Gynecology and Obstetrics Online Doctors Consultation — page 7

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.

Dear Bhanu, Agar vaginal itching aur white discharge do hafton se chal raha hai aur fluconazole lene ke baad bhi sirf halka sa relief mila hai, toh ho sakta hai: 1. Infection stubborn ho ya fungal + bacterial dono ho. 2. Hygiene products, synthetic underwear ya tight kapde se irritation ho rahi ho. 3. Reinfection ho raha ho, especially agar partner ko bhi mild infection ho. Perineal Hygiene & Home Remedies: 1. Safai ka dhyan rakho – Sirf normal paani aur halka, fragrance-free sabun use karo. 2. Kapde breathable hone chahiye – Cotton underwear pehno aur din me 2 baar change karo. 3. Gila mat rakho – Washroom use karne ke baad pat dry karo, taaki moisture na bane. 4. Dahi ya probiotic food lo – Roz ek katori fresh dahi khaane se infection control me madad milegi. 5. Sitz Bath lo – Halkay garam paani me thoda sa sendha namak dal ke baitho, itching aur irritation me relief milega. 6. Scented cheezon se bacho – Koi bhi perfumed tissue, panty liner ya spray use mat karo, ye irritation badha sakta hai. After-Sex Hygiene (Bahut Zaroori Hai!) 1. Sex ke baad turant urine pass karo – Ye UTI aur vaginal infections se bachne me madad karta hai. 2. Paani se halka wash karo – Douching ya harsh soaps avoid karo, sirf normal paani se wash karna best hai. 3. Dry aur clean rakho – Wet tissues ya synthetic undergarments infection ko aur badha sakte hain. Dawai Jo Try Kar Sakte Ho: 1. Candid Cream (Clotrimazole) – Din me 2-3 baar externally apply karo fungal infection ke relief ke liye. 2. Levocetirizine 5mg (Raat me ek tablet) – Agar itching bohot zyada ho rahi hai, toh yeh help karega. 3. Vaginal Pessary (Clotrimazole 100mg or 200mg) – 6 raat tak ek tablet vaginally insert karo sone se pehle. • Pehle haath dholo, fir tablet insert karo aur subah uth kar urine pass karna zaroori hai. 4. AF Kit (Fluconazole + Azithromycin + Secnidazole) – Ek din ka full course lena hota hai: 1. Azithromycin 1gm (1 tablet) – Morning ya afternoon me lo (khali pet ya halka khana khane ke baad). 2. Fluconazole 150mg (1 tablet) – Evening me lo (after food). 3. Secnidazole 1gm (2 tablets) – Raat me dinner ke baad ek saath lo. 5. Partner ko bhi AF Kit lena zaroori hai, taaki reinfection na ho. Usko bhi same dose lena hoga. Extra Support: • Florita 250mg (Probiotic) – Din me ek capsule 14 din tak lo, taaki gut aur vaginal flora balance rahe aur infection baar-baar na ho. Doctor Se Kab Milna Chahiye? 1. Agar itching aur discharge 5-7 din me bhi thik na ho. 2. Agar discharge badbu wala ya yellow-green color ka ho (yeh bacterial ya STI ka sign ho sakta hai). 3. Agar burning ya dard ho urination ya intercourse ke time. Agar recurrent infection ho raha hai, toh partner ko bhi checkup aur treatment ki zaroorat ho sakti hai.

Dear, Since you’ve had a urinary infection for two years with burning, itching, and pain, this could be due to recurrent UTI, vaginal infection, or an STI. You need a urine culture, STD panel, and vaginal swab test to find the exact cause. Syp Citralka (Disodium Hydrogen Citrate) helps by alkalizing urine, reducing acidity, and easing burning. Take 2 teaspoons (10 mL) mixed in a glass of water, 2-3 times a day, after meals. Drink plenty of water to flush out bacteria and never hold in urine, as this can worsen the infection. Hygiene & Prevention: • Perineal Hygiene: Wipe front to back, use mild soap, and wear cotton underwear. • Sex Hygiene: Urinate before & after sex, avoid harsh lubricants, and ensure both partners maintain hygiene. Additional Tips: • Avoid spicy foods, alcohol, and caffeine, as they can irritate the bladder. • Take probiotics (yogurt or supplements) to support urinary health. • Complete any antibiotic course if prescribed. When to See a Doctor: • If symptoms persist or worsen despite treatment. • If you have fever, back pain, or blood in urine. • If STIs haven’t been ruled out, as they require different treatment. A gynecologist/urologist consultation is essential for the right diagnosis and treatment.

Hello, I totally understand why you’re feeling concerned. Since you’ve already taken two pregnancy tests that came back negative, pregnancy is unlikely—but to be completely sure, I’d recommend taking another test using your first urine of the morning, as hormone levels are most concentrated then. There are many reasons your period could be delayed—stress, changes in diet or routine, or even minor hormonal fluctuations. Since your cycles were normal in January and February, this could just be a temporary shift. However, if your period still doesn’t arrive in the next few days or you experience unusual symptoms like severe cramps, nausea, or breast tenderness, it’s best to check in with a doctor. To rule out any underlying issues, you might also consider getting your TSH (thyroid levels), prolactin, and hemoglobin (Hb) tested. Thyroid imbalances and high prolactin levels can sometimes cause menstrual irregularities, while low hemoglobin (anemia) can also contribute to fatigue and cycle disturbances. You might also need USG pelvic organ if the tests come normal. Try to stay calm and give your body some time. Keep me posted on what happens!

Yes Rahul cmv doesn't have any treatment yet and it's treatment can be prolonged.As for life threatening aspects,it only happens when you don't take antiviral treatment,u need to complete induction period treat which is usually 6 week