Gynecology and Obstetrics Online Doctors Consultation — page 6

Patient Name: Varshini Age: 24 years Date: 13/04/25 Chief Complaints: Diagnosis of PCOS (ovarian enlargement, irregular periods) Subclinical hypothyroidism No medication prescribed by previous doctor for PCOS Diagnosis Considerations: Polycystic Ovary Syndrome (PCOS) Subclinical Hypothyroidism Irregular menstrual cycles due to hormonal imbalance Blood Tests: Repeat Thyroid Function Tests (TSH, T3, T4) to monitor thyroid status and ensure proper management. Hormonal Profile: LH, FSH, estrogen, progesterone levels to check hormonal imbalance. Glucose and Insulin Levels: To check for insulin resistance, which is common in PCOS. *Follow with the reports for your treatment plan* Thank you Dr Shayeque Reza MD 9800280276

Pcos is a condition that lead to irregular cycles so in order to reverse it main mode of treatment is life style changes good diet moderate exercise In order to get periods first rule pregnancy if you are sexually active and use pills for withdrawal bleeding and from then u can use oc pills to regularise your cycle Get your harmonal spectrum checked and Ana positive and Pcos doesn’t have much connection in the recovery process Stay reassured and relaxed

Thank you for sharing this, Harman. Based on your description, what you're experiencing is commonly seen in the second to third trimester of pregnancy especially around 26 weeks. Antenatal Follow-Up Note Patient Name:Harman Age:25 years Gravida :G1 (assumed, please confirm if not first pregnancy) Gestational Age:26 weeks Chronic Illnesses:None Date:12-04-2025 Chief Concerns: 1. Occasional right-sided abdominal/stomach pain 2. Pressure sensation while sleeping, especially at night 3. Pain in the right leg 4. Anxiety about whether this is normal in pregnancy Clinical Impression: Your symptoms are likely part of normal physiological changes in the second and third trimesters due to: 1. Round ligament pain– sharp or pulling sensation on one or both sides of the lower abdomen, more common on the right side. Caused by stretching of the ligaments that support the growing uterus. 2. Sciatic nerve pressure or pelvic girdle pain– the growing uterus can compress the sciatic nerve, causing leg or lower back pain (often one-sided). 3. Uterine pressure– normal as the uterus expands and shifts position. This may worsen at night due to sleeping posture. 4. Baby's position– can cause pressure in different areas at different times. Reassurance & Advice: - These symptoms are common and usually not dangerous if there are no red-flag signs. - Try left lateral sleeping position to reduce pressure on the inferior vena cava (a large vein). It improves circulation to baby and reduces pressure. - Use pillows between knees and under the belly while lying down for support. - Warm compress (not hot) can help relax muscles on the painful side. - Gentle stretching or prenatal yoga can relieve ligament and back discomfort. - Avoid standing or sitting for long period– shift positions frequently. When to Seek Immediate Medical Attention: If you have any of the following: - Severe or sharp constant pain (not relieved by rest) - Vaginal bleeding or fluid discharge - Fever or chills - Decreased fetal movement - Sudden swelling of feet, face, or hands - Headaches or visual changes Follow-Up Plan: - Routine antenatal visit as scheduled - Obstetric ultrasound (as per schedule or if advised for pain) - Monitor baby’s movements daily - Keep hydration adequate - Maintain iron and calcium supplements * PLEASE GIVE YOUR REVIEW . Thank you Dr Shayeque Reza MD 9800280276

Amit, you're having trouble maintaining a hard erection during sex, though it's better during oral. This often happens due to performance anxiety or overthinking. Since it started recently and you were fine earlier, it seems more psychological than medical, but a proper evaluation is important to be sure. Treatment includes therapy, lifestyle guidance, and if needed, medicine—tailored to your case. I suggest booking an audio or video consultation for full assessment and support. Dr Aman Shaba Consultant Psychiatrist 7992489808

Though we don’t regularly advise medications for helping lactation but I believe breastfeeding is the first thing which connects mother to her infant. Now for non medical management part 1. Correct position and breastfeeding techniques https://www.researchgate.net/figure/Breastfeeding-techniques-and-Burping-Positions_fig1_364305561 2. It is advised to take no stress which means you should be calm everytime. 3. Keep trying even if no milk is being poured out from any breast 4. Trying emptying breast manually As far medication is involved Take 1. Tablet Domstal 10mg three times a day until optimal breast milk comes out from each breast 2. Lactogranules- put it in milk PS- Tablet Domstal can have a side effect- causing your neck to turn at one side. It is quite common side effect. In case you experience such side effect stop the medication and don’t panic it will become normal after sometime. Hope it solves your query Thank you

Hey Riya, I’m sorry you’re going through this—it sounds really uncomfortable. The itching, burning sensation while urinating, and lower abdominal pain could be signs of a vaginal infection or even a urinary tract infection (UTI). Since the itching is worst at night and inside the vaginal opening, a yeast infection could also be a possibility, even if there’s no visible discharge. Feeling weak, drowsy, and low on energy might be related to the infection or could indicate something like low hemoglobin (anemia). Since you’re experiencing lower abdominal pain as well, it’s best not to ignore these symptoms. I’d recommend: Hey Riya, I’m sorry you’re going through this—it sounds really uncomfortable. The itching, burning while urinating, and lower abdominal pain could be signs of a vaginal infection or even a urinary tract infection (UTI). Since the itching is worst at night and inside the vaginal opening, a yeast infection is also a possibility, even if there’s no visible discharge. Feeling weak, drowsy, and low on energy might be linked to the infection or could indicate low hemoglobin (anemia). Since you’re also experiencing lower abdominal pain, it’s important not to ignore these symptoms. Here’s what you can do right now: 1. Keep the area dry – Moisture can worsen irritation and promote infection. Change out of sweaty clothes quickly, and pat dry with a soft towel after washing. Avoid wearing damp or tight underwear for long periods. 2. Maintain good personal hygiene – Wash the external area (vulva) gently with warm water. Avoid scented soaps, washes, and wipes, as they can disrupt the natural balance and make irritation worse. 3. Choose breathable fabrics – Wear loose, cotton underwear instead of synthetic fabrics, which can trap heat and moisture. At night, consider sleeping without underwear to allow airflow. 4. Avoid scratching – I know it’s hard when the itching is intense, but scratching can cause tiny cuts, making the irritation worse or even leading to an infection. 5. Drink plenty of water – This helps flush out toxins and can be especially helpful if a UTI is contributing to the burning sensation. You should also get checked for: • Yeast infection or bacterial vaginosis (both can cause itching and irritation). • Urinary tract infection (UTI) (since you have burning while urinating). • Iron levels (Hb test) (to rule out anemia if you’re feeling weak and drowsy). • Thyroid and prolactin levels (hormonal imbalances can sometimes contribute to discomfort). Since the itching is intense and affecting your sleep, it’s best to see a doctor as soon as possible. They may prescribe antifungal medication, antibiotics, or other treatments based on the cause. Take care, and keep me posted on how you’re feeling!

U need to consult a qualified gynaecology and obstetrics doctor for a detailed evaluation...