Question 1

I'm 31 and had my first IUI on August 17th. I had four follicles around 21-24mm and my husband's sperm count was 110 million. Now it's the fifth day post-IUI and I'm feeling mild cramping in my lower back and abdomen, similar to period cramps, but my period isn't due until September 4th. Should I be concerned about these symptoms or schedule a visit with my gynecologist?

Accepted Answer

The mild cramping you're experiencing five days post-IUI is likely due to ovulation or implantation, but to confirm and alleviate concerns, schedule a follow-up appointment with your gynaecologist around 14-16 days post-IUI for a pregnancy test

Question 2

My mom is 50 and has been having lower abdomen pain for days. Her USG scan shows a retroverted uterus and low lying prolapse. How serious is this and will she need surgery

Accepted Answer

A retroverted uterus and low-lying prolapse can cause lower abdominal pain and may or may not require surgery, depending on the severity and symptoms. A retroverted uterus (tilted backward) is common and often doesn't cause symptoms, but can sometimes be associated with pain, especially during menstruation or intercourse. Uterine prolapse, where the uterus descends into the vagina, can range from mild to severe and may cause discomfort or interfere with daily activities. Treatment options vary, with mild cases often managed with pelvic floor exercises and lifestyle changes, while more severe cases may require surgery.

Question 3

I'm really stressed out because I was supposed to get my period around the time of my surgery, but it hasn't happened. I've been worried about the extraction for about a week. Then, I picked up a cough and cold, along with some digestive issues, and had to take a few antibiotics and steroids. I've never missed a period before, and I'm still a virgin, so this is freaking me out a bit. The last time I had my period was around May 15th. Should I be concerned about this delay? What could be causing it?

Accepted Answer

Elevated Total Bilirubin Level (2.9)

_Interpretation and Recommendations_

1. _Mild elevation_: A total bilirubin level of 2.9 is slightly elevated, but still within a relatively mild range.
2. _Possible causes_: Elevated bilirubin can be caused by various factors, such as:
    - Liver dysfunction or inflammation
    - Hemolysis (red blood cell breakdown)
    - Bile duct obstruction
    - Medication side effects
3. _Next steps_:
    - _Repeat the test_: To confirm the elevated bilirubin level and rule out laboratory errors.
    - _Liver function tests (LFTs)_: Schedule a follow-up test to assess liver function and identify potential underlying causes.
    - _Medical evaluation_: Consult your doctor to discuss the results and determine the best course of action.

_Mildly Elevated Bilirubin Levels Typically Don't Require Immediate Attention_

More Obstetrics & Gynaecology Health Queries

My mom is 50 and has been having lower abdomen pain for days. Her USG scan shows a retroverted uterus and low lying prolapse. How serious is this and will she need surgery

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