Question 1

My mother has been dealing with recurring bleeding for the past 5 years, and it keeps happening every year. Each time, medications like Pause MF or Sevista stop the bleeding, but now the doctor prescribed Pause MF and Deviry 10mg. The doctor is suggesting open surgery to remove her uterus instead of laparoscopy. I've attached the reports what would you recommend in this situation? Is open surgery the only option or could laparoscopy still be considered?

Accepted Answer

It's understandable to be concerned about your mother's recurring bleeding and the potential for surgery. While an open hysterectomy (removing the uterus) is a definitive solution, laparoscopy (a minimally invasive procedure) should also be considered. If the underlying cause of the bleeding is not completely resolved, open surgery might be necessary, but it's crucial to explore other options first, especially if your mother isn't yet ready for menopause.

Question 2

I'm a 37-year-old woman and recently I had a lot of vaginal discharge with some itching, so my doctor gave me clingen forte vaginal capsules. I finished the whole treatment and I'm not having those symptoms anymore. But now I'm five days late for my period, and I'm wondering if its possible that clingen forte could be causing this delay?

Accepted Answer

there is no evidence that use of clingen forte suppositiries delay periods . But if u are a sexually active person would advise to go for a urine pregnancy test and if it comes negative to go ahead with a b hcg blood test that will be definitive of ruling out any pregnancy. In case both negative then it would be advised to visit the gynaecologist for further treatmen

Question 3

Can we travel by car for 8 to 9 hours towards the end of the 7th month of pregnancy? What should we be mindful of during the trip?

Accepted Answer

Kidney stone pain can be excruciating.

_Current Situation_

1. _3.5 mm stone_: Size is relatively small, but still causing discomfort.
2. _Pain recurrence_: Indicates the stone is still present and causing issues.

_Immediate Relief_

1. _Stay hydrated_: Drink plenty of water (at least 8-10 glasses a day) to help flush out the stone.
2. _Pain management_: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain and discomfort.
3. _Warm baths or compresses_: Applying heat to the affected area may help relax the muscles and reduce pain.

_Long-term Solution_

1. _Consult a urologist_: Schedule an appointment to discuss treatment options, such as:
    - Extracorporeal shock wave lithotripsy (ESWL)
    - Ureteroscopy
    - Percutaneous nephrolithotomy (PCNL)
2. _Dietary changes_: Your doctor may recommend dietary modifications to help prevent future stone formation.

_When to Seek Immediate Attention_

1. _Severe pain_: Unbearable pain that doesn't respond to pain medication.
2. _Vomiting or nausea_: Persistent vomiting or nausea.
3. _Fever or chills_: Elevated temperature or chills.
4. _Blood in urine_: Visible blood in your urine.

I'm a bit concerned because I took misoprostol after getting advice from a gynecologist, and now it's the third day, and I'm still experiencing irregular bleeding. I was 6 weeks pregnant when I took the abortion pill. Is this kind of bleeding normal, or should I be worried?

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Can we travel by car for 8 to 9 hours towards the end of the 7th month of pregnancy? What should we be mindful of during the trip?

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