Question 1

My right ovary has a 7.5 cm endometriosis chocolate cyst and a 1 cm uterine fibroid. Is there any way to treat the hemorrhagic cyst without laparoscopic surgery? I've heard about GnRH agonist drugs to shrink endometriosis before surgery. My periods are regular, and I don't have pain except for frequent urination. I really want to conceive soon what are my options?

Accepted Answer

For a 7.5 cm endometriosis cyst, GnRH agonist drugs may help shrink it before surgery, but if you want to conceive soon, laparoscopic surgery might still be necessary. Discuss your options with a fertility specialist.

Question 2

I'm really concerned about my wifes situation. She's got these two chocolate cysts on her right ovary, and our gynecologist advised her to take Lupride Depot 3.75 injections monthly for three months to shrink the cysts and prevent damage to ovarian tissue during surgery, which could lead to infertility. Her periods have been a bit strange since we started this treatment. Her last one was on August 19th, but before that, she got it on August 1st. We gave her the injection on August 5th, within those five days of her cycle starting. But now, she got her period again earlier than expected. I thought it makes sense to take the next injection within five days of this new period, but the gynecologist says it should be given on the same date as last month, like September 5th. I'm a bit confused hereshould we stick to the once-monthly schedule, or go with the period dates?

Accepted Answer

Kegels and Reverse Kegels for Premature Ejaculation (PE)

_Understanding the PC and BC muscles:_

1. _PC muscle_: Pubococcygeus muscle, responsible for ejaculation and orgasm.
2. _BC muscle_: Bulbocavernosus muscle, helps control ejaculation and supports the penis.

_Kegels vs. Reverse Kegels:_

1. _Kegels_: Contracting and releasing the PC muscle can strengthen it, but may not directly help with PE. Over-toning the PC muscle might even contribute to PE.
2. _Reverse Kegels_: Relaxing the BC muscle can help relax the pelvic floor, potentially delaying ejaculation and improving control.

_Recommendation:_

1. _Try Reverse Kegels_: Focus on relaxing the BC muscle to help manage PE.
2. _Combine with other techniques_: Use Reverse Kegels in conjunction with other methods, such as:
    - _Start-stop technique_: Stop and start sexual activity to regain control.
    - _Squeeze technique_: Squeeze the PC muscle to pause ejaculation.
    - _Breathing exercises_: Practice relaxation techniques to reduce anxiety.

Question 3

My girlfriend and I are really worried. Her last period started on March 1st and we had unprotected sex on March 17th. She took an emergency contraception pill just three hours after. Now, weeks later, she's missed her period, and we've taken three pregnancy tests, which all came back positive. She's also been experiencing stomach cramps, lower back pain, headache, nausea, and vomiting. What should we do?

Accepted Answer

Sounds like your girlfriend may be experiencing symptoms of early pregnancy. The stomach cramps, lower back pain, headache, nausea, and vomiting are common symptoms during the early stages of pregnancy. For nausea and vomiting, she can take Vitamin B6 (Pyridoxine) 25mg three times a day. For stomach cramps and lower back pain, she can take Acetaminophen 500mg every 6 hours as needed for pain. It is important for her to stay hydrated and eat small, frequent meals to help with the symptoms. I recommend consulting with an obstetrician for further evaluation and management of her pregnancy.

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