Question 1

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 2

I'm a bit confused and hoping you can help. My wife is 16 weeks pregnant now and her first trimester scan at 8 weeks showed a normal single live intrauterine pregnancy. She's currently staying at her mom's and we're trying to figure out by when she should have the second trimester anomaly scan. We want to plan her return and schedule it properly. Also, with all the talk about the outdated MTP Act in our country, we just want to be on the safer side in case any serious complications arise. Could you advise on this?

Accepted Answer

The Anomaly scan (second trimester scan) is typically performed between 18-22 weeks of gestation, so your wife should plan to return and schedule the scan around 18-20 weeks, i.e., within the next 2-4 weeks.

Question 3

I'm trying to figure out the right time for some tests after my period. How many days should I wait for my blood and urine tests to give accurate results? Also, do you think it's necessary to have a physical examination of the vagina to check for a fungal infection? I'm a bit worried and would appreciate your advice.

Accepted Answer

For accurate blood and urine tests, it's ideal to wait at least 5-7 days after your period ends, as hormone levels and other factors can fluctuate during menstruation. Regarding fungal infections, a physical examination of the vagina is often required to accurately diagnose and treat the condition, as visual inspection and sometimes a swab are necessary for confirmation.

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