Question 1

Can periods just stop at 49?

Accepted Answer

Menopause is the time that marks the end of your menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s, but the average age is 51 in India.

Question 2

I'm a bit worried about my recent ultrasound report: USG shows 8 weeks 4 days, with a single intrauterine gestational sac and yolk sac visible, but no fetal pole is seen yet. The decidual reaction is described as moderate to good and the sac measures 2.2 cm. Is there still hope for continuing the pregnancy, or could this be an anembryonic gestation? The doctor has suggested a follow-up after a week. What should I expect?

Accepted Answer

1. *Single intrauterine gestational sac*: A sac is present in the uterus, indicating a pregnancy.
2. *Yolk sac seen*: The yolk sac is visible, which is a normal finding at this stage.
3. *Fetal poles not seen*: The fetal poles, which should be visible at this stage (8 weeks 4 days), are not seen.
4. *Decidual reaction - moderate to good*: The decidual reaction, which is the thickening of the uterine lining, is moderate to good.

*Possible Diagnosis:*

1. *Anembryonic gestation (also known as a blighted ovum)*: This is a type of miscarriage where the embryo fails to develop or dies very early in pregnancy.
2. *Missed abortion*: This is a type of miscarriage where the embryo or fetus has died, but the body has not yet expelled the pregnancy tissue.

*Next Steps:*

1. *Follow-up ultrasound*: As suggested by your doctor, a follow-up ultrasound in 1-2 weeks will help determine if the pregnancy is viable or if it has failed.
2. *Wait for further evaluation*: It's essential to wait for further evaluation before making any conclusions about the pregnancy.

*Emotional Support:*

1. *Seek support from loved ones*: Talk to family and friends about your feelings and concerns.
2. *Consider counseling*: If you're feeling overwhelmed or anxious, consider seeking professional counseling

Question 3

My wife just had a miscarriage, and we're trying to figure out how long we should wait before thinking about getting pregnant again. Also, is there a usual timeframe for when her period will come back? Is it something like 10 days after the procedure or later? We're just a bit concerned and would love some guidance.

Accepted Answer

Lidocaine 2% jelly is a local anesthetic used for:
 
 1. Pain relief during medical procedures (e.g., injections, catheterization)
 2. Topical anesthesia for minor surgeries or cosmetic procedures
 3. Relieving discomfort during sexual activity (e.g., vaginal dryness) Usage:*
 
 1. Apply a thin layer to the affected area 10-20 minutes before procedure.
 2. Gently insert the jelly into the vaginal or urethral opening (as directed).
 3. Avoid swallowing or ingesting.
 
 *Vacuum Devices (for Erectile Dysfunction):*
 
 Vacuum erection devices (VEDs) are effective for:
 
 1. Achieving and maintaining erections
 2. Treating erectile dysfunction (ED) caused by various factors Effectiveness:*
 
 VEDs have a success rate of 60-90% in achieving erections.
 
 *Antioxidants:*
 
 Antioxidants help protect cells from oxidative stress and damage.
 
 *Benefits:*
 
 1. Improve overall health
 2. Reduce inflammation
 3. Enhance fertility
 4. Support cardiovascular health
 
 *Common Antioxidants:*
 
 1. Vitamins C and E
 2. Beta-carotene
 3. Selenium
 4. Coenzyme Q10 (CoQ10)
 5. Polyphenols (found in green tea, dark chocolate)
 
 *Do Antioxidants Work for ED?*
 
 Some studies suggest antioxidants may help improve ED by:
 
 1. Enhancing nitric oxide production (important for erections)
 2. Reducing oxidative stress

I took a pregnancy test and the result was weakly positive with a faint line. I'm thinking of getting a blood test to confirm, but I'm not sure when it will definitely become clear. Can you help me understand this better?

get bhcg done and after 4 weeks it can be comfirmed with usg

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