Question 1

I've been struggling with irregular periods due to PCOS for years and haven't been able to get pregnant. We've been married for five years and really want to start a family. Are there any effective treatments that don't involve surgery?

Accepted Answer

gynaecologist opinion is advised to the patient

Question 2

I'm a bit worried because my wife's pregnancy test came back positive, but we weren't planning on having another baby right now since our little one is just two years old. Her period was supposed to start on the 23rd of this month. Could you give us some advice on what we should do next? We're really looking for a solution.

Accepted Answer

While the risk is extremely low, it's not impossible. Precum can contain sperm, and if it comes into contact with the vagina, pregnancy can theoretically occur. However, the chances are very slim, especially without ejaculation or penetration. According to the American Pregnancy Association, the risk of pregnancy from precum is estimated to be around 1-4%.

Question 3

I'm using Femilon for my PCOS and started it from the first day of my period for 21 days. After five days, I noticed some light spotting. Do you think this could be a medical issue? Also, when should I start the next 21-day strip of Femilon? I'm a bit worried and could use some guidance.

Accepted Answer

Ureteral Stone (Calculus) Diagnosis:
 
 *6mm stone in right lower ureter, 1cm from Ureterovesical Junction (UVJ)*
 
 *Treatment Options:*
 
 1. *Watchful Waiting*: Monitor stone movement with regular ultrasounds.
 2. *Medical Expulsive Therapy (MET)*: Medications to help stone passage (e.g., alpha-blockers).
 3. *Extracorporeal Shock Wave Lithotripsy (ESWL)*: Non-invasive shockwave treatment to break stone.
 4. *Ureteroscopy*: Minimally invasive procedure to remove stone.
 5. *Laparoscopic Surgery*: Reserved for complex cases or failed other treatments.
 
 *Complications requiring immediate attention:*
 
 1. Severe pain
 2. Infection (fever, chills)
 3. Kidney damage
 
 *Next Steps:*
 
 1. Consult Urologist for personalized guidance.
 2. Discuss treatment options and risks.
 3. Schedule follow-up ultrasound to monitor stone movement.

I have a 6.5 cm x 4.5 cm ovarian cyst and my CA125 level is 48. My gynecologist prescribed Ovral, which I think is a contraceptive pill. I'm wondering if birth control pills can actually cure ovarian cysts and if taking them for 21 days is the best option or if I should consider surgery instead.

Yes, minimally invasive surgery is generally a good option. It usually results in faster recovery, less pain, and minimal scarring. However, final decision depends on imaging findings, symptoms, and your overall health‚Äîplease consult your gynecologist.

More Obstetrics & Gynaecology Health Queries

I've been struggling with irregular periods due to PCOS for years and haven't been able to get pregnant. We've been married for five years and really want to start a family. Are there any effective treatments that don't involve surgery?

I'm using Femilon for my PCOS and started it from the first day of my period for 21 days. After five days, I noticed some light spotting. Do you think this could be a medical issue? Also, when should I start the next 21-day strip of Femilon? I'm a bit worried and could use some guidance.

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