her cycle if her cycles are regular.

Dr Anuradha & Dr Prasad

Q14) My wife is 8 weeks pregnant. Last week she got herpes. Our gynaecologist asked us to consult a dermetologist and he adviced to take ACIVIR-800 DT 4 per day for 8 days. We are also applying SOFRADEX in the affected area (Around the waist part). Since the area got some fuss, he prescribed CLARIBID-250(8 tabs, 2 per day). We are worried taking so many tablets will affect the pregnancy badly? She had a miscarriage last year in 2.5 months pregnancy. Please advice as soon as possible to take some corrective action. Your immediate response will be greatly appreciated. Thanks very much..

Raj

A.14. As you mentioned that your Wife had previous of miscarriage it is difficult to say whether it was due to a similar problem during the previous pregnancy. The management of herpes during early pregnancy is very difficult as untreated herpetic infection also increases the risk of miscarriages and fetal problems. Normally any medication before 12 weeks of pregnancy can affect the fetus but as most of the organ genesis is completed by 8 weeks and she has also has a high risk with out treatment. So she can continue the medication.

Dr Anuradha & Dr Prasad

Q15) I need ur help. I am married since 2 years and 7 months ago I have delivered a baby boy. Now my breast have become very soft and small also. Is there any exercises to make them stiff and big. Is there any use of creams available in the market..

Rajani

A.15. The changes what you had abut the delivery is quite physiological. You might see your doctor for exercises, which might help in improving firmness. Creams like masse cream used during antenatal and postnatal period may help but it may not during this time. If you are really worried a cosmetologist may be helpful.

Dr Anuradha & Dr Prasad

Q16) thanks for doing this wonderful job. I got married 1 year back and we both don’t want to have childern for atleast 2 more years. Recently my wife got abortion, my question is when we want children after 2 years, is there any side effects at that time ,as because my wife got abortion .I would appreciate if you give answer to this..

SAS

A. 16. You have not mentioned about your wife’s age, which is important for conception, & you have not mentioned whet her it was spontaneous miscarriage or whether you got terminated. The chances of conception in the initial years of marriage are higher and that is the period when woman’s fertility is better. Slowly trying the chances of conception come down and other problem may arise. So I personally would advise to try for a conception with out too much of a gap. If she had an evacuation after miscarriage there is a small risk of having a tubal problem.

Dr Anuradha & Dr Prasad

Q17) I AM 30 YEARS OLD AND I GOT MARRIED 4 YEARS BACK.STILL WE DONT HAVE CHILDRENS.DAILY WE ARE ENJOYING THE SEX.MY WIFE CONSULT WITH LADY DOCTOR.SHE TOLD EVERYTHING IS RIGHT.I DIDN'T MET ANY DOCTOR.IWANT YOUR HELP IN THIS MATTER.WHICH TEST I HAVE TO CHECK UP.PLEASE ADVISE ME SIR,IAM WAITING FOR YOUR REPLY SIR.THANK YOU VERY MUCH SIR.

Suresh

A.17. As your wife’s tests are all normal you can also go through some routine basic investigations. Semen analysis’s to check for sperm count and motility is an import out test to be done. If your test is also normal, your wife can go through ovulation induction and you can try for conception during ovulation days. If is better that you consult your doctor and take his advise regarding these tests and treatments.

Dr Anuradha & Dr Prasad

Q18) I am 26 years old got married 11 months back, i have got irregular periods from long back(nearly 8 years) when i consulted gynecologist she gave me birth control pills at that time for 3 months. After using them i used to get regularly but after few months again problem use to repeat. It happened nearly 3 times using these years. Right now I am in US and went to gynocologist they tested for hormones and conformed I am having hypothyroid and my physician suggested Synthyroid pill daily one. My gynecologist also suggested me to take birth control pill until my thyroid gets balanced. My question is will I get pregnant bcoz I am having hypothyriod and it is lately detected.
I am also having another problem that is, I am having a small bubble(2 mm in size) with a small hole(sudhi mona size) under it on top of my vagina. I dont feel any pain or any other problem. Can u please tell me what can be this.I will be very thank full to u if u answer these questions. Thanking u Sir.

Madhavi


A.18. Regarding your skin problem. You may be having vesicle or it could be hair follicle infection. It is better that you are seen by a dermatologist or a gynecologist who can tell you precisely. You might be having polycystic ovaries, which causes hormonal imbalance and irregularity in ovulation and hens’ irregular cycles. Once your thyroid hormone levels are under control, has no impact on conception As soon as your thyroid levels are normal if you are planning for a child should consult your gynecologist. You may need to try tablets like clomid, which are ovulation on inducing drugs.

Dr Anuradha & Dr Prasad

Q19) I'm 28 years old. I got married 3 years back. I got pregnancy in July 2002.i saw the heart beat on 8 week but on the 10th week I have under gone a miscarriage. So after 1 year we planned again I got pregnancy(July 2003). I met doctor on 8th week I saw heart beat...
I asked doctor that I want to see heart beat on 10th week also...i took appointment...again I went for check up on 10th week of my pregnancy ...that day doctor told me that she is not able to seen heart beat. At any time miscarriage may happen.... after 3 days started spotting. Then I was admitted in the hospital they did DNC. Me and my husband took some test (hormonal, chromoges etc...) all are normal for me and my husband but they did test for prolactal...it was 27.4%(hyper normal).....will this cause any problem if i plan for preganancy again.can i plan for preganacy now?....what all precautions do i need to take if i get preganancy again. I'm working....i'll travel in bus daily morning 1hr and evening 1hr....can i take car for office in preganancy to avoid bus. Please advise me as soon as possible

Nikitha

A.19. It is unfortunate that you have miscarriage twice during the same period. As most of your hormonal reports are normal, you have good 70% of chance. Having pregnancy to continue. So don’t get dis hearted and if you are medically and physically fit. You can try for conception. Your prolactin levels are not too high, and some times anxiety also can raise the levels we normally advise for a repeat test and if it is still high, your doctor may prescribe Bromo Criptine tablets for you normally travel by bus or car is not contra indicated except if you have backache and spotting during pregnancy.

Q20) Maku marriage ayye 5yrs avuthondhi kani memu kalasi vunnadhi 2yrs ne appudhu memu test cheyyinchukunte naku ovary release ledhani chepparu kani treatment ichaka release jarigindhi injections and tablets use chesaka ma husband ki 66.2 millions count ani chepparu memu 2 times insemination cheyinchukunna conceive kaledhu...na age 28yrs and my husband age 31yrs...maku pillalu putte avakasam vunadha...naku laproscopy kudha chesaru...nenu u.s lo treatment thisukundamu anukuntunammu 1yr tharwata...mee suggession cheppagalaru...thank you samaram garu...chicago lo best doctor suggest cheyagalaru....

Hema

A. 20. You do have chances of conception naturally and other wise with treatment also. all the treatments have limited success rates, and none is 100%. IUI has a success rate of only 10 – 15 % per cycle, but being simple’s treatment one can try Up to 5 – 6 cycles by that time 40 % of couples conceive. If these treatment do not work IUF \ ICSI would be the next option which gives 30 – 40 % success rate per cycle. Since you have tried only 2 cycles. You can still try few more cycles in U.S. your gynoecia doctor would be the best person to suggest you regarding to which infertility clinic you can go.

Dr Anuradha & Dr Prasad

Q21) Namaste. My mother's age is 44 years. She got menopause 2 years back. She got periods now. She undergone all tests. Reports are normal. Doctor suggested her Hysterrectomy operation. Is that operation really required? Sometimes she is having white discharge. Is there any solution without operation? what is ur advice? Please give ur advice as early as possible
-saritha

Saritha

A.21. You did not mention if there is any cause found for her postmenopausal bleeding. If she had only one episode of bleeding and there are no. Other causes found, she can wait before she goes for hysterectomy. If there is any indication of uterine polyp, an abnormal pap smear of any evidence of malignancy hysterectomy is essential. But her gynecologist is the best person to advise her..

Dr Anuradha & Dr Prasad

Q22) Periods are not coming since last five years. Present age 50 yrs. Conceiving whether possible?

Lakshmi

A.22. It is very unlikely for a pregnancy to happen at your age group and especially if your periods are stopped five years ago. But if you are worried you can get serum FSH done and if the levels are high, it indicates that you are already reached menopause.

Dr Anuradha & Dr Prasad

Q23) I am 28 years old. I have Polycysticovarian disease. I have been married for 4 years. I have been taking the treatment from past two years and during this period I have had two miscarriages within first 55 DAYS. I WOULD LIKE TO KNOW WHAT IS THE REASON, IS THERE ANYTHING
DOCTORS CAN DO TO AVOID SUCH. A PROBLEM.

Veena

A.23. High CH levels which are found in poly cystic ovarian disease can be one of the reasons for miscarriage, if no other causes are found for your previous miscarriages. Medication like using Metformin may help in reducing LH levels. A surgical procedure like laparoscopic ovarian drilling also is one of the measures to reduce LH levels. Your doctor would be the right person to suggest if any of these treatments are going to be of any use to you.

Dr Anuradha & Dr Prasad

Q24) I am married since 3years but without child, my wife periods are normal almost everything is fine her side according to doctor, but my semen analysis say’s sperm count is nil, doctor suggested us to go for ICSI then, in order to that they did testicular biopsy and same time they try to retrieve sperm from testiest. Unfortunately they were no sperm.
So we could not go for ICSI.
Testis Biopsy Histopathology reports details as follows:
MICROSCOPEIC DESCRIPTION
The seminiferous tubules on both sides show spermatogenesis but hardly any mature sperms.
The basement membrane is slightly thickened.
DIAGNOSIS:
Testes, biopsis – Spermatogenic arrest.
Recently I happened to some articles in the web about male treatment like Male stimulation (to grow sperm) and hormone treatment. Then I met one doctor who was saying specializing in this treatment. And I was told that treatment will be three months and the expensive part is very high (daily around Rs.1800/-).

My hormone Test details:
FSH 10.7
LH 10.8
PRL 76
T (Total Testosterone) 4.30
SHGB 36.9
Would u please suggest me on this and should I go for this treatment any alternatives. Really I am very upset about my future life.

An

A.24. As your FSH & LH levels are mildly elevated and testicular biopsy has shown spermatogenic arrest, the chances of improvement in the sperm count in spite of taking hormonal treatment is very less. But if you are not tried any treatment. Psychologically you may feel the treatments would have helped you. So as you have no other options except to for donor insemination. You can take a chance and try with the hormonal treatment.

Dr Anuradha & Dr Prasad