Gynecology and Obstetrics Online Doctors Consultation — page 18

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.

If you are breast feeding there is lactational amenorrhea It is not suggestive of pregnancy.

Hello, So Endometriosis is a condition where in your endometrial tissue of the uterus gets deposited outside of your Uterus, ovaries being the most common site leading to generalised abdominal pain, dysmenorrhea, pain during intercourse and generalised body ache and sometimes irregular menses and heavy menstrual bleeding. Depending on the symptoms and size of endometriosis it can have 3 modes of management- 1. conservative management for asymptomatic and small endometriosis- Adequate rest, use of heating pads, healthy diet, gluten free diet. 2. Medical management for symptomatic case and small or medium endometriosis who are not willing for surgery. Over the counter pain killers, anti inflammatory drugs and omega 3 fatty acids and hormonal treatment. 3. Surgical treatment- for symptomatic and large endometriosis which is the case in your condition. 79mm endometriosis is big and will need surgical management. This is can be done laparoscopically followed by hormonal treatment to induce amenorrhea for a few months so that your endometriosis doesn’t regrow. Hope this helps! Revert back for any other query!

Hello Diya, Sorry to hear that this is causing you alot of stress. For a pregnancy to take place a female’s egg should fertilise a sperm and then get implanted in the uterus and grow. Anything hampering with this sequence can cause difficulty to conceive. Also the timing of your intercourse is important. It should occur when your egg ruptures. A sperm can stay alive in the female genital tract for 72 hours so kindly time your intercourse accordingly along with the timing of your egg rupture. Other reasons which can cause difficulty in conceiving inspite of ruptured egg include- Any Genital infection, decreased sperm count or sperm mobility (will be diagnosed on semen analysis), any anatomical abnormality in the uterus such as fibroid uterus or septate uterus, any medical condition in the wife or husband such as Thyroid diseases, Diabetes. All of this will need further evaluation. I would suggest you to have an inperson consultation with a gynaecologist for further evaluation. Hope this helps!

please explain in detail.

Hello Suprabhati, I understand this must be really frustrating for you. Let me explain the common causes of irregular periods to you. 1. Lifestyle- Unhealthy diet, lack of exercise, stress, increased BMI 2. Medical causes- Hormonal imbalance. PCOS, medical disorders such as thyroid disorders, Diabetes, PCOS, infections such as STI, endometriosis, any anatomical defect in the genital tract 3. Use of medicines such as oral contraceptive pills, steroids, herbal medicines 4. Pregnancy. In your case weight seems to be an issue leading to problems such as High BP and Irregular periods. The most likely cause of your problem seems to be PCOS which can lead to weight gain subsequently causing irregular cycles and high BP. High BP at 20 years of age is slightly concerning especially if you have no familial history. I would like to advise Lifestyle modifications such as daily aerobic exercises with cardio to lose weight along with Healthy diet with lots of veggies and fruits containing antioxidants. I would also like to advice a few tests such as CBC, Liver function tests, Kidney function tests, sugars- HbA1C, FBS PPBS, Thyroid panel, Hormonal Tests- FSH LH Prolactin on day 2 of menses, Urine pregnancy test and an Ultrasound Abdomen+Pelvis. This would help us to understand to cause of your irregular cycles and high BP and we can then start any medicines if needed for the same. Also consult a General Physician for your High BP Hope this helps! Take care!