Question 1

I started my period on January 22 and was treated for endometriosis. My doctor advised me to take Meprate 10mg starting February 7, so I did, taking one tablet daily. I finished the course on February 16, which was the 8th day, but I haven't gotten my period yet. Should I wait longer, or could there be an issue?

Accepted Answer

Visit your Gynaecologist for evaluation

Question 2

I'm dealing with this constant vaginal discharge, like this clear mucus, that just makes my underwear really wet by the end of the day. It's super uncomfortable, especially when I'm traveling, and there's this strange smell to it. This started about a year back, after a time when I had sex with my boyfriend, and we were already sexually active before that too. I'm just not sure what's going on or what kind of treatment or precautions I should be taking. Could you help me figure this out?

Accepted Answer

For IUI, a follicle size of 2.1 cm on the 14th day is within the expected range. However, the endometrium thickness of 4.8 mm is slightly below the ideal range for IUI.

_Follicle Size_

1. _Ideal size_: 18-24 mm for IUI, but 2.1 cm (21 mm) is still within range.
2. _Monitoring_: Your doctor will continue to monitor follicle growth to determine the optimal time for IUI.

_Endometrium Thickness_

1. _Ideal thickness_: 6-10 mm for IUI.
2. _Current thickness_: 4.8 mm is slightly below the ideal range.
3. _Waiting for 16th day_: Your doctor's advice to wait for the 16th day to reassess endometrium thickness is reasonable.

_Next Steps_

1. _Follow your doctor's advice_: Wait for the 16th day and reassess endometrium thickness.
2. _Continue monitoring follicle growth_: Ensure the follicle is ready for IUI.
3. _Discuss trigger shot options_: If your endometrium thickness doesn't reach the ideal range, discuss trigger shot options with your doctor to stimulate ovulation.

Stay positive, and I hope everything goes smoothly with your IUI procedure!

Question 3

I'm really worried because I did a medical abortion back in December last year when I was 4 weeks pregnant. I went through all the bleeding and even passed tissues and clots. Afterward, I got my periods in February and March, and my home pregnancy tests are negative. But I've noticed my stomach is growing, and I can't figure out why this is happening. I don't have any complications or pregnancy symptoms, but ultrasound isn't an option for me right now due to some family issues. What could be causing this?

Accepted Answer

Possible Causes of Spleen Enlargement*

1. *Fatty liver*: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.
2. *Portal hypertension*: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.
3. *Other potential causes*: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

*Recommendations*

1. *Follow-up ultrasound*: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.
2. *Liver health*: Continue with udiliv 300 and vitamin E to support liver health.
3. *Weight management*: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.
4. *Consult a gastroenterologist*: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

I'm currently pregnant and dealing with wheezing and asthma. I'm taking montec at the moment, but I'm worried if it's safe. Could you recommend which inhaler or tablet would be safe for me during pregnancy? I'm really concerned about the health of my baby and would appreciate your advice on this.

you can continue with montec

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