Question 1

Weve been married for 2 years now, but we havent been able to consummate our marriage. We've tried getting physical, but it just hasn't happened, and we're worried because we really want to have a child. Could you advise us on what we might be doing wrong or what steps we can take next?

Accepted Answer

_Excessive Saliva Production: Possible Causes and Treatment Options_

I understand your frustration, and it's essential to address this issue to improve your quality of life.

_Possible Causes:_

1. _Gastroesophageal reflux disease (GERD)_: Stomach acid flowing back up into the esophagus, stimulating excessive saliva production.
2. _Dental issues_: Gum disease, tooth decay, or poorly fitting dentures can cause excessive saliva production.
3. _Hormonal changes_: Hormonal fluctuations during pregnancy, menopause, or thyroid disorders can lead to increased saliva production.
4. _Medication side effects_: Certain medications, such as anticholinesterases, antihistamines, and decongestants, can cause excessive saliva production.
5. _Neurological disorders_: Conditions like Parkinson's disease, cerebral palsy, or amyotrophic lateral sclerosis (ALS) can affect saliva production.

_Food and Drinks to Help:_

1. _Ginger_: Ginger has natural anti-inflammatory properties that may help reduce saliva production. Consume ginger tea, ginger ale, or add fresh ginger to your meals.
2. _Cinnamon_: Cinnamon can help reduce saliva production and alleviate nausea. Add cinnamon to your food or drink cinnamon tea.
3. _Citrus fruits_: Citrus fruits like lemons, oranges, or grapefruits can help stimulate digestion and reduce saliva production.
4. _Yogurt_: Yogurt contains probiotics that can help regulate digestion and reduce saliva production.

_Foods to Avoid:_

1. _Spicy or acidic foods_: Avoid foods that can irritate your mouth, throat, or stomach, such as citrus fruits, tomatoes, or spicy dishes.
2. _Caffeine_: Caffeine can stimulate saliva production, so limit or avoid caffeinated beverages.

_Treatment Options:_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying medical conditions.
2. _Dental evaluation_: Visit a dentist to check for any dental issues that may be contributing to excessive saliva production.
3. _Medication adjustment_: If you're taking medications that may be causing excessive saliva production, consult your doctor about adjusting your medication regimen.
4. _Saliva-reducing medications_: Your doctor may prescribe medications like glycopyrrolate or scopolamine to help reduce saliva production.

Remember to consult a healthcare professional for personalized guidance and treatment.

Question 2

I'm in my 17th week of pregnancy and starting from my 7th week, I was taking progesterone 200mg. This week, my gynecologist told me to stop taking it, and I'm a bit worried. Is this normal, and could it have any impact on my baby?

Accepted Answer

Stopping progesterone supplementation at 17 weeks is a common practice, as the placenta typically takes over progesterone production by this gestational age; however, it's essential to follow your gynecologist's guidance, as individual circumstances may vary, and abruptly stopping progesterone can increase miscarriage risk in some cases.

Question 3

I'm wondering about a follicle size that's 30x30mm with a small amount of free fluid on the 16th day  does that mean it's a follicle or could it be a cyst? I've been on CCQ medication, and my periods have always been regular, so I haven't had PCOD or cyst issues before. Has anyone had a similar experience and conceived successfully with these numbers?

Accepted Answer

-A 30x30mm follicle size on day 16 is quite large, but it could still be a mature follicle ready to ovulate, especially with minimal free fluid. It's unlikely to be a cyst unless it's irregular in shape or causing symptoms. Since you're on CCQ medication

I'm 22 weeks along in my first pregnancy, and after a recent scan, my cervical length measured 2.9 cm. At the NT scan, it was 3 cm. Should I be worried about this change in cervical length, or is it considered normal?

Cervical length of less than 3cm measured between 20-24 weeks of gestation is associated with preterm births and favours vaginal birth whereas, cervical length of more than 4cm is associated with postdated pregnancy and increased incidence of cesarean section.

More Obstetrics & Gynaecology Health Queries

Weve been married for 2 years now, but we havent been able to consummate our marriage. We've tried getting physical, but it just hasn't happened, and we're worried because we really want to have a child. Could you advise us on what we might be doing wrong or what steps we can take next?

I'm in my 17th week of pregnancy and starting from my 7th week, I was taking progesterone 200mg. This week, my gynecologist told me to stop taking it, and I'm a bit worried. Is this normal, and could it have any impact on my baby?

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