Gynecology and Obstetrics Online Doctors Consultation — page 14

Hi Puja! Firstly you have to calm down and lower your stress levels. For which you have to start walking yoga and meditation. Secondly you have to loose your weight and for that you have to follow strict diet regimen. With strict diet regimen and calm mind you'll be able to loose weight Further we can look at your scans and blood tests for what actual problem is. Once the weight is reduced you'll get a healthy liver, thyroid levels will be in control and regular painless periods. Also kindly reply with your obstetrics history that is.. whether have you conceived earlier. Since when you are taking thyroid medication. And else we can discuss in the appointment. Hopefully I'll be able to help you with further management

Hello, I understand your concern, and I’d like to reassure you that the chances of pregnancy are extremely low since there was no penetrative vaginal intercourse. However, if semen or pre-ejaculate came into contact with the vaginal area, there is a very minimal risk. Since your last period was on February 28, and today is April 3, a delay can occur due to several factors, including: • Stress and Anxiety – Emotional or physical stress can disrupt your hormonal balance. • Hormonal Imbalances – Conditions like PCOS, thyroid disorders, or changes in prolactin levels can delay menstruation. • Lifestyle Changes – Changes in sleep patterns, excessive exercise, or sudden weight gain/loss can affect your cycle. • Diet and Nutrition – Deficiencies or drastic dietary changes can impact menstrual regularity. • Medications or Birth Control – Some medications or stopping hormonal contraceptives can cause delays. To ease your mind, I recommend taking a home pregnancy test for confirmation. If it’s negative and your period remains absent, it may be beneficial to consult a healthcare professional to explore possible underlying causes. If you have any further concerns, feel free to reach out.

Hello, I understand how frustrating it must be to deal with chronic cervicitis and recurrent infections despite multiple antibiotic courses. Given your history of PCOS, recurrent vaginal and urinary infections, sore throat, and gum issues, here are some key considerations that might help: 1. Further Evaluation • Since standard antibiotics haven’t been effective, consider getting a high vaginal swab, cervical culture, urine culture, and STI panel (including Mycoplasma, Ureaplasma, and Trichomonas PCR) to check for persistent or resistant infections. • An ultrasound or pelvic MRI may help rule out chronic PID, adenomyosis, or other underlying conditions that could be contributing to recurrent symptoms. • Checking for diabetes, autoimmune disorders, or immunodeficiencies may also be useful, as these can predispose you to persistent infections. 2. Treatment Considerations • Since you have already tried broad-spectrum antibiotics, a targeted culture-guided approach would be ideal. • Combination therapy or a longer antibiotic course may be necessary if chronic low-grade PID is suspected. • If vaginal atrophy is present (especially in PCOS or hormonal imbalance), local estrogen therapy may aid in mucosal healing. 3. Hygiene and Preventive Measures Maintaining optimal genital hygiene is crucial to preventing reinfection and supporting treatment: • Avoid excessive vaginal washing or douching, as this disrupts the natural microbiota. Use mild, fragrance-free cleansers for external cleaning only. • Change underwear daily, preferably using cotton fabrics to allow breathability and reduce moisture retention. • Wipe front to back after using the restroom to prevent bacterial transfer. • Stay hydrated and practice regular bladder emptying to prevent recurrent urinary infections. • Safe sexual practices, including condom use, may help prevent reinfection if sexually transmitted pathogens are involved. • If using menstrual cups or tampons, ensure proper cleaning and timely changes to prevent bacterial overgrowth. 4. Adjunctive Management • Vaginal probiotics (like Lactobacillus rhamnosus and Lactobacillus reuteri) may help restore a healthy vaginal flora. • NSAIDs (if needed) for symptom relief from pelvic discomfort. • Balanced nutrition and stress management to support immune function. Since your condition has been persistent, a follow-up with a gynecologist and infectious disease specialist is recommended for a structured, stepwise treatment plan. Let me know if you’d like to review any of your previous test results together.

Hello Irregular periods and passage of few clots after a miscarriage is common and it can occur for 3-4 cycles post your miscarriage. In your case i suggest you to get an Ultrasound done followed by an inperson consultation with a Gynaecologist just to make sure if all the pregnancy products have passed out completely. Hope this helps! Take care!

Hello Miscarriage ke baad pregnancy plan karne se pehle aapko and aapke husband ko pehle complete health check up and blood tests karvane chahiye. CBC, Liver function tests, akidney Function tests, Thyroid, Sugars, Hormonal studies and semen analysis, Sonography.. Ye saare check up karvana jaroori hain. Miscarriage ke 6 mahine tak pregnancy na rakhe and uske baad pehle ek gynaecologist ko consult karke pregnancy ke liye koshish karein. Take care!

Hello, Faiyyumunissa. It's great that you're reaching out with your concern. In general, sexual activity during pregnancy can be safe for most women, including having orgasms, as long as there are no specific complications or medical conditions that could pose risks to the pregnancy. ### **Clitoral Orgasms and Pregnancy:** - **Clitoral Orgasms**: Achieving orgasm through clitoral stimulation is a common experience and typically doesn't pose a direct risk to the baby during a healthy pregnancy. - **Safe Orgasm in Pregnancy**: The key factors to consider are your comfort level and whether you experience any complications in your pregnancy, such as high blood pressure, risk of preterm labor, or placenta issues. ### **Things to Keep in Mind:** 1. **Comfort and Consent**: It's important that you're comfortable with sexual activities and that you communicate openly with your partner. If you're not comfortable with the idea of multiple orgasms or feel pressured, you should discuss this with your partner. Your emotional and physical comfort during pregnancy should always come first. 2. **Medical Conditions**: If you have any complications such as a history of preterm labor, low-lying placenta (placenta previa), or vaginal bleeding, it’s crucial to consult with your obstetrician before engaging in sexual activities. They can give you tailored advice regarding what is safe for your pregnancy. 3. **Orgasm and Uterine Contractions**: During orgasm, the body releases hormones like oxytocin, which can cause mild uterine contractions. However, in a healthy pregnancy, these contractions are usually not strong enough to cause harm. If you’re experiencing any unusual or painful contractions after orgasm, you should contact your doctor to rule out any issues. 4. **Aftercare and Relaxation**: It's important to listen to your body. If you feel any discomfort or fatigue after sexual activity or orgasm, it’s okay to rest and take care of yourself. ### **Conclusion:** Having multiple clitoral orgasms during pregnancy is generally not harmful as long as you're comfortable, there are no medical complications, and the activities don't cause any discomfort or pain. However, it's always best to speak with your healthcare provider to get personalized advice based on your specific pregnancy. If you feel uncomfortable with any of your partner’s requests, it’s important to communicate that to them clearly. You have the right to set boundaries regarding your body and your sexual experiences.

Burning micturition is a sign of Urinary tract infection and requires treatment with antibiotics. Kindly consult gynecologist for urinary problems as well as for your irregular periods.

Hello White discharge can be physiological and pathological. Tablet dazit M 5 mg in night V wash to keep the area hygienic Candid V6 kit vaginal tablets If not resolved kindly review once.