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Gynecology and Obstetrics

Gynecology and Obstetrics Online Doctors Consultation — page 4

284 questions

Experience the Precision of Evidence-Based Medicine in Women’s Health Through Our Online Consultations Discover science-backed solutions for gynecological and obstetric concerns with our online consultations. Our platform connects you with experienced medical professionals specializing in women’s health, providing timely and accurate guidance tailored to your needs. We address conditions such as menstrual irregularities, polycystic ovary syndrome (PCOS), endometriosis, infertility, menopause symptoms, pregnancy care, postpartum recovery, pelvic pain, uterine fibroids, and more. Through confidential and accessible consultations, our doctors offer personalized treatment plans grounded in the latest clinical research. Early medical intervention can help manage symptoms, prevent complications, and ensure the best outcomes for women’s health. Whether you’re planning a pregnancy, managing hormonal changes, or seeking advice for any gynecological issue, our team is here to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take charge of your reproductive health today—consult an evidence-based medicine specialist online!

Questions about Gynecology and Obstetrics

breast nipple pain reasons

36 days ago
1 answers

Lately, I’ve been experiencing breast nipple pain, and I’m not sure what’s causing it. It started as a mild soreness, but now it feels more sensitive, especially when my clothes rub against it. I haven’t noticed any lumps or visible changes, but the discomfort is making me worried. What are the possible breast nipple pain reasons, and when should I be concerned? I read that hormonal changes can cause breast nipple pain, but does that mean it’s normal before a period? My cycle has been irregular lately, so I don’t know if this is just PMS or something else. Can ovulation also cause breast nipple pain, or is it only before menstruation? Another thing I’m wondering is whether breast nipple pain could be linked to my bra. I recently switched to a new brand, and I’ve noticed the underwire feels a little tight. Can an ill-fitting bra really cause this kind of discomfort? Also, can friction from exercise, like running or weightlifting, contribute to breast nipple pain? I also saw that breastfeeding moms experience breast nipple pain, but I’m not pregnant or nursing. Can issues like clogged ducts or infections still happen in people who aren’t breastfeeding? If so, what are the signs of an infection versus normal soreness? One of my biggest concerns is whether breast nipple pain could be a symptom of something serious like breast cancer. I don’t have any discharge or skin changes, but do certain types of cancer start with just nipple pain? Should I get checked even if I don’t feel a lump? If anyone else has dealt with breast nipple pain, what was the cause in your case? Did it go away on its own, or did you need treatment? I want to understand whether I should wait it out or see a doctor sooner.


Dr. Evgeny Arsentev
35 days ago
Hormonal changes are a common cause of nipple pain, particularly around your menstrual cycle. Since you mentioned irregular periods, this could be contributing to the discomfort. Hormones fluctuate during ovulation and before your period, which can lead to breast sensitivity or pain. An ill-fitting bra, especially one with a tight underwire, can also cause irritation or pressure on the nipples. If you've recently switched brands and noticed discomfort, it could be worth trying a different style or size to see if that alleviates the pain. Additionally, friction from exercise like running or weightlifting can irritate the nipples, leading to soreness. Regarding your concern about infections or issues like clogged ducts, these typically occur in breastfeeding women, but it’s possible to experience nipple infections or inflammation even if you're not nursing. Signs of infection include redness, warmth, swelling, or discharge from the nipple. If you don’t have these symptoms, it’s less likely to be an infection. While nipple pain is usually benign, if it persists, becomes more severe, or you notice other symptoms like changes in the skin or new lumps, it’s important to see a doctor for an evaluation. It’s always better to check with your healthcare provider to rule out any serious conditions, even if you don't feel a lump.
Accepted response

How to stop the bleeding

4 days ago
0 answers

My girlfriend and I had a unprotected sex 2 months ago. After that I have her ipill(dont know the exact power/mg) she took and after 1 week she started bleeding and blood clots were coming out of her vagina. After few days we went to the a gynecologist and she gave her few medicines and said it's an allergy. She took a blood test of the clots and said may be she can never reproduce. It's just a prediction (she said). Due to some cardiac problems of my girlfriend Dr had prescribed her some medicines like ziclome 50 and hemostan but still it's been 1 month but it's not effective it's too much slow but the bleeding and pain and clots are still


Copper T side effects and its impact on reproductive health

25 days ago
1 answers

I recently started researching birth control methods, and I came across Copper T, but I don’t fully understand how it works or what its side effects are. From what I read, Copper T is an intrauterine device (IUD) that prevents pregnancy without using hormones, but does that mean it’s safer than hormonal contraceptives, or does it have its own risks? I also read that Copper T can cause heavier periods—does that mean women who already have painful or heavy periods should avoid it? Another thing I wonder about is whether Copper T can cause infections—if bacteria enter the uterus during insertion, does that increase the risk of pelvic inflammatory disease? I also read that some women experience cramping and discomfort after getting an IUD—does the body eventually adjust, or do these symptoms last long-term? Another concern I have is whether Copper T can move out of place—if it shifts, does that mean it stops working, or can it cause complications? I also read that while Copper T is highly effective, it can sometimes cause spotting between periods—does that mean it might not be suitable for people who already have irregular cycles? Lastly, if someone decides to remove Copper T, how soon does fertility return, and do allopathic doctors recommend waiting before trying to conceive?


Dr. Evgeny Arsentev
24 days ago
It's great that you're researching birth control methods, as understanding your options can help you make informed choices about your reproductive health. Let's break down your questions about the Copper T intrauterine device (IUD) to provide clear insights regarding its function, side effects, and other considerations. 1. Mechanism of Action: Copper T is a non-hormonal IUD that releases copper ions, which create an inflammatory reaction in the uterus that is toxic to sperm and eggs, thus preventing fertilization. It does not rely on hormones, which can be appealing for women who prefer to avoid hormonal methods. 2. Safety Compared to Hormonal Contraceptives: Copper IUDs are generally considered safe, but they are not without risks. Side effects can include heavier menstrual bleeding and cramps, which might be more significant for those already experiencing painful or heavy periods. For some women, this can lead to significant discomfort, so it's essential to discuss your specific menstrual history with a healthcare provider. 3. Effects on Periods: As you mentioned, Copper T can cause heavier periods and increased cramping shortly after insertion. Many women find that these symptoms lessen within a few months as the body adjusts, but this can vary. If you have pre-existing heavy or painful periods, discuss these concerns with your doctor to weigh the potential risks. 4. Risk of Infection: In the short term, the insertion process does carry a small risk of introducing bacteria into the uterus, potentially leading to pelvic inflammatory disease (PID). However, this risk is low when the insertion is conducted in a sterile environment. It’s recommended to follow up if you have unusual discharge, fever, or severe pain after insertion. 5. Cramping and Discomfort: Many women report cramping right after insertion, but typically, this discomfort subsides after a few days to weeks. Each individual reacts differently, so monitoring your symptoms and having a follow-up with your healthcare provider can help manage and assess these effects. 6. Displacement of the IUD: The Copper T can shift position in rare instances, which may affect its efficacy. If it becomes displaced, it could lead to complications such as pain or increased bleeding. If you suspect it has moved, it's important to consult your healthcare provider for evaluation and potential imaging. 7. Spotting and Irregular Cycles: Spotting in between periods is a common side effect of Copper T, which could be an issue if you already have an irregular cycle. It may complicate your understanding of your menstrual patterns, so consider discussing this with your provider to see if it's the right fit for you. 8. Fertility after Removal: If you decide to remove the Copper T, fertility generally returns quickly, often within the first menstrual cycle post-removal. Most allopathic doctors do not recommend waiting before trying to conceive after removal, but confirm this with your healthcare provider based on your personal health history. Since you have several factors to consider, I recommend scheduling a consultation with a healthcare professional. They can provide personalized advice based on your medical history, lifestyle, and specific health needs, ensuring you have all information necessary for making an informed decision.
Accepted response

White discharge

3 days ago
1 answers

I am an 18 year old girl . having white discharge in regular basis and irregular periods with itching vagina . And during menstrual cycle the bleeding is too low. Please help ne with this problem


Dr. Shahma Abdul Rahman
3 days ago
Please consult a gynaecologist, as it sounds like you have an infection. The medicines prescribed will differ based on whether it is bacterial or fungal.

Miscarriage Information

8 days ago
1 answers

See, miscarriage happened on 31st dec 2024 , bleeding went on for 5 days in which muscle particles came out, then bleeding stopped Then her periods came on time in January 29/1/25 Which lasts for 4 days which are normal timing of her periods Usually it used to come for 4 days before Pregnancy too so all was normal she said to me Then 3rd time her period came on 28 February with heavy bleeding for two days only on third day bleeding stops by its own And This Time On 29 I got periods and on 1/4/25 periods was gone but this time little little Tissues Come on 31st's night Three came in which two of them are in size was small like a wheat piece and third is like small than a 5rs coin you can say And colour of them was black Reddish Is it normal For Getting Small Clots In her periods? And Today (2/4/25) two or three drops of blood came in afternoon Is All Okay?. ( In this phase cramps also happened!


Dr. Vedangee Nakhare
8 days ago
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!
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Progesterone tablets

34 days ago
1 answers

My doctor recently prescribed progesterone tablets, and I wanted to understand their purpose. What are progesterone tablets, and how do they affect hormone balance? From what I read, progesterone tablets are commonly used for menstrual irregularities, hormone replacement therapy, and pregnancy support. But how do progesterone tablets help in cases of low progesterone levels, fertility treatments, or preventing miscarriage? I also learned that some women take progesterone tablets to manage symptoms of PCOS, menopause, and endometrial health. But do progesterone tablets have side effects like weight gain, mood swings, or bloating? Another thing I wonder is whether progesterone tablets are better than progesterone creams or injections. Which form works best for different conditions? For those who have taken progesterone tablets, what was your experience, and did they help regulate your hormones?


Dr. Evgeny Arsentev
31 days ago
Clinical Summary Progesterone is a critical hormone in the menstrual cycle and pregnancy, playing diverse roles depending on the context of its use. Patients may be prescribed progesterone tablets (synthetic or natural) to address various conditions, including: - Menstrual irregularities: To restore normal cycle regulation. - Hormone replacement therapy (HRT): Particularly in peri-menopausal or post-menopausal women to mitigate menopause symptoms and reduce endometrial cancer risk. - Pregnancy support: To maintain the uterine lining in established pregnancies, especially in cases of recurrent pregnancy loss or in assisted reproductive technologies like in vitro fertilization (IVF). - Polycystic ovary syndrome (PCOS): To help regulate menstrual cycles and manage symptoms. Etiology and Risk Factors Progesterone plays a role in the menstrual cycle's luteal phase, preparing the uterus for potential implantation of an embryo. Low levels of progesterone can lead to various symptoms, including irregular menses, amenorrhea, and issues related to fertility. Risk Factors: - Age (fluctuations during the reproductive lifespan) - Conditions like PCOS or obesity that can lead to hormonal imbalances - Stress or significant lifestyle factors Treatment Plan 1. Indications for Use: - Menstrual Irregularities: Regularizing cycles and preventing endometrial hyperplasia with progesterone tablets. - Fertility Treatments: Supporting early pregnancy or enhancing luteal phase support in patients undergoing IVF. - Menopause Management: Reducing vasomotor symptoms through HRT protocols. 2. Evidence-Based Efficacy: - Low-dose oral progesterone (like Prometrium) has demonstrated efficacy in promoting luteal phase support in RCTs (e.g., RCTs on supplemental progesterone during IVF). - In symptomatic menopausal women, combined estrogen-progesterone therapy has shown benefits per the North American Menopause Society guidelines. 3. Side Effects: - Common side effects may include weight gain, mood changes, bloating, and fatigue. - A systematic review indicated that side effects can vary between individuals; this is why it’s crucial to monitor and assess the response to treatment at follow-ups. 4. Forms of Progesterone: - Oral tablets: Convenient and commonly prescribed for systemic effects. - Creams: Often touted for transdermal absorption, but evidence for clinical effectiveness is less robust compared to tablets. - Injections: Generally reserved for more immediate action or specific clinical scenarios (e.g., in high-risk pregnancies under clinician supervision) and resemble higher efficacy in specific risk situations but may involve discomfort and more invasive procedures. Patient Communication In explaining the purpose of progesterone treatment, you might say: "Progesterone tablets help regulate your menstrual cycle and support your reproductive system by mimicking a natural hormone that prepares your uterus for a potential pregnancy. If you have low progesterone levels, these tablets can help balance your hormones and may improve symptoms or help with fertility. While side effects are possible, many find the benefits outweigh them. The choice between tablets, cream, or injections will depend on your specific health context and preferences." Follow-Up and Monitoring It’s essential to have regular follow-ups to monitor your symptoms and any side effects. Blood tests may be performed to evaluate hormone levels, ensuring the treatment plan remains effective and safe. Overall, if you have specific concerns or experience unexpected side effects, discussing these with your prescribing physician will help tailor the approach to your needs.
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Early and Prolonged period

1 day ago
100 INR (~1.18 USD)
1 answers

I was having periods normally for 5 days and my cycle was 28 or 29 days till last month but last month my period started on time but during first two days i only got spotting and then i got periods again after 16 days and it has been 15 days now the periods are not stopping i took nexamic 500 also for 5 days but periods are still not stopping and the flow is normal


Dr. Mayuri Kakoti
23 hours ago
Hi Seerat, given the prolonged bleeding and that Nexamic hasn’t stopped it, it’s important not to delay seeking medical attention. I recommend you see a gynecologist as soon as possible to identify the cause of the irregular bleeding. 1. Take a pregnancy test (UPT) to rule out pregnancy-related issues. 2. Consult a gynecologist immediately to get a proper diagnosis, as the bleeding could be due to hormonal imbalances or other conditions. 3. Tests like ultrasound or hormonal panels may be necessary to determine the underlying issue. Delaying treatment could lead to further complications, so please do not wait and seek professional advice at the earliest.

How to cure vaginal infection and prevent recurrence

27 days ago
1 answers

I’ve been dealing with a vaginal infection, and I don’t fully understand what’s causing it or how to treat it properly. From what I read, infections can be caused by bacteria, yeast, or even irritation from products, but does that mean each type needs a different treatment? I also saw that symptoms like itching, discharge, and burning can indicate an infection—does that mean self-diagnosing is possible, or is a doctor’s visit always necessary? Another thing I’m wondering about is whether home remedies help—do probiotics or yogurt actually work for yeast infections, or is medication more effective? I also read that certain hygiene habits can prevent infections—does that mean avoiding scented soaps and wearing breathable underwear makes a big difference? Another thing I’m curious about is whether vaginal infections are contagious—can they be spread through sex, or are they mostly caused by internal imbalances? Also, if someone has recurrent vaginal infections, should they be tested for underlying conditions, or is it just a matter of lifestyle changes? I just want to understand how to cure vaginal infections and keep them from coming back.


Dr. Evgeny Arsentev
26 days ago
It sounds like you’re dealing with some common concerns regarding vaginal infections. It’s great that you’re seeking clarity on this issue. Let's break down your questions: 1. Causes and Treatments: Vaginal infections can indeed be caused by different organisms such as bacteria (bacterial vaginosis), yeast (yeast infections like those caused by Candida), or even irritants. Each type does require different treatments. For bacterial vaginosis, antibiotics are typically prescribed. For a yeast infection, antifungal medications are used. Self-diagnosing can be tempting, but due to the similarity in symptoms, consulting a healthcare provider is essential for accurate diagnosis and appropriate treatment. 2. Self-Diagnosing: Given that symptoms like itching, abnormal discharge, and burning can overlap between different types of infections, it's important to see a doctor for proper evaluation. An accurate diagnosis often requires a physical examination and possibly laboratory tests. 3. Home Remedies: While some studies suggest that probiotics might help maintain vaginal flora, using them as a primary treatment for yeast infections hasn’t been proven to be as effective as standard antifungal medications. Yogurt containing live cultures might be beneficial for overall gut health, but it should not replace medical treatment for an active infection. 4. Preventive Hygiene: Good hygiene practices can indeed play a role in preventing infections. Avoiding scented soaps, using breathable underwear (like cotton), and practicing safe sex can help reduce the risk of irritation or imbalance in the vaginal flora. 5. Contagiousness: Vaginal infections like yeast infections and bacterial vaginosis are not considered sexually transmitted infections. However, sexual activity can sometimes trigger or exacerbate these conditions. 6. Recurrent Infections: If you’re experiencing recurrent vaginal infections, it’s advisable to consult a healthcare provider to rule out any underlying conditions such as hormonal imbalances or other factors that may predispose you to infections. They may suggest further testing or a tailored treatment plan. 7. Next Steps: Schedule an appointment with your healthcare provider to discuss your symptoms in detail. They can provide you with a proper diagnosis and treatment plan. Meanwhile, focus on maintaining good hygiene practices and consider keeping a symptom diary which can help your doctor understand your situation better. Understanding vaginal health is essential, and professional guidance is key to effective treatment and prevention of future infections.
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yolk sac

38 days ago
1 answers

I recently had an early pregnancy ultrasound, and the doctor mentioned seeing a yolk sac. I was a little confused because I thought the placenta was what nourished the baby. What exactly does the yolk sac do, and why is it important? From what I understand, the yolk sac is the first structure that forms inside the gestational sac before the placenta takes over. How long does it stay in the pregnancy, and what happens if it’s too large or too small? I also read that seeing a yolk sac in an ultrasound is a good sign, but what does it mean if a yolk sac isn’t visible? Does that mean the pregnancy isn’t developing properly? For those who’ve had early ultrasounds, when did your doctor first detect the yolk sac, and how did it change as the pregnancy progressed?


Dr. Evgeny Arsentev
36 days ago
The yolk sac is indeed an important structure in early pregnancy. It provides nutrients to the developing embryo before the placenta takes over this role, typically around 8-10 weeks. It's the first structure that forms inside the gestational sac and plays a crucial role in early embryo development. The yolk sac typically stays visible in ultrasounds until the placenta takes over, usually by the 10th week. If the yolk sac appears too large or too small, it can sometimes indicate an issue, like a potential miscarriage or an abnormal pregnancy, but it’s best to discuss with your doctor for a clearer understanding. Seeing the yolk sac on an ultrasound in early pregnancy is generally a good sign, as it indicates that the pregnancy is progressing. If the yolk sac is not visible, it can be concerning, but not always. Your doctor will likely recommend further monitoring and testing to ensure everything is developing as expected.
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White discharge

9 days ago
0 answers

I want to know how to stop white discharge like jelly type and watery and vaginal itching as I am suffering with this problem from last few months even my periods lasts for 2-3 days with light flow. Please suggest something.


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