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 6 weeks pregnant and recently had an internal ultrasound at around 5 weeks 4 days, but it only showed the sac without the fetus pole. They're asking me to come back in 2 weeks for another ultrasound, and honestly, I'm a bit worried. I'm 34 and taking folic acid and Susten 200, but I'm not sure if there's anything else I should be doing, like any specific injections or medicines to help with the fetus development. My doctor mentioned there's a 5050 chance, and since I'm not really experiencing much nausea or sickness, I'm just curious if that could mean anything. What should I be aware of or ask about next?

Accepted Answer

Given your situation, it's essential to follow your doctor's guidance. Since you're already taking folic acid and Susten 200 (progesterone), continue with these medications as prescribed.

*Additional Recommendations*

1. *Progesterone support*: Your doctor may consider additional progesterone support to help maintain the pregnancy.
2. *Fetal development monitoring*: Regular ultrasounds will help monitor fetal development and detect any potential issues early.
3. *Prenatal vitamins*: Ensure you're taking prenatal vitamins containing essential nutrients like iron, calcium, and vitamin D.
4. *Stay hydrated*: Drink plenty of water throughout the day to help maintain a healthy pregnancy.

*Addressing Your Concerns*

1. *50-50 chance*: Your doctor's assessment is likely based on the initial ultrasound findings. However, it's essential to remain hopeful and focus on supporting your pregnancy.
2. *Lack of nausea*: Not experiencing nausea or sickness during pregnancy is relatively common, especially in the early stages.
3. *Age-related concerns*: As you're 34 years old, your doctor may discuss age-related risks and recommendations for your pregnancy.

*Next Steps*

1. *Follow-up ultrasound*: Attend your scheduled follow-up ultrasound to reassess fetal development.

Question 3

I'm really worried about how my friend took the unwanted kit. On the first day, she vomited it out, and on the second day, she only managed to take one pill while spitting the other one out. Now, she's not sure if she should restart the course or just continue to the third day. Plus, there's been no bleeding so far. What should she do?

Accepted Answer

no problem u continue

consult gynecologist

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